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DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Inter- change- able	Limited Use	Thera- peutic Notes
02474026	5-AMINOSALICYLIC ACID	Mezera 1g/Actuation 14 Actuation-Foam Enema Canister Pk	AVP	101.8220	101.8220	NO	NO	NO
02524481	5-AMINOSALICYLIC ACID	Mezera 500mg DR Tab	AVP	0.6627	0.6627	NO	NO	NO
02099683	5-AMINOSALICYLIC ACID	Pentasa 500mg Del-Release Tab	FEI	0.7544	0.7544	NO	NO	NO
02297558	5-AMINOSALICYLIC ACID	Mezavant 1.2g Delayed & ER Tab	TAK	2.0020	2.0020	NO	NO	NO
02399466	5-AMINOSALICYLIC ACID	Pentasa 1g ER Tab	FEI	1.5086	1.5086	NO	NO	NO
02153556	5-AMINOSALICYLIC ACID	Pentasa 4g/100mL Enema	FEI	9.1942	9.1942	NO	NO	NO
02153521	5-AMINOSALICYLIC ACID	Pentasa 1g/100mL Enema	FEI	6.6606	6.6606	NO	NO	NO
02112787	5-AMINOSALICYLIC ACID	Salofalk 500mg Ent Tab	BFI	0.7050	0.7050	NO	NO	NO
02112809	5-AMINOSALICYLIC ACID	Salofalk 4g Rect Susp-Pk	BFI	9.2100	9.2100	NO	NO	NO
02474018	5-AMINOSALICYLIC ACID	Mezera 1g Sup	AVP	1.8702	1.8702	NO	NO	NO
02153564	5-AMINOSALICYLIC ACID	Pentasa 1g Sup	FEI	2.6231	2.6231	NO	NO	NO
02112760	5-AMINOSALICYLIC ACID	Salofalk 500mg Sup	BFI	1.7337	1.7337	NO	NO	NO
02242146	5-AMINOSALICYLIC ACID	Salofalk 1000mg Sup	BFI	2.5463	2.5463	NO	NO	NO
01997580	5-AMINOSALICYLIC ACID	Asacol (Not a Benefit) 400mg Tab	WAR	N/A	N/A	YES	NO	NO
02171929	5-AMINOSALICYLIC ACID	Teva-5-ASA 400mg Tab	TEV	0.4758	0.4758	YES	NO	NO
02416255	ABACAVIR & LAMIVUDINE & ZIDOVUDINE	Apo-Abacavir-Lamivudine-Zidovudine 300mg & 150mg & 300mg Tab	APX	13.6425	13.6425	YES	NO	NO
02244757	ABACAVIR & LAMIVUDINE & ZIDOVUDINE	Trizivir 300mg & 150mg & 300mg Tab	VIH	19.0426	13.6425	YES	NO	NO
02240358	ABACAVIR SULFATE	Ziagen 20mg/mL O/L	VIH	0.6142	0.6142	NO	NO	NO
02396769	ABACAVIR SULFATE	Apo-Abacavir 300mg Tab	APX	3.4828	3.4828	YES	NO	NO
02480956	ABACAVIR SULFATE	Mint-Abacavir 300mg Tab	MIN	3.4828	3.4828	YES	NO	NO
02240357	ABACAVIR SULFATE	Ziagen 300mg Tab	VIH	8.6725	3.4828	YES	NO	NO
02399539	ABACAVIR SULFATE & LAMIVUDINE	Apo-Abacavir-Lamivudine 600mg & 300mg Tab	APX	5.9875	5.9875	YES	NO	NO
02454513	ABACAVIR SULFATE & LAMIVUDINE	Auro-Abacavir/Lamivudine 600mg & 300mg Tab	AUR	5.9875	5.9875	YES	NO	NO
02497654	ABACAVIR SULFATE & LAMIVUDINE	Jamp Abacavir/Lamivudine 600mg & 300mg Tab	JPC	5.9875	5.9875	YES	NO	NO
02269341	ABACAVIR SULFATE & LAMIVUDINE	Kivexa 600mg & 300mg Tab	VIH	28.3100	5.9875	YES	NO	NO
02450682	ABACAVIR SULFATE & LAMIVUDINE	Mylan-Abacavir-Lamivudine 600mg & 300mg Tab	MYL	5.9875	5.9875	YES	NO	NO
02458381	ABACAVIR SULFATE & LAMIVUDINE	PMS-Abacavir-Lamivudine 600mg & 300mg Tab	PMS	5.9875	5.9875	YES	NO	NO
02416662	ABACAVIR SULFATE & LAMIVUDINE	Teva-Abacavir-Lamivudine 600mg & 300mg Tab	TEV	5.9875	5.9875	YES	NO	NO
02525380	ABIRATERONE ACETATE	Abiraterone 500mg Tab	JPC	15.3125	15.3125	YES	NO	NO
02491397	ABIRATERONE ACETATE	Apo-Abiraterone Film Coated Tablets 250mg Tab	APX	7.6563	7.6563	YES	NO	NO
02491400	ABIRATERONE ACETATE	Apo-Abiraterone Film Coated Tablets 500mg Tab	APX	15.3125	15.3125	YES	NO	NO
02502305	ABIRATERONE ACETATE	Jamp Abiraterone 250mg Tab	JPC	7.6563	7.6563	YES	NO	NO
02529629	ABIRATERONE ACETATE	Jamp Abiraterone 500mg Tab	JPC	15.3125	15.3125	YES	NO	NO
02503999	ABIRATERONE ACETATE	Mar-Abiraterone 500mg Tab	MAR	15.3125	15.3125	YES	NO	NO
02503980	ABIRATERONE ACETATE	Mar-Abiraterone 250mg Tab	MAR	7.6563	7.6563	YES	NO	NO
02494132	ABIRATERONE ACETATE	Nat-Abiraterone 250mg Tab	NAT	7.6563	7.6563	YES	NO	NO
02492601	ABIRATERONE ACETATE	PMS-Abiraterone 250mg Tab	PMS	7.6563	7.6563	YES	NO	NO
02501503	ABIRATERONE ACETATE	PMS-Abiraterone 500mg Tab	PMS	15.3125	15.3125	YES	NO	NO
02533251	ABIRATERONE ACETATE	Reddy-Abiraterone 500mg Tab	DRR	15.3125	15.3125	YES	NO	NO
02477114	ABIRATERONE ACETATE	Reddy-Abiraterone 250mg Tab	DRR	7.6563	7.6563	YES	NO	NO
02486393	ABIRATERONE ACETATE	Sandoz Abiraterone 250mg Tab	SDZ	7.6563	7.6563	YES	NO	NO
02521644	ABIRATERONE ACETATE	Sandoz Abiraterone 500mg Tab	SDZ	15.3125	15.3125	YES	NO	NO
02457113	ABIRATERONE ACETATE	Zytiga 500mg Tab	JAN	71.0460	15.3125	YES	NO	NO
02371065	ABIRATERONE ACETATE	Zytiga 250mg Tab	JAN	35.5230	7.6563	YES	NO	NO
02456117	ABOBOTULINUM TOXIN A	Dysport Therapeutic 500U/Vial Pd Inj-Vial Pk	IPS	642.6000	642.6000	NO	YES	NO
02460203	ABOBOTULINUM TOXIN A	Dysport Therapeutic 300U/Vial Pd Inj-Vial Pk	IPS	385.5600	385.5600	NO	YES	NO
02293269	ACAMPROSATE CALCIUM	Campral 333mg DR Tab	MYL	0.9976	0.9976	NO	YES	NO
02190885	ACARBOSE	Glucobay (Not a Benefit) 50mg Tab	BAY	N/A	N/A	YES	NO	NO
02190893	ACARBOSE	Glucobay (Not a Benefit) 100mg Tab	BAY	N/A	N/A	YES	NO	NO
02494078	ACARBOSE	Mar-Acarbose 50mg Tab	MAR	0.1348	0.1348	YES	YES	NO
02494086	ACARBOSE	Mar-Acarbose 100mg Tab	MAR	0.1866	0.1866	YES	YES	NO
02147610	ACEBUTOLOL HCL	Apo-Acebutolol 200mg Tab	APX	0.2808	0.2808	YES	NO	NO
02147629	ACEBUTOLOL HCL	Apo-Acebutolol 400mg Tab	APX	0.5348	0.5348	YES	NO	NO
02147602	ACEBUTOLOL HCL	Apo-Acebutolol 100mg Tab	APX	0.1871	0.1871	YES	NO	NO
01926551	ACEBUTOLOL HCL	Sectral (Not a Benefit) 200mg Tab	SAV	N/A	N/A	YES	NO	NO
01926543	ACEBUTOLOL HCL	Sectral (Not a Benefit) 100mg Tab	SAV	N/A	N/A	YES	NO	NO
01926578	ACEBUTOLOL HCL	Sectral (Not a Benefit) 400mg Tab	SAV	N/A	N/A	YES	NO	NO
02204525	ACEBUTOLOL HCL	Teva-Acebutolol 200mg Tab	TEV	0.2808	0.2808	YES	NO	NO
02204517	ACEBUTOLOL HCL	Teva-Acebutolol 100mg Tab	TEV	0.1871	0.1871	YES	NO	NO
02204533	ACEBUTOLOL HCL	Teva-Acebutolol 400mg Tab	TEV	0.5348	0.5348	YES	NO	NO
02229977	ACETAMINOPHEN	Apo-Acetaminophen Caplets 500mg	APX	0.0149	0.0149	YES	NO	NO
02229873	ACETAMINOPHEN	Apo-Acetaminophen Caplets 325mg	APX	0.0114	0.0114	YES	NO	NO
00544981	ACETAMINOPHEN	Apo-Acetaminophen Tab 325mg	APX	0.0114	0.0114	YES	NO	NO
00545007	ACETAMINOPHEN	Apo-Acetaminophen Tab 500mg	APX	0.0149	0.0149	YES	NO	NO
00013668	ACETAMINOPHEN	Atasol Forte Tab (Not a Benefit) 500mg	HOR	N/A	N/A	YES	NO	NO
00293482	ACETAMINOPHEN	Atasol Tab (Not a Benefit) 325mg	HOR	N/A	N/A	YES	NO	NO
01938088	ACETAMINOPHEN	Jamp Acetaminophen 325 Caplets 325mg	JPC	0.0114	0.0114	YES	NO	NO
01939122	ACETAMINOPHEN	Jamp Acetaminophen 500 Caplets 500mg	JPC	0.0149	0.0149	YES	NO	NO
00482323	ACETAMINOPHEN	Novo-Gesic Forte Tab 500mg	NOP	0.0149	0.0149	YES	NO	NO
00389218	ACETAMINOPHEN	Novo-Gesic Tab 325mg	NOP	0.0114	0.0114	YES	NO	NO
00631353	ACETAMINOPHEN	Atasol (Not a Benefit) 80mg/mL O/L	HOR	N/A	N/A	YES	NO	NO
02027801	ACETAMINOPHEN	Pediatrix 80mg/mL O/L	RPH	0.1436	0.1436	YES	NO	NO
00642401	ACETAMINOPHEN	Tempra (Not a Benefit) 80mg/mL O/L	MJS	N/A	N/A	YES	NO	NO
02230434	ACETAMINOPHEN	ACET 120 120mg Sup	PEN	0.5367	0.5367	YES	NO	NO
02230436	ACETAMINOPHEN	ACET 325 325mg Sup	PEN	0.6625	0.6625	YES	NO	NO
02230437	ACETAMINOPHEN	ACET 650 650mg Sup	PEN	0.7608	0.7608	YES	NO	NO
01919407	ACETAMINOPHEN	Abenol (Not a Benefit) 650mg Sup	PEN	N/A	N/A	YES	NO	NO
01919385	ACETAMINOPHEN	Abenol (Not a Benefit) 120mg Sup	PEN	N/A	N/A	YES	NO	NO
01919393	ACETAMINOPHEN	Abenol (Not a Benefit) 325mg Sup	PEN	N/A	N/A	YES	NO	NO
00653241	ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE	Teva-Lenoltec No.2 300mg & 15mg & 15mg Tab	TEV	0.0889	0.0889	YES	NO	YES
00653276	ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE	Teva-Lenoltec No.3 300mg & 15mg & 30mg Tab	TEV	0.0933	0.0933	YES	NO	YES
02163934	ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE	Tylenol with Codeine No. 2 (Not a Benefit) 300mg & 15mg & 15mg Tab	JAN	N/A	N/A	YES	NO	YES
02163926	ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE	Tylenol with Codeine No. 3 (Not a Benefit) 300mg & 15mg & 30mg Tab	JAN	N/A	N/A	YES	NO	YES
00816027	ACETAMINOPHEN & CODEINE PHOSPHATE	PMS-Acetaminophen With Codeine 160mg & 8mg/5mL O/L	PMS	0.1074	0.1074	YES	NO	YES
02163942	ACETAMINOPHEN & CODEINE PHOSPHATE	Tylenol With Codeine Elixir (Not a Benefit) 160mg & 8mg/5mL O/L	JAN	N/A	N/A	YES	NO	YES
00666130	ACETAMINOPHEN & CODEINE PHOSPHATE	Empracet-30 (Not a Benefit) 300mg & 30mg Tab	BWE	N/A	N/A	YES	NO	YES
00608882	ACETAMINOPHEN & CODEINE PHOSPHATE	Teva-Emtec-30 300mg & 30mg Tab	TEV	0.1300	0.1300	YES	NO	YES
00621463	ACETAMINOPHEN & CODEINE PHOSPHATE	Teva-Lenoltec No.4 300mg & 60mg Tab	TEV	0.1685	0.1685	YES	NO	YES
02163918	ACETAMINOPHEN & CODEINE PHOSPHATE	Tylenol with Codeine No. 4 (Not a Benefit) 300mg & 60mg Tab	JAN	N/A	N/A	YES	NO	YES
00545015	ACETAZOLAMIDE	Acetazolamide 250mg Tab	AAP	0.1414	0.1414	YES	NO	NO
02238072	ACETAZOLAMIDE	Diamox (Not a Benefit) 250mg Tab	WAY	N/A	N/A	YES	NO	NO
02554690	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE	Apo-Butalbital-ASA-Caffeine (Off-Formulary Interchangeable) 330mg & 50mg & 40mg Cap	APX	1.7939	N/A	YES	NO	YES
00226327	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE	Fiorinal (Off-Formulary Interchangeable) 330mg & 50mg & 40mg Cap	NOV	N/A	N/A	YES	NO	YES
00608238	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE	Ratio-Tecnal (Off-Formulary Interchangeable) 330mg & 50mg & 40mg Cap	RPH	1.6192	N/A	YES	NO	YES
02554623	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Apo-Butalbital-ASA-Caffeine-Codeine-C1/2 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 30mg Cap	APX	2.1261	N/A	YES	NO	YES
02554615	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Apo-Butalbital-ASA-Caffeine-Codeine-C1/4 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 15mg Cap	APX	1.7363	N/A	YES	NO	YES
00176206	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Fiorinal C1/2 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 30mg Cap	NOV	N/A	N/A	YES	NO	YES
00176192	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Fiorinal C1/4 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 15mg Cap	NOV	N/A	N/A	YES	NO	YES
00608181	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Ratio-Tecnal C1/2 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 30mg Cap	RPH	2.1261	N/A	YES	NO	YES
00608203	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Ratio-Tecnal C1/4 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 15mg Cap	RPH	1.7363	N/A	YES	NO	YES
02468859	ACITRETIN	Mint-Acitretin 25mg Cap	MIN	2.2770	2.2770	YES	NO	YES
02468840	ACITRETIN	Mint-Acitretin 10mg Cap	MIN	1.2965	1.2965	YES	NO	YES
02070847	ACITRETIN	Soriatane 10mg Cap	ALL	3.2773	1.2965	YES	NO	YES
02070863	ACITRETIN	Soriatane 25mg Cap	ALL	5.7557	2.2770	YES	NO	YES
02466082	ACITRETIN	Taro-Acitretin 25mg Cap	TAR	2.2770	2.2770	YES	NO	YES
02466074	ACITRETIN	Taro-Acitretin 10mg Cap	TAR	1.2965	1.2965	YES	NO	YES
02409720	ACLIDINIUM BROMIDE	Tudorza Genuair 400mcg/actuation Pd Inh-60 Dose Pk	COP	57.0467	57.0467	NO	NO	NO
02439530	ACLIDINIUM BROMIDE & FORMOTEROL FUMARATE DIHYDRATE	Duaklir Genuair 400mcg & 12mcg Metered Dose Pd Inh-60 Dose Pk	COP	65.1686	65.1686	NO	YES	NO
00886157	ACYCLOVIR	Zovirax 200mg/5mL Oral Susp	GLW	0.3142	0.3142	NO	NO	NO
02207621	ACYCLOVIR	Apo-Acyclovir 200mg Tab	APX	0.3511	0.3511	YES	NO	NO
02207648	ACYCLOVIR	Apo-Acyclovir 400mg Tab	APX	0.8890	0.8890	YES	NO	NO
02207656	ACYCLOVIR	Apo-Acyclovir 800mg Tab	APX	1.2673	1.2673	YES	NO	NO
02524724	ACYCLOVIR	Mint-Acyclovir 800mg Tab	MIN	1.2673	1.2673	YES	NO	NO
02524708	ACYCLOVIR	Mint-Acyclovir 200mg Tab	MIN	0.3511	0.3511	YES	NO	NO
02524716	ACYCLOVIR	Mint-Acyclovir 400mg Tab	MIN	0.8890	0.8890	YES	NO	NO
02242784	ACYCLOVIR	Mylan-Acyclovir 200mg Tab	MYL	0.3511	0.3511	YES	NO	NO
02242463	ACYCLOVIR	Mylan-Acyclovir 400mg Tab	MYL	0.8890	0.8890	YES	NO	NO
02242464	ACYCLOVIR	Mylan-Acyclovir 800mg Tab	MYL	1.2673	1.2673	YES	NO	NO
02285959	ACYCLOVIR	Teva-Acyclovir 200mg Tab	TEV	0.3511	0.3511	YES	NO	NO
02285967	ACYCLOVIR	Teva-Acyclovir 400mg Tab	TEV	0.8890	0.8890	YES	NO	NO
02285975	ACYCLOVIR	Teva-Acyclovir 800mg Tab	TEV	1.2673	1.2673	YES	NO	NO
01911627	ACYCLOVIR	Zovirax (Not a Benefit) 400mg Tab	GSK	N/A	N/A	YES	NO	NO
00634506	ACYCLOVIR	Zovirax (Not a Benefit) 200mg Tab	GSK	N/A	N/A	YES	NO	NO
01911635	ACYCLOVIR	Zovirax 800mg Tab	GSK	5.0692	1.2673	YES	NO	NO
02477130	ACYCLOVIR	Apo-Acyclovir Ointment (Off-Formulary Interchangeable) 5% Top Oint	APX	12.3114	N/A	YES	NO	NO
02522306	ACYCLOVIR	Taro-Acyclovir (Off-Formulary Interchangeable) 5% Top Oint	TAR	12.3114	N/A	YES	NO	NO
00569771	ACYCLOVIR	Zovirax (Off-Formulary Interchangeable) 5% Top Oint	VAL	N/A	N/A	YES	NO	NO
02542315	ADALIMUMAB	Hyrimoz 20mg/0.2mL Inj Sol-0.2mL Pref Syr (Preservative-Free)	SDZ	235.6350	235.6350	NO	YES	NO
02533480	ADALIMUMAB	Hadlima PushTouch 40mg/0.4mL Inj Sol-0.4mL Autoinj (Preservative-Free)	SAM	471.2700	471.2700	NO	YES	NO
02523779	ADALIMUMAB	Yuflyma 40mg/0.4mL Inj Sol-0.4mL Pref Autoinj Pen (Preservative-Free)	CEH	471.2700	471.2700	NO	YES	NO
02523957	ADALIMUMAB	Simlandi 40mg/0.4mL Inj Sol-0.4mL Pref Autoinj Syr (Preservative-Free)	JPC	471.2700	471.2700	NO	YES	NO
02542331	ADALIMUMAB	Hyrimoz 40mg/0.4mL Inj Sol-0.4mL Pref Pen (Preservative-Free)	SDZ	471.2700	471.2700	NO	YES	NO
02511061	ADALIMUMAB	Abrilada 20mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	PFI	235.6300	235.6300	NO	YES	NO
02459310	ADALIMUMAB	Amgevita 20mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	AMG	235.6400	235.6400	NO	YES	NO
02533472	ADALIMUMAB	Hadlima 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	SAM	471.2700	471.2700	NO	YES	NO
02502380	ADALIMUMAB	Hulio 20mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	BGP	235.6350	235.6350	NO	YES	NO
02505258	ADALIMUMAB	Hyrimoz 20mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	SDZ	235.6350	235.6350	NO	YES	NO
02542323	ADALIMUMAB	Hyrimoz 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	SDZ	471.2700	471.2700	NO	YES	NO
02523949	ADALIMUMAB	Simlandi 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	JPC	471.2700	471.2700	NO	YES	NO
02523760	ADALIMUMAB	Yuflyma 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	CEH	471.2700	471.2700	NO	YES	NO
02459302	ADALIMUMAB	Amgevita 40mg/0.8mL Inj Sol-0.8mL Pref Autoinj (Preservative-Free)	AMG	471.2700	471.2700	NO	YES	NO
02473100	ADALIMUMAB	Hadlima PushTouch 40mg/0.8mL Inj Sol-0.8mL Pref Autoinj (Preservative-Free)	SAM	471.2700	471.2700	NO	YES	NO
02492156	ADALIMUMAB	Hyrimoz 40mg/0.8mL Inj Sol-0.8mL Pref Autoinj (Preservative-Free)	SDZ	471.2700	471.2700	NO	YES	NO
02511045	ADALIMUMAB	Abrilada 40mg/0.8mL Inj Sol-0.8mL Pref Pen (Preservative-Free)	PFI	471.2700	471.2700	NO	YES	NO
02502402	ADALIMUMAB	Hulio 40mg/0.8mL Inj Sol-0.8mL Pref Pen (Preservative-Free)	BGP	471.2700	471.2700	NO	YES	NO
02542366	ADALIMUMAB	Hyrimoz 80mg/0.8mL Inj Sol-0.8mL Pref Pen (Preservative-Free)	SDZ	942.5400	942.5400	NO	YES	NO
02502674	ADALIMUMAB	Idacio 40mg/0.8mL Inj Sol-0.8mL Pref Pen (Preservative-Free)	FKC	471.2700	471.2700	NO	YES	NO
02535084	ADALIMUMAB	Yuflyma 80mg/0.8mL Inj Sol-0.8mL Pref Pen (Preservative-Free)	CEH	942.5400	942.5400	NO	YES	NO
02511053	ADALIMUMAB	Abrilada 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	PFI	471.2700	471.2700	NO	YES	NO
02459299	ADALIMUMAB	Amgevita 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	AMG	471.2700	471.2700	NO	YES	NO
02473097	ADALIMUMAB	Hadlima 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	SAM	471.2700	471.2700	NO	YES	NO
02502399	ADALIMUMAB	Hulio 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	BGP	471.2700	471.2700	NO	YES	NO
02542358	ADALIMUMAB	Hyrimoz 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	SDZ	942.5400	942.5400	NO	YES	NO
02492164	ADALIMUMAB	Hyrimoz 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	SDZ	471.2700	471.2700	NO	YES	NO
02502682	ADALIMUMAB	Idacio 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	FKC	471.2700	471.2700	NO	YES	NO
02523965	ADALIMUMAB	Simlandi 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	JPC	942.5400	942.5400	NO	YES	NO
02535076	ADALIMUMAB	Yuflyma 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	CEH	942.5400	942.5400	NO	YES	NO
02489007	ADAPALENE & BENZOYL PEROXIDE	Sandoz Adapalene/ Benzoyl Peroxide (Off-Formulary Interchangeable) 0.1%w/w & 2.5%w/w Top Gel	SDZ	1.2718	N/A	YES	NO	NO
02517205	ADAPALENE & BENZOYL PEROXIDE	Sandoz Adapalene/Benzoyl Peroxide (Off-Formulary Interchangeable) 0.3% w/w & 2.5% w/w Top Gel	SDZ	2.1576	N/A	YES	NO	NO
02365871	ADAPALENE & BENZOYL PEROXIDE	TactuPump (Off-Formulary Interchangeable) 0.1%w/w & 2.5%w/w Top Gel	GAC	N/A	N/A	YES	NO	NO
02446235	ADAPALENE & BENZOYL PEROXIDE	TactuPump Forte (Off-Formulary Interchangeable) 0.3% w/w & 2.5% w/w Top Gel	GAC	N/A	N/A	YES	NO	NO
02456923	ADAPALENE & BENZOYL PEROXIDE	Taro-Adapalene/Benzoyl Peroxide (Off-Formulary Interchangeable) 0.1%w/w & 2.5%w/w Top Gel	TAR	1.2719	N/A	YES	NO	NO
02505053	ADAPALENE & BENZOYL PEROXIDE	Taro-Adapalene/Benzoyl Peroxide Forte (Off-Formulary Interchangeable) 0.3% w/w & 2.5% w/w Top Gel	TAR	2.1577	N/A	YES	NO	NO
02420333	ADEFOVIR DIPIVOXIL	AA-Adefovir (Off-Formulary Interchangeable) 10mg Tab	AAP	20.9130	N/A	YES	NO	NO
02247823	ADEFOVIR DIPIVOXIL	Hepsera (Off-Formulary Interchangeable) 10mg Tab	GIL	N/A	N/A	YES	NO	NO
02415666	AFATINIB	Giotrif (Off-Formulary Interchangeable) 20mg Tab	BOE	77.4784	38.7392	YES	NO	NO
02415682	AFATINIB	Giotrif (Off-Formulary Interchangeable) 40mg Tab	BOE	77.4784	38.7392	YES	NO	NO
02415674	AFATINIB	Giotrif (Off-Formulary Interchangeable) 30mg Tab	BOE	77.4784	38.7392	YES	NO	NO
02517019	AFATINIB	Mar-Afatinib (Off-Formulary Interchangeable) 20mg Tab	MAR	38.7392	38.7392	YES	NO	NO
02517035	AFATINIB	Mar-Afatinib (Off-Formulary Interchangeable) 40mg Tab	MAR	38.7392	38.7392	YES	NO	NO
02517027	AFATINIB	Mar-Afatinib (Off-Formulary Interchangeable) 30mg Tab	MAR	38.7392	38.7392	YES	NO	NO
02512777	AFATINIB	Sandoz AFAtinib (Off-Formulary Interchangeable) 20mg Tab	SDZ	38.7392	38.7392	YES	NO	NO
02512785	AFATINIB	Sandoz AFAtinib (Off-Formulary Interchangeable) 30mg Tab	SDZ	38.7392	38.7392	YES	NO	NO
02512793	AFATINIB	Sandoz AFAtinib (Off-Formulary Interchangeable) 40mg Tab	SDZ	38.7392	38.7392	YES	NO	NO
02505355	AFLIBERCEPT	Eylea 40mg/mL Inj Sol-0.05mL Pref Syr (Preservative-Free)	BAH	1418.0000	1418.0000	NO	YES	NO
02554798	AFLIBERCEPT	Eylea HD 8mg/0.07mL Inj Sol-0.07mL Pref Syr	BAH	1250.0000	1250.0000	NO	YES	NO
02545004	AFLIBERCEPT	Eylea HD 8mg/0.07mL Inj Sol-0.07mL Vial Pk	BAH	1250.0000	1250.0000	NO	YES	NO
02415992	AFLIBERCEPT	Eylea 40mg/mL Sol for Intravitreal Inj-0.05mL Vial Pk	BAH	1418.0000	1418.0000	NO	YES	NO
02485184	ALENDRONATE	AG-Alendronate 70mg Tab	ANG	1.7804	1.7804	YES	NO	NO
02299712	ALENDRONATE	Alendronate 70mg Tab	SIV	1.7804	1.7804	YES	NO	NO
02352966	ALENDRONATE	Alendronate 70mg Tab	SAI	1.7804	1.7804	YES	NO	NO
02381494	ALENDRONATE	Alendronate Sodium Tablets 70mg Tab	ACH	1.7804	1.7804	YES	NO	NO
02381478	ALENDRONATE	Alendronate Sodium Tablets (Off-Formulary Interchangeable) 5mg Tab	ACH	1.0370	N/A	YES	NO	NO
02381486	ALENDRONATE	Alendronate Sodium Tablets 10mg Tab	ACH	0.4987	0.4987	YES	NO	NO
02248730	ALENDRONATE	Apo-Alendronate 70mg Tab	APX	1.7804	1.7804	YES	NO	NO
02248727	ALENDRONATE	Apo-Alendronate (Off-Formulary Interchangeable) 5mg Tab	APX	1.0370	N/A	YES	NO	NO
02248728	ALENDRONATE	Apo-Alendronate 10mg Tab	APX	0.4987	0.4987	YES	NO	NO
02388545	ALENDRONATE	Auro-Alendronate 10mg Tab	AUR	0.4987	0.4987	YES	NO	NO
02388553	ALENDRONATE	Auro-Alendronate 70mg Tab	AUR	1.7804	1.7804	YES	NO	NO
02201011	ALENDRONATE	Fosamax (Not a Benefit) 10mg Tab	MFC	N/A	N/A	YES	NO	NO
02245329	ALENDRONATE	Fosamax 70mg Tab	OCI	12.6250	1.7804	YES	NO	NO
02233055	ALENDRONATE	Fosamax (Off-Formulary Interchangeable) 5mg Tab	MFC	N/A	N/A	YES	NO	NO
02500175	ALENDRONATE	Jamp Alendronate Sodium 70mg Tab	JPC	1.7804	1.7804	YES	NO	NO
02385031	ALENDRONATE	Jamp-Alendronate 70mg Tab	JPC	1.7804	1.7804	YES	NO	NO
02529394	ALENDRONATE	M-Alendronate 70mg Tab	MAT	1.7804	1.7804	YES	NO	NO
02394871	ALENDRONATE	Mint-Alendronate 70mg Tab	MIN	1.7804	1.7804	YES	NO	NO
02394863	ALENDRONATE	Mint-Alendronate 10mg Tab	MIN	0.4987	0.4987	YES	NO	NO
02523116	ALENDRONATE	NRA-Alendronate 70mg Tab	NRA	1.7804	1.7804	YES	NO	NO
02284006	ALENDRONATE	PMS-Alendronate-FC 70mg Tab	PMS	1.7804	1.7804	YES	NO	NO
02384701	ALENDRONATE	Ran-Alendronate 10mg Tab	RAN	0.4987	0.4987	YES	NO	NO
02270889	ALENDRONATE	Riva-Alendronate 70mg Tab	RIA	1.7804	1.7804	YES	NO	NO
02288109	ALENDRONATE	Sandoz Alendronate 70mg Tab	SDZ	1.7804	1.7804	YES	NO	NO
02288087	ALENDRONATE	Sandoz Alendronate 10mg Tab	SDZ	0.4987	0.4987	YES	NO	NO
02261715	ALENDRONATE	Teva-Alendronate 70mg Tab	TEV	1.7804	1.7804	YES	NO	NO
02247373	ALENDRONATE	Teva-Alendronate 10mg Tab	TEV	0.4987	0.4987	YES	NO	NO
02248251	ALENDRONATE	Teva-Alendronate (Off-Formulary Interchangeable) 5mg Tab	TEV	1.0370	N/A	YES	NO	NO
02454467	ALENDRONATE & CHOLECALCIFEROL	Apo-Alendronate/Vitamin D3 70mg & 70mcg Tab	APX	2.4348	2.4348	YES	NO	YES
02454475	ALENDRONATE & CHOLECALCIFEROL	Apo-Alendronate/Vitamin D3 70mg & 140mcg Tab	APX	2.4348	2.4348	YES	NO	NO
02276429	ALENDRONATE & CHOLECALCIFEROL	Fosavance 70mg & 70mcg Tab	OCI	5.5335	2.4348	YES	NO	YES
02314940	ALENDRONATE & CHOLECALCIFEROL	Fosavance 70mg & 140mcg Tab	OCI	5.4250	2.4348	YES	NO	NO
02519828	ALENDRONATE & CHOLECALCIFEROL	Jamp Alendronate/Vitamin D3 70mg & 70mcg Tab	JPC	2.4348	2.4348	YES	NO	NO
02519836	ALENDRONATE & CHOLECALCIFEROL	Jamp Alendronate/Vitamin D3 70mg & 140mcg Tab	JPC	2.4348	2.4348	YES	NO	NO
00474517	ALFACALCIDOL	One-Alpha 0.25mcg Cap	LEO	0.6289	0.4313	YES	NO	NO
00474525	ALFACALCIDOL	One-Alpha 1mcg Cap	LEO	1.8827	1.2911	YES	NO	NO
02533316	ALFACALCIDOL	Sandoz Alfacalcidol 0.25mcg Cap	SDZ	0.4313	0.4313	YES	NO	NO
02533324	ALFACALCIDOL	Sandoz Alfacalcidol 1mcg Cap	SDZ	1.2911	1.2911	YES	NO	NO
02240329	ALFACALCIDOL	One-Alpha Drops 2mcg/mL Oral Drops	LEO	7.5526	7.5526	NO	NO	NO
02519844	ALFUZOSIN HYDROCHLORIDE	Alfuzosin 10mg Prolong-Rel Tab	SAI	0.2601	0.2601	YES	YES	NO
02447576	ALFUZOSIN HYDROCHLORIDE	Alfuzosin 10mg Prolong-Rel Tab	SIV	0.2601	0.2601	YES	YES	NO
02315866	ALFUZOSIN HYDROCHLORIDE	Apo-Alfuzosin 10mg Prolong-Rel Tab	APX	0.2601	0.2601	YES	YES	NO
02443201	ALFUZOSIN HYDROCHLORIDE	Auro-Alfuzosin 10mg Prolong-Rel Tab	AUR	0.2601	0.2601	YES	YES	NO
02304678	ALFUZOSIN HYDROCHLORIDE	Sandoz Alfuzosin 10mg Prolong-Rel Tab	SDZ	0.2601	0.2601	YES	YES	NO
02245565	ALFUZOSIN HYDROCHLORIDE	Xatral 10mg Prolong-Rel Tab	SAV	1.0900	0.2601	YES	YES	NO
02453819	ALIROCUMAB	Praluent 75mg/mL Inj Sol-Pref Pen	SAC	267.8300	267.8300	NO	YES	NO
02453835	ALIROCUMAB	Praluent 150mg/mL Inj Sol-Pref Pen	SAC	267.8300	267.8300	NO	YES	NO
02547732	ALIROCUMAB	Praluent 300mg/2mL Inj Sol-Pref Pen 2mL Pk (Preservative-Free)	SAC	535.6600	535.6600	NO	YES	NO
02477440	ALITRETINOIN	Hanzema 30mg Cap	DRR	16.9868	16.9868	YES	YES	YES
02477432	ALITRETINOIN	Hanzema 10mg Cap	DRR	16.9868	16.9868	YES	YES	YES
02337649	ALITRETINOIN	Toctino (Not a Benefit) 30mg Cap	GSK	N/A	N/A	YES	NO	YES
02337630	ALITRETINOIN	Toctino (Not a Benefit) 10mg Cap	GSK	N/A	N/A	YES	NO	YES
02402769	ALLOPURINOL	Apo-Allopurinol (Not a Benefit) 100mg Tab	APX	N/A	N/A	YES	NO	YES
02402785	ALLOPURINOL	Apo-Allopurinol (Not a Benefit) 300mg Tab	APX	N/A	N/A	YES	NO	YES
02402777	ALLOPURINOL	Apo-Allopurinol (Not a Benefit) 200mg Tab	APX	N/A	N/A	YES	NO	YES
00402796	ALLOPURINOL	Apo-Allopurinol Tablets 300mg Tab	APX	0.2125	0.2125	YES	NO	YES
00402818	ALLOPURINOL	Apo-Allopurinol Tablets 100mg Tab	APX	0.0780	0.0780	YES	NO	YES
00479799	ALLOPURINOL	Apo-Allopurinol Tablets 200mg Tab	APX	0.1300	0.1300	YES	NO	YES
02396327	ALLOPURINOL	Mar-Allopurinol 100mg Tab	MAR	0.0780	0.0780	YES	NO	YES
02396335	ALLOPURINOL	Mar-Allopurinol 200mg Tab	MAR	0.1300	0.1300	YES	NO	YES
02396343	ALLOPURINOL	Mar-Allopurinol 300mg Tab	MAR	0.2125	0.2125	YES	NO	YES
00294322	ALLOPURINOL	Zyloprim (Not a Benefit) 300mg Tab	BWE	N/A	N/A	YES	NO	YES
02466821	ALMOTRIPTAN	Almotriptan (Off-Formulary Interchangeable) 12.5mg Tab	SAI	9.7833	9.7833	YES	NO	NO
02405806	ALMOTRIPTAN	Apo-Almotriptan (Off-Formulary Interchangeable) 12.5mg Tab	APX	9.7833	9.7833	YES	NO	NO
02405792	ALMOTRIPTAN	Apo-Almotriptan (Off-Formulary Interchangeable) 6.25mg Tab	APX	9.7833	9.7833	YES	NO	NO
02248128	ALMOTRIPTAN	Axert (Off-Formulary Interchangeable) 6.25mg Tab	JNO	N/A	N/A	YES	NO	NO
02248129	ALMOTRIPTAN	Axert (Off-Formulary Interchangeable) 12.5mg Tab	JNO	N/A	N/A	YES	NO	NO
02398435	ALMOTRIPTAN	Mylan-Almotriptan (Off-Formulary Interchangeable) 6.25mg Tab	MYL	9.7833	9.7833	YES	NO	NO
02398443	ALMOTRIPTAN	Mylan-Almotriptan (Off-Formulary Interchangeable) 12.5mg Tab	MYL	9.7833	9.7833	YES	NO	NO
02405334	ALMOTRIPTAN	Sandoz Almotriptan (Off-Formulary Interchangeable) 12.5mg Tab	SDZ	9.7825	9.7825	YES	NO	NO
02434849	ALMOTRIPTAN	Teva-Almotriptan (Off-Formulary Interchangeable) 12.5mg Tab	TEV	9.7833	9.7833	YES	NO	NO
00865397	ALPRAZOLAM	Apo-Alpraz 0.25mg Tab	APX	0.0633	0.0633	YES	NO	NO
02243611	ALPRAZOLAM	Apo-Alpraz (Off-Formulary Interchangeable) 1mg Tab	APX	0.4603	N/A	YES	NO	NO
00865400	ALPRAZOLAM	Apo-Alpraz 0.5mg Tab	APX	0.0757	0.0757	YES	NO	NO
02243612	ALPRAZOLAM	Apo-Alpraz TS (Off-Formulary Interchangeable) 2mg Tab	APX	0.9271	N/A	YES	NO	NO
02397064	ALPRAZOLAM	Jamp Alprazolam (Off-Formulary Interchangeable) 2mg Tab	JPC	0.9271	N/A	YES	NO	NO
02397056	ALPRAZOLAM	Jamp Alprazolam (Off-Formulary Interchangeable) 1mg Tab	JPC	0.4603	N/A	YES	NO	NO
02417669	ALPRAZOLAM	Nat-Alprazolam (Off-Formulary Interchangeable) 2mg Tab	NAT	0.5508	N/A	YES	NO	NO
02417634	ALPRAZOLAM	Nat-Alprazolam 0.25mg Tab	NAT	0.0633	0.0633	YES	NO	NO
02417650	ALPRAZOLAM	Nat-Alprazolam (Off-Formulary Interchangeable) 1mg Tab	NAT	0.3099	N/A	YES	NO	NO
02417642	ALPRAZOLAM	Nat-Alprazolam 0.5mg Tab	NAT	0.0757	0.0757	YES	NO	NO
01913484	ALPRAZOLAM	Teva-Alprazolam 0.25mg Tab	TEV	0.0633	0.0633	YES	NO	NO
01913492	ALPRAZOLAM	Teva-Alprazolam 0.5mg Tab	TEV	0.0757	0.0757	YES	NO	NO
00548367	ALPRAZOLAM	Xanax 0.5mg Tab	UJC	0.4304	0.0757	YES	NO	NO
00548359	ALPRAZOLAM	Xanax 0.25mg Tab	UJC	0.3599	0.0633	YES	NO	NO
00723770	ALPRAZOLAM	Xanax (Off-Formulary Interchangeable) 1mg Tab	UJC	N/A	N/A	YES	NO	NO
00813958	ALPRAZOLAM	Xanax TS (Off-Formulary Interchangeable) 2mg Tab	UJC	N/A	N/A	YES	NO	NO
02126230	ALTRETAMINE	Hexalen 50mg Cap	LIL	3.3600	3.3600	NO	NO	NO
00491217	ALUMINUM HYDROXIDE & MAGNESIUM HYDROXIDE	Diovol EX (Not a Benefit) 120mg & 60mg/mL O/L	HOR	N/A	N/A	YES	NO	NO
02163136	ALUMINUM HYDROXIDE & MAGNESIUM HYDROXIDE	Maalox (Not a Benefit) 40mg & 40mg/mL O/L	NOV	N/A	N/A	YES	NO	NO
02162369	ALUMINUM HYDROXIDE & MAGNESIUM HYDROXIDE	Maalox TC (Not a Benefit) 120mg & 60mg/mL O/L	NOV	N/A	N/A	YES	NO	NO
00261173	ALUMINUM HYDROXIDE & MAGNESIUM HYDROXIDE	Neutralca-S (Not a Benefit) 40mg & 40mg/mL O/L	DES	N/A	N/A	YES	NO	NO
00483605	ALUMINUM HYDROXIDE & MAGNESIUM HYDROXIDE	Gelusil Extra Strength (Not a Benefit) 400mg & 400mg Tab	PDA	N/A	N/A	YES	NO	NO
02208253	ALUMINUM HYDROXIDE & MAGNESIUM HYDROXIDE	Maalox (Not a Benefit) 400mg & 400mg Tab	NOV	N/A	N/A	YES	NO	NO
01990403	AMANTADINE HCL	PDP-Amantadine Hydrochloride Capsules 100mg Cap	PEN	0.5662	0.5662	YES	NO	YES
01914006	AMANTADINE HCL	Symmetrel (Not a Benefit) 100mg Cap	BQU	N/A	N/A	YES	NO	YES
02538601	AMANTADINE HCL	Odan-Amantadine Syrup 10mg/mL O/L	ODN	0.0988	0.0988	YES	NO	YES
02022826	AMANTADINE HCL	PDP-Amantadine Hydrochloride Syrup 10mg/mL O/L	PEN	0.0988	0.0988	YES	NO	YES
01913999	AMANTADINE HCL	Symmetrel (Not a Benefit) 10mg/mL O/L	BQU	N/A	N/A	YES	NO	YES
02475383	AMBRISENTAN	Apo-Ambrisentan (Off-Formulary Interchangeable) 10mg Tab	APX	106.3288	106.3288	YES	NO	NO
02475375	AMBRISENTAN	Apo-Ambrisentan (Off-Formulary Interchangeable) 5mg Tab	APX	106.3288	106.3288	YES	NO	NO
02521938	AMBRISENTAN	Jamp Ambrisentan (Off-Formulary Interchangeable) 5mg Tab	JPC	106.3288	106.3288	YES	NO	NO
02521946	AMBRISENTAN	Jamp Ambrisentan (Off-Formulary Interchangeable) 10mg Tab	JPC	106.3288	106.3288	YES	NO	NO
02526883	AMBRISENTAN	Sandoz Ambrisentan Tablets (Off-Formulary Interchangeable) 10mg Tab	SDZ	106.3288	106.3288	YES	NO	NO
02526875	AMBRISENTAN	Sandoz Ambrisentan Tablets (Off-Formulary Interchangeable) 5mg Tab	SDZ	106.3288	106.3288	YES	NO	NO
02307065	AMBRISENTAN	Volibris (Off-Formulary Interchangeable) 5mg Tab	GSK	133.9247	106.3288	YES	NO	NO
02307073	AMBRISENTAN	Volibris (Off-Formulary Interchangeable) 10mg Tab	GSK	133.9247	106.3288	YES	NO	NO
02192284	AMCINONIDE	Cyclocort (Not a Benefit) 0.1% Cr	STI	N/A	N/A	YES	NO	NO
02246714	AMCINONIDE	Taro-Amcinonide 0.1% Cr	TAR	0.4522	0.4522	YES	NO	NO
02249510	AMILORIDE HCL	Midamor 5mg Tab	AAP	0.3297	0.3297	NO	NO	NO
00784400	AMILORIDE HCL & HYDROCHLOROTHIAZIDE	AA-Amilzide 5mg & 50mg Tab	AAP	0.0881	0.0881	YES	NO	NO
00487813	AMILORIDE HCL & HYDROCHLOROTHIAZIDE	Moduret (Not a Benefit) 5mg & 50mg Tab	PRE	N/A	N/A	YES	NO	NO
02385465	AMIODARONE HCL	Amiodarone 200mg Tab	SIV	0.3706	0.3706	YES	NO	YES
02364336	AMIODARONE HCL	Amiodarone 200mg Tab	SAI	0.3706	0.3706	YES	NO	YES
02246194	AMIODARONE HCL	Apo-Amiodarone 200mg Tab	APX	0.3706	0.3706	YES	NO	YES
02036282	AMIODARONE HCL	Cordarone (Not a Benefit) 200mg Tab	PFI	N/A	N/A	YES	NO	YES
02531844	AMIODARONE HCL	Jamp Amiodarone 200mg Tab	JPC	0.3706	0.3706	YES	NO	NO
02242472	AMIODARONE HCL	PMS-Amiodarone 200mg Tab	PMS	0.3706	0.3706	YES	NO	YES
02247217	AMIODARONE HCL	Riva-Amiodarone 200mg Tab	RIA	0.3706	0.3706	YES	NO	NO
02243836	AMIODARONE HCL	Sandoz Amiodarone 200mg Tab	SDZ	0.3706	0.3706	YES	NO	YES
02239835	AMIODARONE HCL	Teva-Amiodarone 200mg Tab	TEV	0.3706	0.3706	YES	NO	YES
00335053	AMITRIPTYLINE	Elavil 10mg Tab	AAP	0.0664	0.0305	YES	NO	NO
00335061	AMITRIPTYLINE	Elavil 25mg Tab	AAP	0.1211	0.0829	YES	NO	NO
00335088	AMITRIPTYLINE	Elavil 50mg Tab	AAP	0.2347	0.1540	YES	NO	NO
02429896	AMITRIPTYLINE	Mar-Amitriptyline 50mg Tab	MAR	0.1540	0.1540	YES	NO	NO
02429861	AMITRIPTYLINE	Mar-Amitriptyline 10mg Tab	MAR	0.0305	0.0305	YES	NO	NO
02429888	AMITRIPTYLINE	Mar-Amitriptyline 25mg Tab	MAR	0.0829	0.0829	YES	NO	NO
00654523	AMITRIPTYLINE	PMS-Amitriptyline 10mg Tab	PMS	0.0305	0.0305	YES	NO	NO
00654507	AMITRIPTYLINE	PMS-Amitriptyline 50mg Tab	PMS	0.1540	0.1540	YES	NO	NO
00654515	AMITRIPTYLINE	PMS-Amitriptyline 25mg Tab	PMS	0.0829	0.0829	YES	NO	NO
02326078	AMITRIPTYLINE	Teva-Amitriptyline 50mg Tab	TEV	0.1540	0.1540	YES	NO	NO
02326051	AMITRIPTYLINE	Teva-Amitriptyline 25mg Tab	TEV	0.0829	0.0829	YES	NO	NO
02484706	AMLODIPINE	PDP-Amlodipine 1mg/mL Oral Sol	PEN	1.1667	1.1667	NO	YES	NO
02419564	AMLODIPINE	Ach-Amlodipine 5mg Tab	ACH	0.1343	0.1343	YES	NO	NO
02419572	AMLODIPINE	Ach-Amlodipine 10mg Tab	ACH	0.1993	0.1993	YES	NO	NO
02297493	AMLODIPINE	Act Amlodipine 10mg Tab	TEV	0.1993	0.1993	YES	NO	NO
02297485	AMLODIPINE	Act Amlodipine 5mg Tab	TEV	0.1343	0.1343	YES	NO	NO
02429225	AMLODIPINE	Amlodipine 10mg Tab	JPC	0.1993	0.1993	YES	NO	NO
02478587	AMLODIPINE	Amlodipine (Off-Formulary Interchangeable) 2.5mg Tab	SAI	0.3328	N/A	YES	NO	NO
02385783	AMLODIPINE	Amlodipine (Off-Formulary Interchangeable) 2.5mg Tab	SIV	0.3328	N/A	YES	NO	NO
02385805	AMLODIPINE	Amlodipine 10mg Tab	SIV	0.1993	0.1993	YES	NO	NO
02385791	AMLODIPINE	Amlodipine 5mg Tab	SIV	0.1343	0.1343	YES	NO	NO
02429217	AMLODIPINE	Amlodipine 5mg Tab	JPC	0.1343	0.1343	YES	NO	NO
02331292	AMLODIPINE	Amlodipine 10mg Tab	SAI	0.1993	0.1993	YES	NO	NO
02331284	AMLODIPINE	Amlodipine 5mg Tab	SAI	0.1343	0.1343	YES	NO	NO
02273381	AMLODIPINE	Apo-Amlodipine 10mg Tab	APX	0.1993	0.1993	YES	NO	NO
02273373	AMLODIPINE	Apo-Amlodipine 5mg Tab	APX	0.1343	0.1343	YES	NO	NO
02397072	AMLODIPINE	Auro-Amlodipine 5mg Tab	AUR	0.1343	0.1343	YES	NO	NO
02397080	AMLODIPINE	Auro-Amlodipine 10mg Tab	AUR	0.1993	0.1993	YES	NO	NO
02280140	AMLODIPINE	Gd-Amlodipine 10mg Tab	GEM	0.1993	0.1993	YES	NO	NO
02280132	AMLODIPINE	Gd-Amlodipine 5mg Tab	GEM	0.1343	0.1343	YES	NO	NO
02357208	AMLODIPINE	Jamp-Amlodipine 10mg Tab	JPC	0.1993	0.1993	YES	NO	NO
02357194	AMLODIPINE	Jamp-Amlodipine 5mg Tab	JPC	0.1343	0.1343	YES	NO	NO
02357186	AMLODIPINE	Jamp-Amlodipine (Off-Formulary Interchangeable) 2.5mg Tab	JPC	0.3328	N/A	YES	NO	NO
02468026	AMLODIPINE	M-Amlodipine 5mg Tab	MAT	0.1343	0.1343	YES	NO	NO
02468034	AMLODIPINE	M-Amlodipine 10mg Tab	MAT	0.1993	0.1993	YES	NO	NO
02468018	AMLODIPINE	M-Amlodipine (Off-Formulary Interchangeable) 2.5mg Tab	MAT	0.3328	N/A	YES	NO	NO
02371707	AMLODIPINE	Mar-Amlodipine (Off-Formulary Interchangeable) 2.5mg Tab	MAR	0.3328	N/A	YES	NO	NO
02371715	AMLODIPINE	Mar-Amlodipine Tablets 5mg Tab	MAR	0.1343	0.1343	YES	NO	NO
02371723	AMLODIPINE	Mar-Amlodipine Tablets 10mg Tab	MAR	0.1993	0.1993	YES	NO	NO
02362678	AMLODIPINE	Mint-Amlodipine 10mg Tab	MIN	0.1993	0.1993	YES	NO	NO
02362651	AMLODIPINE	Mint-Amlodipine 5mg Tab	MIN	0.1343	0.1343	YES	NO	NO
02272113	AMLODIPINE	Mylan-Amlodipine 5mg Tab	MYL	0.1343	0.1343	YES	NO	NO
02272121	AMLODIPINE	Mylan-Amlodipine 10mg Tab	MYL	0.1993	0.1993	YES	NO	NO
02476460	AMLODIPINE	NRA-Amlodipine 5mg Tab	NRA	0.1343	0.1343	YES	NO	NO
02476479	AMLODIPINE	NRA-Amlodipine 10mg Tab	NRA	0.1993	0.1993	YES	NO	NO
00878928	AMLODIPINE	Norvasc 5mg Tab	UJC	1.7387	0.1343	YES	NO	NO
00878901	AMLODIPINE	Norvasc (Off-Formulary Interchangeable) 2.5mg Tab	UJC	N/A	N/A	YES	NO	NO
00878936	AMLODIPINE	Norvasc 10mg Tab	UJC	2.5378	0.1993	YES	NO	NO
02295148	AMLODIPINE	PMS-Amlodipine (Off-Formulary Interchangeable) 2.5mg Tab	PMS	0.3328	N/A	YES	NO	NO
02284065	AMLODIPINE	PMS-Amlodipine 5mg Tab	PMS	0.1343	0.1343	YES	NO	NO
02284073	AMLODIPINE	PMS-Amlodipine 10mg Tab	PMS	0.1993	0.1993	YES	NO	NO
02522519	AMLODIPINE	PRZ-Amlodipine 5mg Tab	PRZ	0.1343	0.1343	YES	NO	NO
02522527	AMLODIPINE	PRZ-Amlodipine 10mg Tab	PRZ	0.1993	0.1993	YES	NO	NO
02469030	AMLODIPINE	Pharma-Amlodipine 5mg Tab	PMS	0.1343	0.1343	YES	NO	NO
02469049	AMLODIPINE	Pharma-Amlodipine 10mg Tab	PMS	0.1993	0.1993	YES	NO	NO
02321866	AMLODIPINE	Ran-Amlodipine 10mg Tab	RAN	0.1993	0.1993	YES	NO	NO
02321858	AMLODIPINE	Ran-Amlodipine 5mg Tab	RAN	0.1343	0.1343	YES	NO	NO
02259605	AMLODIPINE	Ratio-Amlodipine 5mg Tab	RPH	0.1343	0.1343	YES	NO	NO
02259613	AMLODIPINE	Ratio-Amlodipine 10mg Tab	RPH	0.1993	0.1993	YES	NO	NO
02284383	AMLODIPINE	Sandoz Amlodipine 5mg Tab	SDZ	0.1343	0.1343	YES	NO	NO
02330474	AMLODIPINE	Sandoz Amlodipine (Off-Formulary Interchangeable) 2.5mg Tab	SDZ	0.3328	N/A	YES	NO	NO
02284391	AMLODIPINE	Sandoz Amlodipine 10mg Tab	SDZ	0.1993	0.1993	YES	NO	NO
02357712	AMLODIPINE	Septa-Amlodipine 5mg Tab	SET	0.1343	0.1343	YES	NO	NO
02357720	AMLODIPINE	Septa-Amlodipine 10mg Tab	SET	0.1993	0.1993	YES	NO	NO
02250500	AMLODIPINE	Teva-Amlodipine 10mg Tab	TEV	0.1993	0.1993	YES	NO	NO
02250497	AMLODIPINE	Teva-Amlodipine 5mg Tab	TEV	0.1343	0.1343	YES	NO	NO
02411253	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 5mg & 10mg Tab	APX	1.1603	1.1603	YES	NO	YES
02411261	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 5mg & 20mg Tab	APX	1.3683	1.3683	YES	NO	YES
02411288	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 5mg & 40mg Tab	APX	0.7232	0.7232	YES	NO	YES
02411296	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 5mg & 80mg Tab	APX	0.7232	0.7232	YES	NO	YES
02411318	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 10mg & 10mg Tab	APX	1.2250	1.2250	YES	NO	YES
02411326	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 10mg & 20mg Tab	APX	1.5272	1.5272	YES	NO	YES
02411334	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 10mg & 40mg Tab	APX	0.8000	0.8000	YES	NO	YES
02411342	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 10mg & 80mg Tab	APX	0.8000	0.8000	YES	NO	YES
02273314	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 10mg & 80mg Tab	UJC	3.8504	0.8000	YES	NO	YES
02273306	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 10mg & 40mg Tab	UJC	3.8504	0.8000	YES	NO	YES
02273268	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 5mg & 40mg Tab	UJC	3.4805	0.7232	YES	NO	YES
02273292	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 10mg & 20mg Tab	UJC	3.6752	1.5272	YES	NO	YES
02273233	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 5mg & 10mg Tab	UJC	2.7922	1.1603	YES	NO	YES
02273284	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 10mg & 10mg Tab	UJC	2.9480	1.2250	YES	NO	YES
02273276	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 5mg & 80mg Tab	UJC	3.4805	0.7232	YES	NO	YES
02273241	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 5mg & 20mg Tab	UJC	3.2927	1.3683	YES	NO	YES
02362813	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 10mg & 40mg Tab	UJC	0.8000	0.8000	YES	NO	YES
02362805	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 10mg & 20mg Tab	UJC	1.5272	1.5272	YES	NO	YES
02362791	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 10mg & 10mg Tab	UJC	1.2250	1.2250	YES	NO	YES
02362783	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 5mg & 80mg Tab	UJC	0.7232	0.7232	YES	NO	YES
02362775	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 5mg & 40mg Tab	UJC	0.7232	0.7232	YES	NO	YES
02362767	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 5mg & 20mg Tab	UJC	1.3683	1.3683	YES	NO	YES
02362759	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 5mg & 10mg Tab	UJC	1.1603	1.1603	YES	NO	YES
02362821	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 10mg & 80mg Tab	UJC	0.8000	0.8000	YES	NO	YES
02477726	AMOXICILLIN	AG-Amoxicillin 500mg Cap	ANG	0.1308	0.1308	YES	NO	NO
02401509	AMOXICILLIN	Amoxicillin 500mg Cap	SIV	0.1308	0.1308	YES	NO	NO
02525348	AMOXICILLIN	Amoxicillin Capsules BP 250mg Cap	SAI	0.0672	0.0672	YES	NO	NO
02525356	AMOXICILLIN	Amoxicillin Capsules BP 500mg Cap	SAI	0.1308	0.1308	YES	NO	NO
02041308	AMOXICILLIN	Amoxil (Not a Benefit) 500mg Cap	WAY	N/A	N/A	YES	NO	NO
02041294	AMOXICILLIN	Amoxil (Not a Benefit) 250mg Cap	WAY	N/A	N/A	YES	NO	NO
00628115	AMOXICILLIN	Apo-Amoxi 250mg Cap	APX	0.0672	0.0672	YES	NO	NO
00628123	AMOXICILLIN	Apo-Amoxi 500mg Cap	APX	0.1308	0.1308	YES	NO	NO
02388081	AMOXICILLIN	Auro-Amoxicillin 500mg Cap	AUR	0.1308	0.1308	YES	NO	NO
02388073	AMOXICILLIN	Auro-Amoxicillin 250mg Cap	AUR	0.0672	0.0672	YES	NO	NO
02433060	AMOXICILLIN	Jamp-Amoxicillin 250mg Cap	JPC	0.0672	0.0672	YES	NO	NO
02433079	AMOXICILLIN	Jamp-Amoxicillin 500mg Cap	JPC	0.1308	0.1308	YES	NO	NO
00406724	AMOXICILLIN	Novamoxin 250mg Cap	TEV	0.0672	0.0672	YES	NO	NO
00406716	AMOXICILLIN	Novamoxin 500mg Cap	TEV	0.1308	0.1308	YES	NO	NO
02532042	AMOXICILLIN	PRZ-Amoxicillin 250mg Cap	PRZ	0.0672	0.0672	YES	NO	NO
02532050	AMOXICILLIN	PRZ-Amoxicillin 500mg Cap	PRZ	0.1308	0.1308	YES	NO	NO
02041286	AMOXICILLIN	Amoxil Chewable (Off-Formulary Interchangeable) 250mg Chew Tab	AYE	N/A	N/A	YES	NO	NO
02041685	AMOXICILLIN	Amoxil Chewable (Off-Formulary Interchangeable) 125mg Chew Tab	AYE	N/A	N/A	YES	NO	NO
02036355	AMOXICILLIN	Novamoxin Chewable (Off-Formulary Interchangeable) 250mg Chew Tab	TEV	0.8282	N/A	YES	NO	NO
02036347	AMOXICILLIN	Novamoxin Chewable (Off-Formulary Interchangeable) 125mg Chew Tab	TEV	0.5099	N/A	YES	NO	NO
02352753	AMOXICILLIN	Amoxicillin 50mg/mL O/L	SAI	0.0540	0.0540	YES	NO	NO
02401541	AMOXICILLIN	Amoxicillin 50mg/mL O/L	SIV	0.0540	0.0540	YES	NO	NO
02352788	AMOXICILLIN	Amoxicillin (Sugar Reduced) 50mg/mL O/L	SAI	0.0540	0.0540	YES	NO	NO
02042592	AMOXICILLIN	Amoxil (Not a Benefit) 50mg/mL O/L	WAY	N/A	N/A	YES	NO	NO
02041316	AMOXICILLIN	Amoxil (Not a Benefit) 25mg/mL O/L	WAY	N/A	N/A	YES	NO	NO
00628131	AMOXICILLIN	Apo-Amoxi 25mg/mL O/L	APX	0.0247	0.0247	YES	NO	NO
00628158	AMOXICILLIN	Apo-Amoxi 50mg/mL O/L	APX	0.0540	0.0540	YES	NO	NO
02458594	AMOXICILLIN	Auro-Amoxicillin 50mg/mL O/L	AUR	0.0540	0.0540	YES	NO	NO
02535815	AMOXICILLIN	Jamp-Amoxicillin 50mg/mL O/L	JPC	0.0540	0.0540	YES	NO	NO
02535793	AMOXICILLIN	Jamp-Amoxicillin 25mg/mL O/L	JPC	0.0247	0.0247	YES	NO	NO
00452130	AMOXICILLIN	Novamoxin 50mg/mL O/L	TEV	0.0540	0.0540	YES	NO	NO
01934163	AMOXICILLIN	Novamoxin (Sugar Reduced) 50mg/mL O/L	TEV	0.0540	0.0540	YES	NO	NO
02495864	AMOXICILLIN	Sandoz Amoxicillin 50mg/mL O/L	SDZ	0.0540	0.0540	YES	NO	NO
09858237	AMOXICILLIN	Moxilen Forte 250mg/5mL (Temporary Benefit) 50mg/mL Pd for Oral Susp	JUN	0.0810	0.0810	NO	NO	NO
01916882	AMOXICILLIN & CLAVULANIC ACID	Clavulin 25mg & 6.25mg/mL O/L	GSK	0.1241	0.1241	NO	NO	YES
01916874	AMOXICILLIN & CLAVULANIC ACID	Clavulin 50mg & 12.5mg/mL O/L	GSK	0.2702	0.1216	YES	NO	YES
02539438	AMOXICILLIN & CLAVULANIC ACID	Jamp Amoxi Clav Suspension 50mg & 12.5mg/mL O/L	JPC	0.1216	0.1216	YES	NO	YES
02542226	AMOXICILLIN & CLAVULANIC ACID	M-Amoxi Clav 50mg & 12.5mg/mL O/L	MAT	0.1216	0.1216	YES	NO	YES
02238831	AMOXICILLIN & CLAVULANIC ACID	Clavulin (BID) 200mg & 28.5mg/5mL Susp	GSK	0.1937	0.1007	YES	NO	YES
02238830	AMOXICILLIN & CLAVULANIC ACID	Clavulin (BID) 400mg & 57mg/5mL Susp	GSK	0.3779	0.1591	YES	NO	YES
02539446	AMOXICILLIN & CLAVULANIC ACID	Jamp Amoxi Clav Suspension 400mg & 57mg/5mL Susp	JPC	0.1591	0.1591	YES	NO	YES
02539411	AMOXICILLIN & CLAVULANIC ACID	Jamp Amoxi Clav Suspension 200mg & 28.5mg/5mL Susp	JPC	0.1007	0.1007	YES	NO	YES
02530694	AMOXICILLIN & CLAVULANIC ACID	M-Amoxi Clav 400mg & 57mg/5mL Susp	MAT	0.1591	0.1591	YES	NO	YES
02536021	AMOXICILLIN & CLAVULANIC ACID	Amoxicillin/Clav 500mg & 125mg Tab	SAI	0.3778	0.3778	YES	NO	YES
02536048	AMOXICILLIN & CLAVULANIC ACID	Amoxicillin/Clav 875mg & 125mg Tab	SAI	0.5551	0.5551	YES	NO	YES
02245623	AMOXICILLIN & CLAVULANIC ACID	Apo-Amoxi Clav 875mg & 125mg Tab	APX	0.5551	0.5551	YES	NO	YES
02243351	AMOXICILLIN & CLAVULANIC ACID	Apo-Amoxi Clav 500mg & 125mg Tab	APX	0.3778	0.3778	YES	NO	YES
02243350	AMOXICILLIN & CLAVULANIC ACID	Apo-Amoxi Clav 250mg & 125mg Tab	APX	0.2467	0.2467	YES	NO	YES
02471701	AMOXICILLIN & CLAVULANIC ACID	Auro-Amoxiclav 875mg & 125mg Tab	AUR	0.5551	0.5551	YES	NO	YES
02471698	AMOXICILLIN & CLAVULANIC ACID	Auro-Amoxiclav 500mg & 125mg Tab	AUR	0.3778	0.3778	YES	NO	YES
02471671	AMOXICILLIN & CLAVULANIC ACID	Auro-Amoxiclav 250mg & 125mg Tab	AUR	0.2467	0.2467	YES	NO	YES
01916858	AMOXICILLIN & CLAVULANIC ACID	Clavulin 500mg & 125mg Tab	GSK	1.8875	0.3778	YES	NO	YES
01916866	AMOXICILLIN & CLAVULANIC ACID	Clavulin (Not a Benefit) 250mg & 125mg Tab	GSK	N/A	N/A	YES	NO	YES
02238829	AMOXICILLIN & CLAVULANIC ACID	Clavulin (BID) 875mg & 125mg Tab	GSK	2.7515	0.5551	YES	NO	YES
02508265	AMOXICILLIN & CLAVULANIC ACID	Jamp Amoxi Clav 875mg & 125mg Tab	JPC	0.5551	0.5551	YES	NO	YES
02508257	AMOXICILLIN & CLAVULANIC ACID	Jamp Amoxi Clav 500mg & 125mg Tab	JPC	0.3778	0.3778	YES	NO	YES
02508249	AMOXICILLIN & CLAVULANIC ACID	Jamp Amoxi Clav 250mg & 125mg Tab	JPC	0.2467	0.2467	YES	NO	YES
02482584	AMOXICILLIN & CLAVULANIC ACID	Sandoz Amoxi-Clav Tablets 875mg & 125mg Tab	SDZ	0.5551	0.5551	YES	NO	YES
02482576	AMOXICILLIN & CLAVULANIC ACID	Sandoz Amoxi-Clav Tablets 500mg & 125mg Tab	SDZ	0.3778	0.3778	YES	NO	YES
00029149	AMPHOTERICIN B	Fungizone Inj Pd-50mg Pk	CHE	102.0109	102.0109	NO	NO	NO
00020877	AMPICILLIN	Novo-Ampicillin 250mg Cap	NOP	0.4223	0.4223	YES	NO	YES
00020885	AMPICILLIN	Novo-Ampicillin 500mg Cap	NOP	0.8006	0.8006	YES	NO	YES
00002011	AMPICILLIN	Penbritin (Not a Benefit) 500mg Cap	AYE	N/A	N/A	YES	NO	YES
00002003	AMPICILLIN	Penbritin (Not a Benefit) 250mg Cap	AYE	N/A	N/A	YES	NO	YES
02236859	ANAGRELIDE HCL	Agrylin (Not a Benefit) 0.5mg Cap	TAK	N/A	N/A	YES	NO	NO
09858363	ANAGRELIDE HCL	Anagride (Temporary Benefit) 0.5mg Cap	SET	5.9696	5.9696	NO	NO	NO
02274949	ANAGRELIDE HCL	PMS-Anagrelide 0.5mg Cap	PMS	4.6997	4.6997	YES	YES	NO
02529904	ANASTROZOLE	Anastrozole 1mg Tab	SIV	0.9522	0.9522	YES	NO	NO
02351218	ANASTROZOLE	Anastrozole 1mg Tab	ACH	0.9522	0.9522	YES	NO	NO
02442736	ANASTROZOLE	Anastrozole 1mg Tab	SAI	0.9522	0.9522	YES	NO	NO
02374420	ANASTROZOLE	Apo-Anastrozole 1mg Tab	APX	0.9522	0.9522	YES	NO	NO
02224135	ANASTROZOLE	Arimidex 1mg Tab	AZC	6.2371	0.9522	YES	NO	NO
02458799	ANASTROZOLE	CCP-Anastrozole 1mg Tab	CCP	0.9522	0.9522	YES	NO	NO
02394898	ANASTROZOLE	Co Anastrozole 1mg Tab	COB	0.9522	0.9522	YES	NO	NO
02339080	ANASTROZOLE	Jamp-Anastrozole 1mg Tab	JPC	0.9522	0.9522	YES	NO	NO
02379562	ANASTROZOLE	Mar-Anastrozole 1mg Tab	MAR	0.9522	0.9522	YES	NO	NO
02379104	ANASTROZOLE	Med-Anastrozole 1mg Tab	GMP	0.9522	0.9522	YES	NO	NO
02393573	ANASTROZOLE	Mint-Anastrozole 1mg Tab	MIN	0.9522	0.9522	YES	NO	NO
02417855	ANASTROZOLE	Nat-Anastrozole 1mg Tab	NAT	0.9522	0.9522	YES	NO	NO
02320738	ANASTROZOLE	PMS-Anastrozole 1mg Tab	PMS	0.9522	0.9522	YES	NO	NO
02328690	ANASTROZOLE	Ran-Anastrozole 1mg Tab	RAN	0.9522	0.9522	YES	NO	NO
02392259	ANASTROZOLE	Riva-Anastrozole 1mg Tab	RIA	0.9522	0.9522	YES	NO	NO
02338467	ANASTROZOLE	Sandoz Anastrozole 1mg Tab	SDZ	0.9522	0.9522	YES	NO	NO
02365650	ANASTROZOLE	Taro-Anastrozole 1mg Tab	TAR	0.9522	0.9522	YES	NO	NO
02487713	APIXABAN	Ach-Apixaban 2.5mg Tab	ACH	0.4084	0.4084	YES	NO	NO
02487721	APIXABAN	Ach-Apixaban 5mg Tab	ACH	0.4084	0.4084	YES	NO	NO
02530716	APIXABAN	Apixaban 5mg Tab	SIV	0.4084	0.4084	YES	NO	NO
02548887	APIXABAN	Apixaban 5mg Tab	SAI	0.4084	0.4084	YES	NO	NO
02530708	APIXABAN	Apixaban 2.5mg Tab	SIV	0.4084	0.4084	YES	NO	NO
02548879	APIXABAN	Apixaban 2.5mg Tab	SAI	0.4084	0.4084	YES	NO	NO
02487381	APIXABAN	Apo-Apixaban 2.5mg Tab	APX	0.4084	0.4084	YES	NO	NO
02487403	APIXABAN	Apo-Apixaban 5mg Tab	APX	0.4084	0.4084	YES	NO	NO
02486806	APIXABAN	Auro-Apixaban 2.5mg Tab	AUR	0.4084	0.4084	YES	NO	NO
02486814	APIXABAN	Auro-Apixaban 5mg Tab	AUR	0.4084	0.4084	YES	NO	NO
02377233	APIXABAN	Eliquis 2.5mg Tab	BQU	1.6336	0.4084	YES	NO	NO
02397714	APIXABAN	Eliquis 5mg Tab	BQU	1.6336	0.4084	YES	NO	NO
02528924	APIXABAN	Jamp Apixaban 2.5mg Tab	JPC	0.4084	0.4084	YES	NO	NO
02528932	APIXABAN	Jamp Apixaban 5mg Tab	JPC	0.4084	0.4084	YES	NO	NO
02529009	APIXABAN	M-Apixaban 2.5mg Tab	MAT	0.4084	0.4084	YES	NO	NO
02529017	APIXABAN	M-Apixaban 5mg Tab	MAT	0.4084	0.4084	YES	NO	NO
02492377	APIXABAN	Mar-Apixaban 5mg Tab	MAR	0.4084	0.4084	YES	NO	NO
02492369	APIXABAN	Mar-Apixaban 2.5mg Tab	MAR	0.4084	0.4084	YES	NO	NO
02495430	APIXABAN	Mint-Apixaban 2.5mg Tab	MIN	0.4084	0.4084	YES	NO	NO
02495449	APIXABAN	Mint-Apixaban 5mg Tab	MIN	0.4084	0.4084	YES	NO	NO
02526050	APIXABAN	NRA-Apixaban 2.5mg Tab	NRA	0.4084	0.4084	YES	NO	NO
02526069	APIXABAN	NRA-Apixaban 5mg Tab	NRA	0.4084	0.4084	YES	NO	NO
02546884	APIXABAN	NRA-Apixaban Tablets 2.5mg Tab	NRA	0.4084	0.4084	YES	NO	NO
02546892	APIXABAN	NRA-Apixaban Tablets 5mg Tab	NRA	0.4084	0.4084	YES	NO	NO
02492822	APIXABAN	Nat-Apixaban 5mg Tab	NAT	0.4084	0.4084	YES	NO	NO
02492814	APIXABAN	Nat-Apixaban 2.5mg Tab	NAT	0.4084	0.4084	YES	NO	NO
02525518	APIXABAN	Riva-Apixaban 2.5mg Tab	RIA	0.4084	0.4084	YES	NO	NO
02525526	APIXABAN	Riva-Apixaban 5mg Tab	RIA	0.4084	0.4084	YES	NO	NO
02489236	APIXABAN	Sandoz Apixaban SDZ 5mg Tab	SDZ	0.4084	0.4084	YES	NO	NO
02489228	APIXABAN	Sandoz Apixaban SDZ 2.5mg Tab	SDZ	0.4084	0.4084	YES	NO	NO
02510472	APIXABAN	Taro-Apixaban 5mg Tab	TAR	0.4084	0.4084	YES	NO	NO
02510464	APIXABAN	Taro-Apixaban 2.5mg Tab	TAR	0.4084	0.4084	YES	NO	NO
02484994	APIXABAN	Teva-Apixaban 2.5mg Tab	TEV	0.4084	0.4084	YES	NO	NO
02485001	APIXABAN	Teva-Apixaban 5mg Tab	TEV	0.4084	0.4084	YES	NO	NO
02538180	APREMILAST	Apo-Apremilast (Off-Formulary Interchangeable) 30mg Tab	APX	18.7238	N/A	YES	NO	NO
02524104	APREMILAST	Auro-Apremilast (Off-Formulary Interchangeable) 30mg Tab	AUR	18.7237	N/A	YES	NO	NO
02518910	APREMILAST	GLN-Apremilast (Off-Formulary Interchangeable) 30mg Tab	GLP	18.7238	N/A	YES	NO	NO
02528959	APREMILAST	Jamp Apremilast (Off-Formulary Interchangeable) 30mg Tab	JPC	18.7238	N/A	YES	NO	NO
02525747	APREMILAST	Mint-Apremilast (Off-Formulary Interchangeable) 30mg Tab	MIN	18.7238	N/A	YES	NO	NO
02434334	APREMILAST	Otezla (Off-Formulary Interchangeable) 30mg Tab	AMG	N/A	N/A	YES	NO	NO
02521733	APREMILAST	PMS-Apremilast (Off-Formulary Interchangeable) 30mg Tab	PMS	18.7238	N/A	YES	NO	NO
02529084	APREMILAST	Sandoz Apremilast (Off-Formulary Interchangeable) 30mg Tab	SDZ	18.7238	N/A	YES	NO	NO
02524120	APREMILAST	Auro-Apremilast (Off-Formulary Interchangeable) 10mg & 20mg & 30mg Tab-27 Blister Starter Pk	AUR	505.5426	N/A	YES	NO	NO
02528967	APREMILAST	Jamp Apremilast (Off-Formulary Interchangeable) 10mg & 20mg & 30mg Tab-27 Blister Starter Pk	JPC	505.5426	N/A	YES	NO	NO
02434318	APREMILAST	Otezla (Off-Formulary Interchangeable) 10mg & 20mg & 30mg Tab-27 Blister Starter Pk	AMG	N/A	N/A	YES	NO	NO
02529092	APREMILAST	Sandoz Apremilast (Off-Formulary Interchangeable) 10mg & 20mg & 30mg Tab-27 Blister Starter Pk	SDZ	505.5426	N/A	YES	NO	NO
02298813	APREPITANT	Emend Tri-Pack 125mg & 80mg Cap	MEK	106.9839	106.9839	NO	YES	NO
02420864	ARIPIPRAZOLE	Abilify Maintena 300mg/Vial Prolong-Rel Inj Pd-Vial Pk	OTS	487.2002	487.2002	NO	NO	YES
02420872	ARIPIPRAZOLE	Abilify Maintena 400mg/Vial Prolong-Rel Inj Pd-Vial Pk	OTS	487.2002	487.2002	NO	NO	YES
02322374	ARIPIPRAZOLE	Abilify 2mg Tab	OTS	3.3143	0.8092	YES	NO	YES
02322404	ARIPIPRAZOLE	Abilify 15mg Tab	OTS	5.1985	1.2692	YES	NO	YES
02322455	ARIPIPRAZOLE	Abilify 30mg Tab	OTS	4.1028	1.0017	YES	NO	YES
02322412	ARIPIPRAZOLE	Abilify 20mg Tab	OTS	4.1028	1.0017	YES	NO	YES
02322390	ARIPIPRAZOLE	Abilify 10mg Tab	OTS	4.4049	1.0754	YES	NO	YES
02322382	ARIPIPRAZOLE	Abilify 5mg Tab	OTS	3.7052	0.9046	YES	NO	YES
02471086	ARIPIPRAZOLE	Apo-Aripiprazole 2mg Tab	APX	0.8092	0.8092	YES	NO	YES
02471116	ARIPIPRAZOLE	Apo-Aripiprazole 15mg Tab	APX	1.2692	1.2692	YES	NO	YES
02471124	ARIPIPRAZOLE	Apo-Aripiprazole 20mg Tab	APX	1.0017	1.0017	YES	NO	YES
02471108	ARIPIPRAZOLE	Apo-Aripiprazole 10mg Tab	APX	1.0754	1.0754	YES	NO	YES
02471132	ARIPIPRAZOLE	Apo-Aripiprazole 30mg Tab	APX	1.0017	1.0017	YES	NO	YES
02471094	ARIPIPRAZOLE	Apo-Aripiprazole 5mg Tab	APX	0.9046	0.9046	YES	NO	YES
02534363	ARIPIPRAZOLE	Aripiprazole 20mg Tab	SIV	1.0017	1.0017	YES	NO	YES
02506750	ARIPIPRAZOLE	Aripiprazole 20mg Tab	SAI	1.0017	1.0017	YES	NO	YES
02506688	ARIPIPRAZOLE	Aripiprazole 2mg Tab	SAI	0.8092	0.8092	YES	NO	YES
02506734	ARIPIPRAZOLE	Aripiprazole 15mg Tab	SAI	1.2692	1.2692	YES	NO	YES
02534347	ARIPIPRAZOLE	Aripiprazole 10mg Tab	SIV	1.0754	1.0754	YES	NO	YES
02506726	ARIPIPRAZOLE	Aripiprazole 10mg Tab	SAI	1.0754	1.0754	YES	NO	YES
02534339	ARIPIPRAZOLE	Aripiprazole 5mg Tab	SIV	0.9046	0.9046	YES	NO	YES
02506718	ARIPIPRAZOLE	Aripiprazole 5mg Tab	SAI	0.9046	0.9046	YES	NO	YES
02534320	ARIPIPRAZOLE	Aripiprazole 2mg Tab	SIV	0.8092	0.8092	YES	NO	YES
02534355	ARIPIPRAZOLE	Aripiprazole 15mg Tab	SIV	1.2692	1.2692	YES	NO	YES
02534371	ARIPIPRAZOLE	Aripiprazole 30mg Tab	SIV	1.0017	1.0017	YES	NO	YES
02506785	ARIPIPRAZOLE	Aripiprazole 30mg Tab	SAI	1.0017	1.0017	YES	NO	YES
02460033	ARIPIPRAZOLE	Auro-Aripiprazole 5mg Tab	AUR	0.9046	0.9046	YES	NO	YES
02460068	ARIPIPRAZOLE	Auro-Aripiprazole 15mg Tab	AUR	1.2692	1.2692	YES	NO	YES
02460025	ARIPIPRAZOLE	Auro-Aripiprazole 2mg Tab	AUR	0.8092	0.8092	YES	NO	YES
02460084	ARIPIPRAZOLE	Auro-Aripiprazole 30mg Tab	AUR	1.0017	1.0017	YES	NO	YES
02460041	ARIPIPRAZOLE	Auro-Aripiprazole 10mg Tab	AUR	1.0754	1.0754	YES	NO	YES
02460076	ARIPIPRAZOLE	Auro-Aripiprazole 20mg Tab	AUR	1.0017	1.0017	YES	NO	YES
02483599	ARIPIPRAZOLE	Mint-Aripiprazole 20mg Tab	MIN	1.0017	1.0017	YES	NO	YES
02483556	ARIPIPRAZOLE	Mint-Aripiprazole 2mg Tab	MIN	0.8092	0.8092	YES	NO	YES
02483602	ARIPIPRAZOLE	Mint-Aripiprazole 30mg Tab	MIN	1.0017	1.0017	YES	NO	YES
02483580	ARIPIPRAZOLE	Mint-Aripiprazole 15mg Tab	MIN	1.2692	1.2692	YES	NO	YES
02483572	ARIPIPRAZOLE	Mint-Aripiprazole 10mg Tab	MIN	1.0754	1.0754	YES	NO	YES
02483564	ARIPIPRAZOLE	Mint-Aripiprazole 5mg Tab	MIN	0.9046	0.9046	YES	NO	YES
02472228	ARIPIPRAZOLE	NRA-Aripiprazole 5mg Tab	NRA	0.9046	0.9046	YES	NO	YES
02472201	ARIPIPRAZOLE	NRA-Aripiprazole 2mg Tab	NRA	0.8092	0.8092	YES	NO	YES
02472244	ARIPIPRAZOLE	NRA-Aripiprazole 10mg Tab	NRA	1.0754	1.0754	YES	NO	YES
02472252	ARIPIPRAZOLE	NRA-Aripiprazole 15mg Tab	NRA	1.2692	1.2692	YES	NO	YES
02472260	ARIPIPRAZOLE	NRA-Aripiprazole 20mg Tab	NRA	1.0017	1.0017	YES	NO	YES
02472279	ARIPIPRAZOLE	NRA-Aripiprazole 30mg Tab	NRA	1.0017	1.0017	YES	NO	YES
02466686	ARIPIPRAZOLE	PMS-Aripiprazole 20mg Tab	PMS	1.0017	1.0017	YES	NO	YES
02466651	ARIPIPRAZOLE	PMS-Aripiprazole 10mg Tab	PMS	1.0754	1.0754	YES	NO	YES
02466678	ARIPIPRAZOLE	PMS-Aripiprazole 15mg Tab	PMS	1.2692	1.2692	YES	NO	YES
02466643	ARIPIPRAZOLE	PMS-Aripiprazole 5mg Tab	PMS	0.9046	0.9046	YES	NO	YES
02466694	ARIPIPRAZOLE	PMS-Aripiprazole 30mg Tab	PMS	1.0017	1.0017	YES	NO	YES
02466635	ARIPIPRAZOLE	PMS-Aripiprazole 2mg Tab	PMS	0.8092	0.8092	YES	NO	YES
02473674	ARIPIPRAZOLE	Sandoz Aripiprazole 10mg Tab	SDZ	1.0754	1.0754	YES	NO	YES
02473658	ARIPIPRAZOLE	Sandoz Aripiprazole 2mg Tab	SDZ	0.8092	0.8092	YES	NO	YES
02473666	ARIPIPRAZOLE	Sandoz Aripiprazole 5mg Tab	SDZ	0.9046	0.9046	YES	NO	YES
02473682	ARIPIPRAZOLE	Sandoz Aripiprazole 15mg Tab	SDZ	1.2692	1.2692	YES	NO	YES
02473690	ARIPIPRAZOLE	Sandoz Aripiprazole 20mg Tab	SDZ	1.0017	1.0017	YES	NO	YES
02473704	ARIPIPRAZOLE	Sandoz Aripiprazole 30mg Tab	SDZ	1.0017	1.0017	YES	NO	YES
02464187	ARIPIPRAZOLE	Teva-Aripiprazole 20mg Tab	TEV	1.0017	1.0017	YES	NO	YES
02464179	ARIPIPRAZOLE	Teva-Aripiprazole 15mg Tab	TEV	1.2692	1.2692	YES	NO	YES
02464152	ARIPIPRAZOLE	Teva-Aripiprazole 5mg Tab	TEV	0.9046	0.9046	YES	NO	YES
02464160	ARIPIPRAZOLE	Teva-Aripiprazole 10mg Tab	TEV	1.0754	1.0754	YES	NO	YES
02464144	ARIPIPRAZOLE	Teva-Aripiprazole 2mg Tab	TEV	0.8092	0.8092	YES	NO	YES
02464195	ARIPIPRAZOLE	Teva-Aripiprazole 30mg Tab	TEV	1.0017	1.0017	YES	NO	YES
00466611	ASCORBIC ACID	Apo-C (Not a Benefit) 500mg Tab	APX	N/A	N/A	YES	NO	NO
00021997	ASCORBIC ACID	Novo-C (Not a Benefit) 500mg Tab	NOP	N/A	N/A	YES	NO	NO
00036188	ASCORBIC ACID	Vitamin C (Not a Benefit) 500mg Tab	RPR	N/A	N/A	YES	NO	NO
02374811	ASENAPINE	Saphris 10mg SL Tab	OCI	1.5910	1.5910	NO	NO	YES
02374803	ASENAPINE	Saphris 5mg SL Tab	OCI	1.5910	1.5910	NO	NO	YES
02513102	ATAZANAVIR SULFATE	Jamp Atazanavir 150mg Cap	JPC	2.8386	2.8386	YES	NO	NO
02513110	ATAZANAVIR SULFATE	Jamp Atazanavir 200mg Cap	JPC	2.8552	2.8552	YES	NO	NO
02513129	ATAZANAVIR SULFATE	Jamp Atazanavir (Off-Formulary Interchangeable) 300mg Cap	JPC	19.0681	N/A	YES	NO	NO
02456877	ATAZANAVIR SULFATE	Mylan-Atazanavir 150mg Cap	MYL	2.8386	2.8386	YES	NO	NO
02456893	ATAZANAVIR SULFATE	Mylan-Atazanavir (Off-Formulary Interchangeable) 300mg Cap	MYL	19.0681	N/A	YES	NO	NO
02456885	ATAZANAVIR SULFATE	Mylan-Atazanavir 200mg Cap	MYL	2.8552	2.8552	YES	NO	NO
02294176	ATAZANAVIR SULFATE	Reyataz (Off-Formulary Interchangeable) 300mg Cap	BQU	N/A	N/A	YES	NO	NO
02248610	ATAZANAVIR SULFATE	Reyataz 150mg Cap	BQU	11.6950	2.8386	YES	NO	NO
02248611	ATAZANAVIR SULFATE	Reyataz 200mg Cap	BQU	11.7633	2.8552	YES	NO	NO
02443813	ATAZANAVIR SULFATE	Teva-Atazanavir 200mg Cap	TEV	2.8552	2.8552	YES	NO	NO
02443821	ATAZANAVIR SULFATE	Teva-Atazanavir (Off-Formulary Interchangeable) 300mg Cap	TEV	19.0681	N/A	YES	NO	NO
02443791	ATAZANAVIR SULFATE	Teva-Atazanavir 150mg Cap	TEV	2.8386	2.8386	YES	NO	NO
02369192	ATENOLOL	AG-Atenolol 100mg Tab	ANG	0.1543	0.1543	YES	NO	NO
02369184	ATENOLOL	AG-Atenolol 50mg Tab	ANG	0.0938	0.0938	YES	NO	NO
00773697	ATENOLOL	Apo-Atenol 100mg Tab	APX	0.1543	0.1543	YES	NO	NO
00773689	ATENOLOL	Apo-Atenol 50mg Tab	APX	0.0938	0.0938	YES	NO	NO
02466465	ATENOLOL	Atenolol 50mg Tab	SAI	0.0938	0.0938	YES	NO	NO
02466473	ATENOLOL	Atenolol 100mg Tab	SAI	0.1543	0.1543	YES	NO	NO
02238316	ATENOLOL	Atenolol 50mg Tab	SIV	0.0938	0.0938	YES	NO	NO
02238318	ATENOLOL	Atenolol 100mg Tab	SIV	0.1543	0.1543	YES	NO	NO
02367572	ATENOLOL	Jamp-Atenolol 100mg Tab	JPC	0.1543	0.1543	YES	NO	NO
02367564	ATENOLOL	Jamp-Atenolol 50mg Tab	JPC	0.0938	0.0938	YES	NO	NO
02371995	ATENOLOL	Mar-Atenolol 100mg Tab	MAR	0.1543	0.1543	YES	NO	NO
02371987	ATENOLOL	Mar-Atenolol 50mg Tab	MAR	0.0938	0.0938	YES	NO	NO
02368021	ATENOLOL	Mint-Atenol 50mg Tab	MIN	0.0938	0.0938	YES	NO	NO
02368048	ATENOLOL	Mint-Atenol 100mg Tab	MIN	0.1543	0.1543	YES	NO	NO
02237601	ATENOLOL	PMS-Atenolol 100mg Tab	PMS	0.1543	0.1543	YES	NO	NO
02237600	ATENOLOL	PMS-Atenolol 50mg Tab	PMS	0.0938	0.0938	YES	NO	NO
02267993	ATENOLOL	Ran-Atenolol 100mg Tab	RAN	0.1543	0.1543	YES	NO	NO
02267985	ATENOLOL	Ran-Atenolol 50mg Tab	RAN	0.0938	0.0938	YES	NO	NO
02171791	ATENOLOL	Ratio-Atenolol 50mg Tab	TEV	0.0938	0.0938	YES	NO	NO
02171805	ATENOLOL	Ratio-Atenolol 100mg Tab	TEV	0.1543	0.1543	YES	NO	NO
02368668	ATENOLOL	Septa-Atenolol 100mg Tab	SET	0.1543	0.1543	YES	NO	NO
02368641	ATENOLOL	Septa-Atenolol 50mg Tab	SET	0.0938	0.0938	YES	NO	NO
02039540	ATENOLOL	Tenormin 100mg Tab	AZC	1.0117	0.1543	YES	NO	NO
02039532	ATENOLOL	Tenormin 50mg Tab	AZC	0.6150	0.0938	YES	NO	NO
01912054	ATENOLOL	Teva-Atenolol 100mg Tab	TEV	0.1543	0.1543	YES	NO	NO
01912062	ATENOLOL	Teva-Atenolol 50mg Tab	TEV	0.0938	0.0938	YES	NO	NO
02248763	ATENOLOL & CHLORTHALIDONE	AA-Atenidone 50 & 25mg Tab	AAP	0.5342	0.5342	YES	NO	NO
02248764	ATENOLOL & CHLORTHALIDONE	AA-Atenidone 100 & 25mg Tab	AAP	0.8755	0.8755	YES	NO	NO
02049988	ATENOLOL & CHLORTHALIDONE	Tenoretic 100/25 (Not a Benefit) 100 & 25mg Tab	AZC	N/A	N/A	YES	NO	NO
02049961	ATENOLOL & CHLORTHALIDONE	Tenoretic 50/25 (Not a Benefit) 50 & 25mg Tab	AZC	N/A	N/A	YES	NO	NO
02318032	ATOMOXETINE HCL	Apo-Atomoxetine 18mg Cap	APX	0.5748	0.5748	YES	NO	NO
02318075	ATOMOXETINE HCL	Apo-Atomoxetine (Off-Formulary Interchangeable) 80mg Cap	APX	3.9961	N/A	YES	NO	NO
02318083	ATOMOXETINE HCL	Apo-Atomoxetine (Off-Formulary Interchangeable) 100mg Cap	APX	4.3521	N/A	YES	NO	NO
02318040	ATOMOXETINE HCL	Apo-Atomoxetine 25mg Cap	APX	0.6420	0.6420	YES	NO	NO
02318059	ATOMOXETINE HCL	Apo-Atomoxetine 40mg Cap	APX	0.7369	0.7369	YES	NO	NO
02318024	ATOMOXETINE HCL	Apo-Atomoxetine 10mg Cap	APX	0.5106	0.5106	YES	NO	NO
02318067	ATOMOXETINE HCL	Apo-Atomoxetine 60mg Cap	APX	0.8092	0.8092	YES	NO	NO
02445913	ATOMOXETINE HCL	Atomoxetine 25mg Cap	SIV	0.6420	0.6420	YES	NO	NO
02467763	ATOMOXETINE HCL	Atomoxetine 25mg Cap	SAI	0.6420	0.6420	YES	NO	NO
02445948	ATOMOXETINE HCL	Atomoxetine 40mg Cap	SIV	0.7369	0.7369	YES	NO	NO
02467771	ATOMOXETINE HCL	Atomoxetine 40mg Cap	SAI	0.7369	0.7369	YES	NO	NO
02445956	ATOMOXETINE HCL	Atomoxetine 60mg Cap	SIV	0.8092	0.8092	YES	NO	NO
02467798	ATOMOXETINE HCL	Atomoxetine 60mg Cap	SAI	0.8092	0.8092	YES	NO	NO
02467801	ATOMOXETINE HCL	Atomoxetine (Off-Formulary Interchangeable) 80mg Cap	SAI	3.9960	N/A	YES	NO	NO
02467828	ATOMOXETINE HCL	Atomoxetine (Off-Formulary Interchangeable) 100mg Cap	SAI	4.3520	N/A	YES	NO	NO
02445883	ATOMOXETINE HCL	Atomoxetine 10mg Cap	SIV	0.5106	0.5106	YES	NO	NO
02467747	ATOMOXETINE HCL	Atomoxetine 10mg Cap	SAI	0.5106	0.5106	YES	NO	NO
02445905	ATOMOXETINE HCL	Atomoxetine 18mg Cap	SIV	0.5748	0.5748	YES	NO	NO
02467755	ATOMOXETINE HCL	Atomoxetine 18mg Cap	SAI	0.5748	0.5748	YES	NO	NO
02471523	ATOMOXETINE HCL	Auro-Atomoxetine 60mg Cap	AUR	0.8092	0.8092	YES	NO	NO
02471507	ATOMOXETINE HCL	Auro-Atomoxetine 25mg Cap	AUR	0.6420	0.6420	YES	NO	NO
02471493	ATOMOXETINE HCL	Auro-Atomoxetine 18mg Cap	AUR	0.5748	0.5748	YES	NO	NO
02471558	ATOMOXETINE HCL	Auro-Atomoxetine (Off-Formulary Interchangeable) 100mg Cap	AUR	4.3520	N/A	YES	NO	NO
02471531	ATOMOXETINE HCL	Auro-Atomoxetine (Off-Formulary Interchangeable) 80mg Cap	AUR	3.9960	N/A	YES	NO	NO
02471515	ATOMOXETINE HCL	Auro-Atomoxetine 40mg Cap	AUR	0.7369	0.7369	YES	NO	NO
02471485	ATOMOXETINE HCL	Auro-Atomoxetine 10mg Cap	AUR	0.5106	0.5106	YES	NO	NO
02506815	ATOMOXETINE HCL	Jamp Atomoxetine 18mg Cap	JPC	0.5748	0.5748	YES	NO	NO
02506807	ATOMOXETINE HCL	Jamp Atomoxetine 10mg Cap	JPC	0.5106	0.5106	YES	NO	NO
02506866	ATOMOXETINE HCL	Jamp Atomoxetine (Off-Formulary Interchangeable) 80mg Cap	JPC	3.9960	N/A	YES	NO	NO
02506874	ATOMOXETINE HCL	Jamp Atomoxetine (Off-Formulary Interchangeable) 100mg Cap	JPC	4.3520	N/A	YES	NO	NO
02506831	ATOMOXETINE HCL	Jamp Atomoxetine 40mg Cap	JPC	0.7369	0.7369	YES	NO	NO
02506858	ATOMOXETINE HCL	Jamp Atomoxetine 60mg Cap	JPC	0.8092	0.8092	YES	NO	NO
02506823	ATOMOXETINE HCL	Jamp Atomoxetine 25mg Cap	JPC	0.6420	0.6420	YES	NO	NO
02381060	ATOMOXETINE HCL	PMS-Atomoxetine 60mg Cap	PMS	0.8092	0.8092	YES	NO	NO
02381036	ATOMOXETINE HCL	PMS-Atomoxetine 18mg Cap	PMS	0.5748	0.5748	YES	NO	NO
02381052	ATOMOXETINE HCL	PMS-Atomoxetine 40mg Cap	PMS	0.7369	0.7369	YES	NO	NO
02381028	ATOMOXETINE HCL	PMS-Atomoxetine 10mg Cap	PMS	0.5106	0.5106	YES	NO	NO
02381044	ATOMOXETINE HCL	PMS-Atomoxetine 25mg Cap	PMS	0.6420	0.6420	YES	NO	NO
02386445	ATOMOXETINE HCL	Sandoz Atomoxetine 40mg Cap	SDZ	0.7369	0.7369	YES	NO	NO
02386461	ATOMOXETINE HCL	Sandoz Atomoxetine (Off-Formulary Interchangeable) 80mg Cap	SDZ	3.9963	N/A	YES	NO	NO
02386488	ATOMOXETINE HCL	Sandoz Atomoxetine (Off-Formulary Interchangeable) 100mg Cap	SDZ	4.3524	N/A	YES	NO	NO
02386410	ATOMOXETINE HCL	Sandoz Atomoxetine 10mg Cap	SDZ	0.5106	0.5106	YES	NO	NO
02386437	ATOMOXETINE HCL	Sandoz Atomoxetine 25mg Cap	SDZ	0.6420	0.6420	YES	NO	NO
02386453	ATOMOXETINE HCL	Sandoz Atomoxetine 60mg Cap	SDZ	0.8092	0.8092	YES	NO	NO
02386429	ATOMOXETINE HCL	Sandoz Atomoxetine 18mg Cap	SDZ	0.5748	0.5748	YES	NO	NO
02262819	ATOMOXETINE HCL	Strattera (Not a Benefit) 18mg Cap	LIL	N/A	N/A	YES	NO	NO
02262843	ATOMOXETINE HCL	Strattera (Not a Benefit) 60mg Cap	LIL	N/A	N/A	YES	NO	NO
02279347	ATOMOXETINE HCL	Strattera (Off-Formulary Interchangeable) 80mg Cap	LIL	N/A	N/A	YES	NO	NO
02262800	ATOMOXETINE HCL	Strattera (Not a Benefit) 10mg Cap	LIL	N/A	N/A	YES	NO	NO
02279355	ATOMOXETINE HCL	Strattera (Off-Formulary Interchangeable) 100mg Cap	LIL	N/A	N/A	YES	NO	NO
02262835	ATOMOXETINE HCL	Strattera (Not a Benefit) 40mg Cap	LIL	N/A	N/A	YES	NO	NO
02262827	ATOMOXETINE HCL	Strattera (Not a Benefit) 25mg Cap	LIL	N/A	N/A	YES	NO	NO
02362538	ATOMOXETINE HCL	Teva-Atomoxetin (Off-Formulary Interchangeable) 100mg Cap	TEV	4.3520	N/A	YES	NO	NO
02362511	ATOMOXETINE HCL	Teva-Atomoxetin (Off-Formulary Interchangeable) 80mg Cap	TEV	3.9960	N/A	YES	NO	NO
02314592	ATOMOXETINE HCL	Teva-Atomoxetine 60mg Cap	TEV	0.8092	0.8092	YES	NO	NO
02314568	ATOMOXETINE HCL	Teva-Atomoxetine 18mg Cap	TEV	0.5748	0.5748	YES	NO	NO
02314584	ATOMOXETINE HCL	Teva-Atomoxetine 40mg Cap	TEV	0.7369	0.7369	YES	NO	NO
02314541	ATOMOXETINE HCL	Teva-Atomoxetine 10mg Cap	TEV	0.5106	0.5106	YES	NO	NO
02314576	ATOMOXETINE HCL	Teva-Atomoxetine 25mg Cap	TEV	0.6420	0.6420	YES	NO	NO
02478161	ATORVASTATIN CALCIUM	AG-Atorvastatin 40mg Tab	ANG	0.2342	0.2342	YES	NO	NO
02478153	ATORVASTATIN CALCIUM	AG-Atorvastatin 20mg Tab	ANG	0.2179	0.2179	YES	NO	NO
02478145	ATORVASTATIN CALCIUM	AG-Atorvastatin 10mg Tab	ANG	0.1743	0.1743	YES	NO	NO
02478188	ATORVASTATIN CALCIUM	AG-Atorvastatin 80mg Tab	ANG	0.2342	0.2342	YES	NO	NO
02457741	ATORVASTATIN CALCIUM	Ach-Atorvastatin Calcium 10mg Tab	ACH	0.1743	0.1743	YES	NO	NO
02457768	ATORVASTATIN CALCIUM	Ach-Atorvastatin Calcium 20mg Tab	ACH	0.2179	0.2179	YES	NO	NO
02457776	ATORVASTATIN CALCIUM	Ach-Atorvastatin Calcium 40mg Tab	ACH	0.2342	0.2342	YES	NO	NO
02457784	ATORVASTATIN CALCIUM	Ach-Atorvastatin Calcium 80mg Tab	ACH	0.2342	0.2342	YES	NO	NO
02295261	ATORVASTATIN CALCIUM	Apo-Atorvastatin 10mg Tab	APX	0.1743	0.1743	YES	NO	NO
02295318	ATORVASTATIN CALCIUM	Apo-Atorvastatin 80mg Tab	APX	0.2342	0.2342	YES	NO	NO
02295288	ATORVASTATIN CALCIUM	Apo-Atorvastatin 20mg Tab	APX	0.2179	0.2179	YES	NO	NO
02295296	ATORVASTATIN CALCIUM	Apo-Atorvastatin 40mg Tab	APX	0.2342	0.2342	YES	NO	NO
02348705	ATORVASTATIN CALCIUM	Atorvastatin 10mg Tab	SAI	0.1743	0.1743	YES	NO	NO
02348748	ATORVASTATIN CALCIUM	Atorvastatin 80mg Tab	SAI	0.2342	0.2342	YES	NO	NO
02475049	ATORVASTATIN CALCIUM	Atorvastatin 40mg Tab	RIA	0.2342	0.2342	YES	NO	NO
02475022	ATORVASTATIN CALCIUM	Atorvastatin 10mg Tab	RIA	0.1743	0.1743	YES	NO	NO
02348721	ATORVASTATIN CALCIUM	Atorvastatin 40mg Tab	SAI	0.2342	0.2342	YES	NO	NO
02348713	ATORVASTATIN CALCIUM	Atorvastatin 20mg Tab	SAI	0.2179	0.2179	YES	NO	NO
02475030	ATORVASTATIN CALCIUM	Atorvastatin 20mg Tab	RIA	0.2179	0.2179	YES	NO	NO
02475057	ATORVASTATIN CALCIUM	Atorvastatin 80mg Tab	RIA	0.2342	0.2342	YES	NO	NO
02411350	ATORVASTATIN CALCIUM	Atorvastatin-10 10mg Tab	SIV	0.1743	0.1743	YES	NO	NO
02411369	ATORVASTATIN CALCIUM	Atorvastatin-20 20mg Tab	SIV	0.2179	0.2179	YES	NO	NO
02411377	ATORVASTATIN CALCIUM	Atorvastatin-40 40mg Tab	SIV	0.2342	0.2342	YES	NO	NO
02411385	ATORVASTATIN CALCIUM	Atorvastatin-80 80mg Tab	SIV	0.2342	0.2342	YES	NO	NO
02407280	ATORVASTATIN CALCIUM	Auro-Atorvastatin 80mg Tab	AUR	0.2342	0.2342	YES	NO	NO
02407264	ATORVASTATIN CALCIUM	Auro-Atorvastatin 20mg Tab	AUR	0.2179	0.2179	YES	NO	NO
02407272	ATORVASTATIN CALCIUM	Auro-Atorvastatin 40mg Tab	AUR	0.2342	0.2342	YES	NO	NO
02407256	ATORVASTATIN CALCIUM	Auro-Atorvastatin 10mg Tab	AUR	0.1743	0.1743	YES	NO	NO
02504200	ATORVASTATIN CALCIUM	Jamp Atorvastatin Calcium 20mg Tab	JPC	0.2179	0.2179	YES	NO	NO
02504197	ATORVASTATIN CALCIUM	Jamp Atorvastatin Calcium 10mg Tab	JPC	0.1743	0.1743	YES	NO	NO
02504235	ATORVASTATIN CALCIUM	Jamp Atorvastatin Calcium 80mg Tab	JPC	0.2342	0.2342	YES	NO	NO
02504219	ATORVASTATIN CALCIUM	Jamp Atorvastatin Calcium 40mg Tab	JPC	0.2342	0.2342	YES	NO	NO
02391074	ATORVASTATIN CALCIUM	Jamp-Atorvastatin 40mg Tab	JPC	0.2342	0.2342	YES	NO	NO
02391058	ATORVASTATIN CALCIUM	Jamp-Atorvastatin 10mg Tab	JPC	0.1743	0.1743	YES	NO	NO
02391066	ATORVASTATIN CALCIUM	Jamp-Atorvastatin 20mg Tab	JPC	0.2179	0.2179	YES	NO	NO
02391082	ATORVASTATIN CALCIUM	Jamp-Atorvastatin 80mg Tab	JPC	0.2342	0.2342	YES	NO	NO
02230711	ATORVASTATIN CALCIUM	Lipitor 10mg Tab	UJC	2.1393	0.1743	YES	NO	NO
02230713	ATORVASTATIN CALCIUM	Lipitor 20mg Tab	UJC	2.6741	0.2179	YES	NO	NO
02230714	ATORVASTATIN CALCIUM	Lipitor 40mg Tab	UJC	2.8747	0.2342	YES	NO	NO
02243097	ATORVASTATIN CALCIUM	Lipitor 80mg Tab	UJC	2.8747	0.2342	YES	NO	NO
02471175	ATORVASTATIN CALCIUM	M-Atorvastatin 20mg Tab	MAT	0.2179	0.2179	YES	NO	NO
02471183	ATORVASTATIN CALCIUM	M-Atorvastatin 40mg Tab	MAT	0.2342	0.2342	YES	NO	NO
02471191	ATORVASTATIN CALCIUM	M-Atorvastatin 80mg Tab	MAT	0.2342	0.2342	YES	NO	NO
02471167	ATORVASTATIN CALCIUM	M-Atorvastatin 10mg Tab	MAT	0.1743	0.1743	YES	NO	NO
02454033	ATORVASTATIN CALCIUM	Mar-Atorvastatin 40mg Tab	MAR	0.2342	0.2342	YES	NO	NO
02454017	ATORVASTATIN CALCIUM	Mar-Atorvastatin 10mg Tab	MAR	0.1743	0.1743	YES	NO	NO
02454041	ATORVASTATIN CALCIUM	Mar-Atorvastatin 80mg Tab	MAR	0.2342	0.2342	YES	NO	NO
02454025	ATORVASTATIN CALCIUM	Mar-Atorvastatin 20mg Tab	MAR	0.2179	0.2179	YES	NO	NO
02479516	ATORVASTATIN CALCIUM	Mint-Atorvastatin 20mg Tab	MIN	0.2179	0.2179	YES	NO	NO
02479508	ATORVASTATIN CALCIUM	Mint-Atorvastatin 10mg Tab	MIN	0.1743	0.1743	YES	NO	NO
02479524	ATORVASTATIN CALCIUM	Mint-Atorvastatin 40mg Tab	MIN	0.2342	0.2342	YES	NO	NO
02479532	ATORVASTATIN CALCIUM	Mint-Atorvastatin 80mg Tab	MIN	0.2342	0.2342	YES	NO	NO
02392968	ATORVASTATIN CALCIUM	Mylan-Atorvastatin 40mg Tab	MYL	0.2342	0.2342	YES	NO	NO
02392941	ATORVASTATIN CALCIUM	Mylan-Atorvastatin 20mg Tab	MYL	0.2179	0.2179	YES	NO	NO
02392976	ATORVASTATIN CALCIUM	Mylan-Atorvastatin 80mg Tab	MYL	0.2342	0.2342	YES	NO	NO
02392933	ATORVASTATIN CALCIUM	Mylan-Atorvastatin 10mg Tab	MYL	0.1743	0.1743	YES	NO	NO
02476533	ATORVASTATIN CALCIUM	NRA-Atorvastatin 40mg Tab	NRA	0.2342	0.2342	YES	NO	NO
02476517	ATORVASTATIN CALCIUM	NRA-Atorvastatin 10mg Tab	NRA	0.1743	0.1743	YES	NO	NO
02476541	ATORVASTATIN CALCIUM	NRA-Atorvastatin 80mg Tab	NRA	0.2342	0.2342	YES	NO	NO
02476525	ATORVASTATIN CALCIUM	NRA-Atorvastatin 20mg Tab	NRA	0.2179	0.2179	YES	NO	NO
02477165	ATORVASTATIN CALCIUM	PMS-Atorvastatin 40mg Tab	PMS	0.2342	0.2342	YES	NO	NO
02477157	ATORVASTATIN CALCIUM	PMS-Atorvastatin 20mg Tab	PMS	0.2179	0.2179	YES	NO	NO
02477149	ATORVASTATIN CALCIUM	PMS-Atorvastatin 10mg Tab	PMS	0.1743	0.1743	YES	NO	NO
02507234	ATORVASTATIN CALCIUM	PMSC-Atorvastatin 10mg Tab	PMS	0.1743	0.1743	YES	NO	NO
02507250	ATORVASTATIN CALCIUM	PMSC-Atorvastatin 40mg Tab	PMS	0.2342	0.2342	YES	NO	NO
02507242	ATORVASTATIN CALCIUM	PMSC-Atorvastatin 20mg Tab	PMS	0.2179	0.2179	YES	NO	NO
02507269	ATORVASTATIN CALCIUM	PMSC-Atorvastatin 80mg Tab	PMS	0.2342	0.2342	YES	NO	NO
02521563	ATORVASTATIN CALCIUM	PRZ-Atorvastatin 20mg Tab	PRZ	0.2179	0.2179	YES	NO	NO
02521571	ATORVASTATIN CALCIUM	PRZ-Atorvastatin 40mg Tab	PRZ	0.2342	0.2342	YES	NO	NO
02521555	ATORVASTATIN CALCIUM	PRZ-Atorvastatin 10mg Tab	PRZ	0.1743	0.1743	YES	NO	NO
02521598	ATORVASTATIN CALCIUM	PRZ-Atorvastatin 80mg Tab	PRZ	0.2342	0.2342	YES	NO	NO
02350335	ATORVASTATIN CALCIUM	Ratio-Atorvastatin 80mg Tab	RPH	0.2342	0.2342	YES	NO	NO
02350319	ATORVASTATIN CALCIUM	Ratio-Atorvastatin 20mg Tab	RPH	0.2179	0.2179	YES	NO	NO
02350327	ATORVASTATIN CALCIUM	Ratio-Atorvastatin 40mg Tab	RPH	0.2342	0.2342	YES	NO	NO
02350297	ATORVASTATIN CALCIUM	Ratio-Atorvastatin 10mg Tab	RPH	0.1743	0.1743	YES	NO	NO
02417960	ATORVASTATIN CALCIUM	Reddy-Atorvastatin 80mg Tab	DRR	0.2342	0.2342	YES	NO	NO
02417952	ATORVASTATIN CALCIUM	Reddy-Atorvastatin 40mg Tab	DRR	0.2342	0.2342	YES	NO	NO
02417944	ATORVASTATIN CALCIUM	Reddy-Atorvastatin 20mg Tab	DRR	0.2179	0.2179	YES	NO	NO
02417936	ATORVASTATIN CALCIUM	Reddy-Atorvastatin 10mg Tab	DRR	0.1743	0.1743	YES	NO	NO
02324962	ATORVASTATIN CALCIUM	Sandoz Atorvastatin 40mg Tab	SDZ	0.2342	0.2342	YES	NO	NO
02324954	ATORVASTATIN CALCIUM	Sandoz Atorvastatin 20mg Tab	SDZ	0.2179	0.2179	YES	NO	NO
02324946	ATORVASTATIN CALCIUM	Sandoz Atorvastatin 10mg Tab	SDZ	0.1743	0.1743	YES	NO	NO
02324970	ATORVASTATIN CALCIUM	Sandoz Atorvastatin 80mg Tab	SDZ	0.2342	0.2342	YES	NO	NO
02313707	ATORVASTATIN CALCIUM	Taro-Atorvastatin 10mg Tab	SPC	0.1743	0.1743	YES	NO	NO
02313723	ATORVASTATIN CALCIUM	Taro-Atorvastatin 40mg Tab	SPC	0.2342	0.2342	YES	NO	NO
02313715	ATORVASTATIN CALCIUM	Taro-Atorvastatin 20mg Tab	SPC	0.2179	0.2179	YES	NO	NO
02313758	ATORVASTATIN CALCIUM	Taro-Atorvastatin 80mg Tab	SPC	0.2342	0.2342	YES	NO	NO
02310902	ATORVASTATIN CALCIUM	Teva-Atorvastatin 20mg Tab	TEV	0.2179	0.2179	YES	NO	NO
02310910	ATORVASTATIN CALCIUM	Teva-Atorvastatin 40mg Tab	TEV	0.2342	0.2342	YES	NO	NO
02310929	ATORVASTATIN CALCIUM	Teva-Atorvastatin 80mg Tab	TEV	0.2342	0.2342	YES	NO	NO
02310899	ATORVASTATIN CALCIUM	Teva-Atorvastatin 10mg Tab	TEV	0.1743	0.1743	YES	NO	NO
02528495	ATOVAQUONE	GLN-Atovaquone 750mg/5mL O/L	GLP	2.3785	2.3785	YES	NO	NO
02217422	ATOVAQUONE	Mepron 750mg/5mL O/L	GSK	3.7661	2.3785	YES	NO	NO
02421429	ATOVAQUONE & PROGUANIL HCL	Atovaquone Proguanil (Off-Formulary Interchangeable) 250mg & 100mg Tab	SAI	4.1308	4.1308	YES	NO	NO
02466783	ATOVAQUONE & PROGUANIL HCL	Atovaquone and Proguanil Hydrochloride (Off-Formulary Interchangeable) 250mg & 100mg Tab	GLP	4.1308	4.1308	YES	NO	NO
02238151	ATOVAQUONE & PROGUANIL HCL	Malarone (Off-Formulary Interchangeable) 250mg & 100mg Tab	GSK	6.3558	4.1308	YES	NO	NO
02402165	ATOVAQUONE & PROGUANIL HCL	Mylan-Atovaquone/Proguanil (Off-Formulary Interchangeable) 250mg & 100mg Tab	MYL	4.1308	4.1308	YES	NO	NO
02380927	ATOVAQUONE & PROGUANIL HCL	Teva-Atovaquone Proguanil (Off-Formulary Interchangeable) 250mg & 100mg Tab	TEV	4.1308	4.1308	YES	NO	NO
02023695	ATROPINE SULFATE	Atropine 1% Oph Sol	PHS	0.5490	0.5490	YES	NO	NO
00035017	ATROPINE SULFATE	Isopto Atropine 1% Oph Sol	ALC	0.8420	0.5490	YES	NO	NO
01916823	AURANOFIN	Ridaura 3mg Cap	XED	6.9127	6.9127	NO	NO	NO
02242907	AZATHIOPRINE	Apo-Azathioprine 50mg Tab	APX	0.5185	0.5185	YES	NO	YES
00004596	AZATHIOPRINE	Imuran 50mg Tab	ASN	1.3820	0.5185	YES	NO	YES
02236819	AZATHIOPRINE	Teva-Azathioprine 50mg Tab	TEV	0.5185	0.5185	YES	NO	YES
02270811	AZELAIC ACID	Finacea 15% Top Gel	LEO	0.8566	0.8566	NO	NO	NO
02540886	AZELASTINE HCL & FLUTICASONE PROPIONATE	Apo-Azelastine/Fluticasone (Off-Formulary Interchangeable) 137mcg/Actuation&50mcg/Actuation Nas-Sp-120 Dose Pk	APX	89.9215	N/A	YES	NO	YES
02432889	AZELASTINE HCL & FLUTICASONE PROPIONATE	Dymista (Off-Formulary Interchangeable) 137mcg/Actuation&50mcg/Actuation Nas-Sp-120 Dose Pk	BGP	N/A	N/A	YES	NO	YES
02530341	AZELASTINE HCL & FLUTICASONE PROPIONATE	Mylan-Azelastine/Fluticasone (Off-Formulary Interchangeable) 137mcg/Actuation&50mcg/Actuation Nas-Sp-120 Dose Pk	MYL	89.9215	N/A	YES	NO	YES
02547023	AZILSARTAN MEDOXOMIL	Auro-Azilsartan Medoxomil (Off-Formulary Interchangeable) 80mg Tab	AUR	1.1177	N/A	YES	NO	NO
02547015	AZILSARTAN MEDOXOMIL	Auro-Azilsartan Medoxomil (Off-Formulary Interchangeable) 40mg Tab	AUR	1.1177	N/A	YES	NO	NO
02381389	AZILSARTAN MEDOXOMIL	Edarbi (Off-Formulary Interchangeable) 40mg Tab	BHC	N/A	N/A	YES	NO	NO
02381397	AZILSARTAN MEDOXOMIL	Edarbi (Off-Formulary Interchangeable) 80mg Tab	BHC	N/A	N/A	YES	NO	NO
02482371	AZITHROMYCIN	Auro-Azithromycin 200mg/5mL O/L-15mL Pk	AUR	12.4943	12.4943	YES	NO	YES
02482363	AZITHROMYCIN	Auro-Azithromycin 100mg/5mL O/L-15mL Pk	AUR	8.8208	8.8208	YES	NO	YES
02332396	AZITHROMYCIN	Sandoz Azithromycin 200mg/5mL O/L-15mL Pk	SDZ	12.4943	12.4943	YES	NO	YES
02332388	AZITHROMYCIN	Sandoz Azithromycin 100mg/5mL O/L-15mL Pk	SDZ	8.8208	8.8208	YES	NO	YES
02223716	AZITHROMYCIN	Zithromax 100mg/5mL O/L-15mL Pk	PFI	17.6415	8.8208	YES	NO	YES
02223724	AZITHROMYCIN	Zithromax 200mg/5mL O/L-15mL Pk	PFI	24.9885	12.4943	YES	NO	YES
09857636	AZITHROMYCIN	Auro-Azithromycin 200mg/5mL O/L-22.5mL Pk	AUR	18.7425	18.7425	YES	NO	YES
09857351	AZITHROMYCIN	Sandoz Azithromycin 200mg/5mL O/L-22.5mL Pk	SDZ	18.7425	18.7425	YES	NO	YES
09857315	AZITHROMYCIN	Zithromax 200mg/5mL O/L-22.5mL Pk	PFI	37.4828	18.7425	YES	NO	YES
09857638	AZITHROMYCIN	Auro-Azithromycin 200mg/5mL O/L-37.5mL Pk	AUR	31.2375	31.2375	YES	NO	YES
09857637	AZITHROMYCIN	Zithromax (Not a Benefit) 200mg/5mL O/L-37.5mL Pk	PFI	N/A	N/A	YES	NO	YES
02480700	AZITHROMYCIN	AG-Azithromycin 250mg Tab	ANG	0.9410	0.9410	YES	NO	YES
02247423	AZITHROMYCIN	Apo-Azithromycin 250mg Tab	APX	0.9410	0.9410	YES	NO	YES
02415542	AZITHROMYCIN	Apo-Azithromycin Z 250mg Tab	APX	0.9410	0.9410	YES	NO	YES
02330881	AZITHROMYCIN	Azithromycin 250mg Tab	SAI	0.9410	0.9410	YES	NO	YES
02442434	AZITHROMYCIN	Azithromycin 250mg Tab	SIV	0.9410	0.9410	YES	NO	YES
02452308	AZITHROMYCIN	Jamp-Azithromycin 250mg Tab	JPC	0.9410	0.9410	YES	NO	YES
02502038	AZITHROMYCIN	M-Azithromycin 250mg Tab	MAT	0.9410	0.9410	YES	NO	YES
02452324	AZITHROMYCIN	Mar-Azithromycin 250mg Tab	MAR	0.9410	0.9410	YES	NO	YES
02479680	AZITHROMYCIN	NRA-Azithromycin 250mg Tab	NRA	0.9410	0.9410	YES	NO	YES
02267845	AZITHROMYCIN	Novo-Azithromycin 250mg Tab	NOP	0.9410	0.9410	YES	NO	YES
02261634	AZITHROMYCIN	PMS-Azithromycin 250mg Tab	PMS	0.9410	0.9410	YES	NO	YES
02261642	AZITHROMYCIN	PMS-Azithromycin 600mg Tab	PMS	10.6652	10.6652	YES	YES	YES
02275309	AZITHROMYCIN	Riva-Azithromycin 250mg Tab	RIA	0.9410	0.9410	YES	NO	YES
02265826	AZITHROMYCIN	Sandoz Azithromycin 250mg Tab	SDZ	0.9410	0.9410	YES	NO	YES
02231143	AZITHROMYCIN	Zithromax (Not a Benefit) 600mg Tab	PFI	N/A	N/A	YES	NO	YES
02212021	AZITHROMYCIN	Zithromax 250mg Tab	PFI	5.4382	0.9410	YES	NO	YES
02457075	BACLOFEN	Baclofen Injection (Off-Formulary Interchangeable) 2mg/mL Inj Sol (Preservative-Free)	TEL	35.4500	35.4500	YES	NO	YES
02553341	BACLOFEN	Baclofen Injection USP (Off-Formulary Interchangeable) 2mg/mL Inj Sol (Preservative-Free)	JPC	35.4500	35.4500	YES	NO	YES
02413647	BACLOFEN	Baclofen Intrathecal (Off-Formulary Interchangeable) 2mg/mL Inj Sol (Preservative-Free)	STE	35.4500	35.4500	YES	NO	YES
02485516	BACLOFEN	Baclofen Intrathecal (Off-Formulary Interchangeable) 2mg/mL Inj Sol (Preservative-Free)	AVP	35.4500	35.4500	YES	NO	YES
02131064	BACLOFEN	Lioresal Intrathecal (Off-Formulary Interchangeable) 2mg/mL Inj Sol (Preservative-Free)	NOV	N/A	N/A	YES	NO	YES
02457059	BACLOFEN	Baclofen Injection (Off-Formulary Interchangeable) 0.05mg/mL Inj Sol-1mL Pk (Preservative-Free)	TEL	11.2500	11.2500	YES	NO	YES
02413620	BACLOFEN	Baclofen Injection (Off-Formulary Interchangeable) 0.05mg/mL Inj Sol-1mL Pk (Preservative-Free)	STE	11.2500	11.2500	YES	NO	YES
02131048	BACLOFEN	Lioresal Intrathecal (Off-Formulary Interchangeable) 0.05mg/mL Inj Sol-1mL Pk (Preservative-Free)	NOV	N/A	N/A	YES	NO	YES
02457067	BACLOFEN	Baclofen Injection (Off-Formulary Interchangeable) 0.5mg/mL Inj Sol-20mL Pk (Preservative-Free)	TEL	177.2500	177.2500	YES	NO	YES
02413639	BACLOFEN	Baclofen Intrathecal (Off-Formulary Interchangeable) 0.5mg/mL Inj Sol-20mL Pk (Preservative-Free)	STE	177.2500	177.2500	YES	NO	YES
02485508	BACLOFEN	Baclofen Intrathecal (Off-Formulary Interchangeable) 0.5mg/mL Inj Sol-20mL Pk (Preservative-Free)	AVP	177.2500	177.2500	YES	NO	YES
02131056	BACLOFEN	Lioresal Intrathecal (Off-Formulary Interchangeable) 0.5mg/mL Inj Sol-20mL Pk (Preservative-Free)	NOV	N/A	N/A	YES	NO	YES
02139391	BACLOFEN	Apo-Baclofen 20mg Tab	APX	0.3104	0.3104	YES	NO	YES
02139332	BACLOFEN	Apo-Baclofen 10mg Tab	APX	0.1595	0.1595	YES	NO	YES
02287048	BACLOFEN	Baclofen 20mg Tab	SAI	0.3104	0.3104	YES	NO	YES
02544679	BACLOFEN	Baclofen 20mg Tab	SIV	0.3104	0.3104	YES	NO	YES
02544660	BACLOFEN	Baclofen 10mg Tab	SIV	0.1595	0.1595	YES	NO	YES
02287021	BACLOFEN	Baclofen 10mg Tab	SAI	0.1595	0.1595	YES	NO	YES
00455881	BACLOFEN	Lioresal 10mg Tab	NOV	0.8795	0.1595	YES	NO	YES
00636576	BACLOFEN	Lioresal DS 20mg Tab	NOV	1.7122	0.3104	YES	NO	YES
02088401	BACLOFEN	Mylan-Baclofen 20mg Tab	MYL	0.3104	0.3104	YES	NO	YES
02088398	BACLOFEN	Mylan-Baclofen 10mg Tab	MYL	0.1595	0.1595	YES	NO	YES
02063735	BACLOFEN	PMS-Baclofen 10mg Tab	PMS	0.1595	0.1595	YES	NO	YES
02063743	BACLOFEN	PMS-Baclofen 20mg Tab	PMS	0.3104	0.3104	YES	NO	YES
02236507	BACLOFEN	Ratio-Baclofen 10mg Tab	RPH	0.1595	0.1595	YES	NO	YES
02236508	BACLOFEN	Ratio-Baclofen 20mg Tab	RPH	0.3104	0.3104	YES	NO	YES
02480018	BARICITINIB	Olumiant 2mg Tab	LIL	59.4367	59.4367	NO	YES	NO
02242029	BECLOMETHASONE DIPROPIONATE	QVAR 50mcg/Metered Dose Aero Inh-200 Dose Pk	GRA	43.0469	43.0469	NO	NO	NO
02242030	BECLOMETHASONE DIPROPIONATE	QVAR 100mcg/Metered Dose Aero Inh-200 Dose Pk	GRA	85.8405	85.8405	NO	NO	NO
02089602	BECLOMETHASONE DIPROPIONATE	Propaderm 0.025% Cr	VAL	0.5969	0.5969	NO	NO	NO
02238796	BECLOMETHASONE DIPROPIONATE	Apo-Beclomethasone Nasal Spray 50mcg Nas-Sp-200 Dose Pk	APX	12.2600	12.2600	YES	NO	YES
02213702	BECLOMETHASONE DIPROPIONATE	Beconase Aqueous (Not a Benefit) 50mcg Nas-Sp-200 Dose Pk	GLW	N/A	N/A	YES	NO	YES
02172712	BECLOMETHASONE DIPROPIONATE	Mylan-Beclo AQ 50mcg Nas-Sp-200 Dose Pk	MYL	12.2600	12.2600	YES	NO	YES
01927957	BECLOMETHASONE DIPROPIONATE	Propaderm 0.025% Oint	GLA	0.4038	0.4038	NO	NO	NO
02290340	BENAZEPRIL	Benazepril 10mg Tab	AAP	0.9938	0.9938	YES	NO	NO
02290332	BENAZEPRIL	Benazepril 5mg Tab	AAP	0.9485	0.9485	YES	NO	NO
02273918	BENAZEPRIL	Benazepril 20mg Tab	AAP	1.2875	1.2875	YES	NO	NO
00885843	BENAZEPRIL	Lotensin (Not a Benefit) 10mg Tab	NOV	N/A	N/A	YES	NO	NO
00885835	BENAZEPRIL	Lotensin (Not a Benefit) 5mg Tab	NOV	N/A	N/A	YES	NO	NO
00885851	BENAZEPRIL	Lotensin (Not a Benefit) 20mg Tab	NOV	N/A	N/A	YES	NO	NO
00706531	BENZTROPINE MESYLATE	PDP-Benztropine 1mg Tab	PEN	0.0563	0.0563	NO	NO	NO
02463105	BENZYDAMINE HCL	Odan-Benzydamine (Off-Formulary Interchangeable) 0.15% Oral Rinse	ODN	0.0960	N/A	YES	NO	NO
02239537	BENZYDAMINE HCL	PMS-Benzydamine (Off-Formulary Interchangeable) 0.15% Oral Rinse	PMS	0.0960	N/A	YES	NO	NO
02229777	BENZYDAMINE HCL	Pharixia (Not a Benefit) 0.15% Oral Rinse	PEN	N/A	N/A	YES	NO	NO
01966065	BENZYDAMINE HCL	Tantum (Not a Benefit) 0.15% Oral Rinse	GRA	N/A	N/A	YES	NO	NO
02449161	BETAHISTINE DIHYDROCHLORIDE	Auro-Betahistine (Off-Formulary Interchangeable) 24mg Tab	AUR	0.4983	N/A	YES	NO	NO
02449153	BETAHISTINE DIHYDROCHLORIDE	Auro-Betahistine (Off-Formulary Interchangeable) 16mg Tab	AUR	0.3557	0.3557	YES	NO	NO
02449145	BETAHISTINE DIHYDROCHLORIDE	Auro-Betahistine (Off-Formulary Interchangeable) 8mg Tab	AUR	0.2070	0.2070	YES	NO	NO
02466457	BETAHISTINE DIHYDROCHLORIDE	Betahistine (Off-Formulary Interchangeable) 24mg Tab	SAI	0.4983	N/A	YES	NO	NO
02466449	BETAHISTINE DIHYDROCHLORIDE	Betahistine (Off-Formulary Interchangeable) 16mg Tab	SAI	0.3557	0.3557	YES	NO	NO
02374765	BETAHISTINE DIHYDROCHLORIDE	Co Betahistine (Off-Formulary Interchangeable) 24mg Tab	COB	0.4983	N/A	YES	NO	NO
02374757	BETAHISTINE DIHYDROCHLORIDE	Co Betahistine (Off-Formulary Interchangeable) 16mg Tab	COB	0.3557	0.3557	YES	NO	NO
02519682	BETAHISTINE DIHYDROCHLORIDE	M-Betahistine (Off-Formulary Interchangeable) 8mg Tab	MAT	0.2259	0.2259	YES	NO	NO
02519690	BETAHISTINE DIHYDROCHLORIDE	M-Betahistine (Off-Formulary Interchangeable) 16mg Tab	MAT	0.3557	0.3557	YES	NO	NO
02519704	BETAHISTINE DIHYDROCHLORIDE	M-Betahistine (Off-Formulary Interchangeable) 24mg Tab	MAT	0.4983	N/A	YES	NO	NO
02538121	BETAHISTINE DIHYDROCHLORIDE	Mint-Betahistine (Off-Formulary Interchangeable) 8mg Tab	MIN	0.2259	0.2259	YES	NO	NO
02538148	BETAHISTINE DIHYDROCHLORIDE	Mint-Betahistine (Off-Formulary Interchangeable) 16mg Tab	MIN	0.3557	0.3557	YES	NO	NO
02538156	BETAHISTINE DIHYDROCHLORIDE	Mint-Betahistine (Off-Formulary Interchangeable) 24mg Tab	MIN	0.4983	N/A	YES	NO	NO
02544911	BETAHISTINE DIHYDROCHLORIDE	NRA-Betahistine (Off-Formulary Interchangeable) 8mg Tab	NRA	0.2259	0.2259	YES	NO	NO
02544946	BETAHISTINE DIHYDROCHLORIDE	NRA-Betahistine (Off-Formulary Interchangeable) 24mg Tab	NRA	0.4983	N/A	YES	NO	NO
02544938	BETAHISTINE DIHYDROCHLORIDE	NRA-Betahistine (Off-Formulary Interchangeable) 16mg Tab	NRA	0.3557	0.3557	YES	NO	NO
02330210	BETAHISTINE DIHYDROCHLORIDE	PMS-Betahistine (Off-Formulary Interchangeable) 16mg Tab	PMS	0.3557	0.3557	YES	NO	NO
02330237	BETAHISTINE DIHYDROCHLORIDE	PMS-Betahistine (Off-Formulary Interchangeable) 24mg Tab	PMS	0.4983	N/A	YES	NO	NO
02240601	BETAHISTINE DIHYDROCHLORIDE	Serc (Off-Formulary Interchangeable) 8mg Tab	SPH	N/A	N/A	YES	NO	NO
02247998	BETAHISTINE DIHYDROCHLORIDE	Serc (Off-Formulary Interchangeable) 24mg Tab	BGP	N/A	N/A	YES	NO	NO
02243878	BETAHISTINE DIHYDROCHLORIDE	Serc (Off-Formulary Interchangeable) 16mg Tab	BGP	N/A	N/A	YES	NO	NO
02280191	BETAHISTINE DIHYDROCHLORIDE	Teva-Betahistine (Off-Formulary Interchangeable) 16mg Tab	TEV	0.3557	0.3557	YES	NO	NO
02280183	BETAHISTINE DIHYDROCHLORIDE	Teva-Betahistine (Off-Formulary Interchangeable) 8mg Tab	TEV	0.2259	0.2259	YES	NO	NO
02280205	BETAHISTINE DIHYDROCHLORIDE	Teva-Betahistine (Off-Formulary Interchangeable) 24mg Tab	TEV	0.4983	N/A	YES	NO	NO
00323071	BETAMETHASONE DIPROPIONATE	Diprosone 0.05% Cr	OCI	0.2174	0.2048	YES	NO	NO
01925350	BETAMETHASONE DIPROPIONATE	Taro-Sone 0.05% Cr	TAR	0.2048	0.2048	YES	NO	NO
00417246	BETAMETHASONE DIPROPIONATE	Diprosone 0.05% Lot	OCI	0.2100	0.1980	YES	NO	NO
00809187	BETAMETHASONE DIPROPIONATE	Ratio-Topisone 0.05% Lot	RPH	0.1980	0.1980	YES	NO	NO
00344923	BETAMETHASONE DIPROPIONATE	Diprosone 0.05% Oint	OCI	0.2284	0.2152	YES	NO	NO
00805009	BETAMETHASONE DIPROPIONATE	Ratio-Topisone 0.05% Oint	RPH	0.2152	0.2152	YES	NO	NO
00629367	BETAMETHASONE DIPROPIONATE IN A BASE CONTAINING PROPYLENE GLYCOL	Diprolene 0.05% Oint	OCI	0.5186	0.5186	YES	NO	NO
00849669	BETAMETHASONE DIPROPIONATE IN A BASE CONTAINING PROPYLENE GLYCOL	Ratio-Topilene 0.05% Oint	RPH	0.5186	0.5186	YES	NO	YES
00688622	BETAMETHASONE DIPROPIONATE IN PROPYLENE GLYCOL BASE	Diprolene Glycol 0.05% Cr	SCH	0.5186	0.5186	YES	NO	YES
00849650	BETAMETHASONE DIPROPIONATE IN PROPYLENE GLYCOL BASE	Ratio-Topilene 0.05% Cr	RPH	0.5186	0.5186	YES	NO	YES
00716626	BETAMETHASONE VALERATE	Betaderm 0.1% Cr	TAR	0.0889	0.0889	YES	NO	NO
00716618	BETAMETHASONE VALERATE	Betaderm 0.05% Cr	TAR	0.0596	0.0596	YES	NO	NO
00011924	BETAMETHASONE VALERATE	Betnovate (Not a Benefit) 0.1% Cr	GLA	N/A	N/A	YES	NO	NO
00011916	BETAMETHASONE VALERATE	Betnovate-1/2 (Not a Benefit) 0.05% Cr	GLA	N/A	N/A	YES	NO	NO
02357844	BETAMETHASONE VALERATE	Celestoderm-V 0.1% Cr	VAE	0.0889	0.0889	YES	NO	NO
00535427	BETAMETHASONE VALERATE	Ratio-Ectosone Mild 0.05% Cr	RPH	0.0611	0.0596	YES	NO	NO
00535435	BETAMETHASONE VALERATE	Ratio-Ectosone Regular 0.1% Cr	RPH	0.0911	0.0889	YES	NO	NO
02100193	BETAMETHASONE VALERATE	Betnovate (Not a Benefit) 0.1% Lot	SHI	N/A	N/A	YES	NO	NO
02100185	BETAMETHASONE VALERATE	Betnovate-1/2 (Not a Benefit) 0.05% Lot	RBT	N/A	N/A	YES	NO	NO
00653209	BETAMETHASONE VALERATE	Ratio-Ectosone Mild 0.05% Lot	RPH	0.2847	0.2847	YES	NO	NO
00750050	BETAMETHASONE VALERATE	Ratio-Ectosone Regular 0.1% Lot	RPH	0.3125	0.3125	YES	NO	NO
00716650	BETAMETHASONE VALERATE	Betaderm 0.1% Oint	TAR	0.0889	0.0889	YES	NO	NO
00716642	BETAMETHASONE VALERATE	Betaderm 0.05% Oint	TAR	0.0596	0.0596	YES	NO	NO
00012386	BETAMETHASONE VALERATE	Betnovate (Not a Benefit) 0.1% Oint	GLA	N/A	N/A	YES	NO	NO
00012378	BETAMETHASONE VALERATE	Betnovate-1/2 (Not a Benefit) 0.05% Oint	GLA	N/A	N/A	YES	NO	NO
02357852	BETAMETHASONE VALERATE	Celestoderm-V 0.1% Oint	VAE	0.0889	0.0889	YES	NO	NO
02357879	BETAMETHASONE VALERATE	Celestoderm-V/2 0.05% Oint	VAE	0.0596	0.0596	YES	NO	NO
00716634	BETAMETHASONE VALERATE	Betaderm 0.1% Scalp Lot	TAR	0.0853	0.0853	YES	NO	NO
00653217	BETAMETHASONE VALERATE	Ratio-Ectosone 0.1% Scalp Lot	RPH	0.0853	0.0853	YES	NO	NO
00027944	BETAMETHASONE VALERATE	Valisone (Not a Benefit) 0.1% Scalp Lot	VAE	N/A	N/A	YES	NO	NO
01908448	BETAXOLOL HCL	Betoptic S 0.25% Oph Susp	NOV	2.5580	2.5580	NO	NO	NO
01947923	BETHANECHOL CHLORIDE	Duvoid 50mg Tab	PPI	0.9921	0.9921	NO	NO	NO
01947931	BETHANECHOL CHLORIDE	Duvoid 25mg Tab	PPI	0.8137	0.8137	NO	NO	NO
01947958	BETHANECHOL CHLORIDE	Duvoid 10mg Tab	PPI	0.5025	0.5025	NO	NO	NO
02083523	BEZAFIBRATE	Bezalip 400mg SR Tab	ALL	2.9427	1.7460	YES	NO	NO
02453312	BEZAFIBRATE	Jamp-Bezafibrate SR 400mg SR Tab	JPC	1.7460	1.7460	YES	NO	NO
02296063	BICALUTAMIDE	Apo-Bicalutamide 50mg Tab	APX	1.2690	1.2690	YES	NO	NO
02519178	BICALUTAMIDE	Bicalutamide 50mg Tab	SAI	1.2690	1.2690	YES	NO	NO
02325985	BICALUTAMIDE	Bicalutamide Tablets 50mg Tab	ACH	1.2690	1.2690	YES	NO	NO
02184478	BICALUTAMIDE	Casodex 50mg Tab	AZC	7.1277	1.2690	YES	NO	NO
02274337	BICALUTAMIDE	Co Bicalutamide 50mg Tab	COB	1.2690	1.2690	YES	NO	NO
02357216	BICALUTAMIDE	Jamp-Bicalutamide 50mg Tab	JPC	1.2690	1.2690	YES	NO	NO
02275589	BICALUTAMIDE	PMS-Bicalutamide 50mg Tab	PMS	1.2690	1.2690	YES	NO	NO
02371324	BICALUTAMIDE	Ran-Bicalutamide 50mg Tab	RAN	1.2690	1.2690	YES	NO	NO
02270226	BICALUTAMIDE	Teva-Bicalutamide 50mg Tab	TEV	1.2690	1.2690	YES	NO	NO
02478579	BICTEGRAVIR SODIUM/EMTRICITABINE/TENOFOVIR ALAFENAMIDE HEMIFUMARATE	Biktarvy 50mg & 200mg & 25mg Tab	GIL	39.2227	39.2227	NO	NO	NO
02549883	BILASTINE	Apo-Bilastine Tablets (Off-Formulary Interchangeable) 20mg Tab	APX	1.1240	N/A	YES	NO	NO
02541556	BILASTINE	Auro-Bilastine (Off-Formulary Interchangeable) 20mg Tab	AUR	1.1229	N/A	YES	NO	NO
02454130	BILASTINE	Blexten (Off-Formulary Interchangeable) 20mg Tab	ARZ	N/A	N/A	YES	NO	NO
02544369	BILASTINE	GLN-Bilastine (Off-Formulary Interchangeable) 20mg Tab	GLP	1.1243	N/A	YES	NO	NO
02546795	BILASTINE	Jamp-Bilastine (Off-Formulary Interchangeable) 20mg Tab	JPC	1.1240	N/A	YES	NO	NO
02548410	BILASTINE	M-Bilastine (Off-Formulary Interchangeable) 20mg Tab	MAT	1.1240	N/A	YES	NO	NO
02547279	BILASTINE	Mar-Bilastine (Off-Formulary Interchangeable) 20mg Tab	MAR	1.1240	N/A	YES	NO	NO
02551934	BILASTINE	NRA-Bilastine (Off-Formulary Interchangeable) 20mg Tab	NRA	1.1243	N/A	YES	NO	NO
02536269	BILASTINE	Sandoz Bilastine (Off-Formulary Interchangeable) 20mg Tab	SDZ	1.1240	N/A	YES	NO	NO
02245860	BIMATOPROST	Lumigan (Not a Benefit) 0.03% Oph Sol	ALL	N/A	N/A	YES	NO	NO
02429063	BIMATOPROST	Vistitan 0.03% Oph Sol	SDZ	9.1936	9.1936	YES	YES	NO
09857368	BIMATOPROST	Lumigan RC 0.01% Oph Sol-5mL Pk	ALL	60.1892	60.1892	NO	YES	NO
09857398	BIMATOPROST	Lumigan RC 0.01% Oph Sol-7.5mL Pk	ALL	90.2838	90.2838	NO	YES	NO
02525275	BIMEKIZUMAB	Bimzelx 160mg/mL Inj Sol-1mL Pref Autoinj (Preservative-Free)	UCB	1625.0000	1625.0000	NO	YES	NO
02525267	BIMEKIZUMAB	Bimzelx 160mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	UCB	1625.0000	1625.0000	NO	YES	NO
00254142	BISACODYL	Dulcolax 5mg Ent Tab	SCO	0.2009	0.2009	NO	NO	NO
02520478	BISACODYL	AMB-Bisacodyl 10mg Sup	AMB	0.4206	0.4206	YES	NO	NO
02458853	BISACODYL	Bisacodyl 10mg 10mg Sup	CCP	0.4206	0.4206	YES	NO	NO
02361450	BISACODYL	Bisacodyl Suppository 10mg Sup	JPC	0.4206	0.4206	YES	NO	NO
00003875	BISACODYL	Dulcolax 10mg Sup	SCO	1.2267	0.4206	YES	NO	NO
02256177	BISOPROLOL FUMARATE	Apo-Bisoprolol 10mg Tab	APX	0.0885	0.0885	YES	NO	NO
02256134	BISOPROLOL FUMARATE	Apo-Bisoprolol 5mg Tab	APX	0.0606	0.0606	YES	NO	NO
02391597	BISOPROLOL FUMARATE	Bisoprolol 10mg Tab	SAI	0.0885	0.0885	YES	NO	NO
02391589	BISOPROLOL FUMARATE	Bisoprolol 5mg Tab	SAI	0.0606	0.0606	YES	NO	NO
02495570	BISOPROLOL FUMARATE	Bisoprolol Tablets 10mg Tab	SIV	0.0885	0.0885	YES	NO	NO
02495562	BISOPROLOL FUMARATE	Bisoprolol Tablets 5mg Tab	SIV	0.0606	0.0606	YES	NO	NO
02518791	BISOPROLOL FUMARATE	Jamp Bisoprolol 10mg Tab	JPC	0.0885	0.0885	YES	NO	NO
02518805	BISOPROLOL FUMARATE	Jamp Bisoprolol 5mg Tab	JPC	0.0606	0.0606	YES	NO	NO
02465612	BISOPROLOL FUMARATE	Mint-Bisoprolol 5mg Tab	MIN	0.0606	0.0606	YES	NO	NO
02465620	BISOPROLOL FUMARATE	Mint-Bisoprolol 10mg Tab	MIN	0.0885	0.0885	YES	NO	NO
02241149	BISOPROLOL FUMARATE	Monocor (Not a Benefit) 10mg Tab	CRY	N/A	N/A	YES	NO	NO
02241148	BISOPROLOL FUMARATE	Monocor (Not a Benefit) 5mg Tab	BIO	N/A	N/A	YES	NO	NO
02544245	BISOPROLOL FUMARATE	Sandoz Bisoprolol Tablets 1.25mg Tab	SDZ	0.0152	0.0152	NO	NO	NO
02494035	BISOPROLOL FUMARATE	Sandoz Bisoprolol Tablets 5mg Tab	SDZ	0.0606	0.0606	YES	NO	NO
02544253	BISOPROLOL FUMARATE	Sandoz Bisoprolol Tablets 2.5mg Tab	SDZ	0.0303	0.0303	NO	NO	NO
02494043	BISOPROLOL FUMARATE	Sandoz Bisoprolol Tablets 10mg Tab	SDZ	0.0885	0.0885	YES	NO	NO
02267470	BISOPROLOL FUMARATE	Teva-Bisoprolol 5mg Tab	TEV	0.0606	0.0606	YES	NO	NO
02267489	BISOPROLOL FUMARATE	Teva-Bisoprolol 10mg Tab	TEV	0.0885	0.0885	YES	NO	NO
02399202	BOSENTAN MONOHYDRATE	Apo-Bosentan (Off-Formulary Interchangeable) 62.5mg Tab	APX	32.0893	32.0893	YES	NO	NO
02399210	BOSENTAN MONOHYDRATE	Apo-Bosentan (Off-Formulary Interchangeable) 125mg Tab	APX	32.0893	32.0893	YES	NO	NO
02386208	BOSENTAN MONOHYDRATE	Co Bosentan (Off-Formulary Interchangeable) 125mg Tab	COB	32.0893	32.0893	YES	NO	NO
02386194	BOSENTAN MONOHYDRATE	Co Bosentan (Off-Formulary Interchangeable) 62.5mg Tab	COB	32.0893	32.0893	YES	NO	NO
02467984	BOSENTAN MONOHYDRATE	Nat-Bosentan (Off-Formulary Interchangeable) 62.5mg Tab	NAT	32.0893	32.0893	YES	NO	NO
02467992	BOSENTAN MONOHYDRATE	Nat-Bosentan (Off-Formulary Interchangeable) 125mg Tab	NAT	32.0893	32.0893	YES	NO	NO
02383012	BOSENTAN MONOHYDRATE	PMS-Bosentan (Off-Formulary Interchangeable) 62.5mg Tab	PMS	32.0893	32.0893	YES	NO	NO
02383020	BOSENTAN MONOHYDRATE	PMS-Bosentan (Off-Formulary Interchangeable) 125mg Tab	PMS	32.0893	32.0893	YES	NO	NO
02386283	BOSENTAN MONOHYDRATE	Sandoz Bosentan (Off-Formulary Interchangeable) 125mg Tab	SDZ	32.0893	32.0893	YES	NO	NO
02386275	BOSENTAN MONOHYDRATE	Sandoz Bosentan (Off-Formulary Interchangeable) 62.5mg Tab	SDZ	32.0893	32.0893	YES	NO	NO
02483130	BOSENTAN MONOHYDRATE	Taro-Bosentan (Off-Formulary Interchangeable) 62.5mg Tab	TAR	32.0893	32.0893	YES	NO	NO
02483149	BOSENTAN MONOHYDRATE	Taro-Bosentan (Off-Formulary Interchangeable) 125mg Tab	TAR	32.0893	32.0893	YES	NO	NO
02244982	BOSENTAN MONOHYDRATE	Tracleer (Off-Formulary Interchangeable) 125mg Tab	JAN	87.5600	32.0893	YES	NO	NO
02244981	BOSENTAN MONOHYDRATE	Tracleer (Off-Formulary Interchangeable) 62.5mg Tab	JAN	87.5600	32.0893	YES	NO	NO
01981501	BOTULINUM TOXIN TYPE A	Botox 100U/Vial Pd Inj-100U Vial Pk	ABV	374.8500	374.8500	NO	YES	NO
09857387	BOTULINUM TOXIN TYPE A	Botox 200U/Vial Pd Inj-200U Vial Pk	ABV	749.7000	749.7000	NO	YES	NO
02531585	BOTULINUM TOXIN TYPE A	Botox 200U/Vial Pd Inj-200U Vial Pk	ABV	749.7000	749.7000	NO	YES	NO
09857386	BOTULINUM TOXIN TYPE A	Botox 50U/Vial Pd Inj-50U Vial Pk	ABV	187.4300	187.4300	NO	YES	NO
02531577	BOTULINUM TOXIN TYPE A	Botox 50U/Vial Pd Inj-50U Vial Pk	ABV	187.4300	187.4300	NO	YES	NO
02461803	BREXPIPRAZOLE	Rexulti 4mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461757	BREXPIPRAZOLE	Rexulti 0.5mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461749	BREXPIPRAZOLE	Rexulti 0.25mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461773	BREXPIPRAZOLE	Rexulti 2mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461781	BREXPIPRAZOLE	Rexulti 3mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461765	BREXPIPRAZOLE	Rexulti 1mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02236876	BRIMONIDINE	Alphagan 0.2% Oph Sol	ALL	3.7970	1.1550	YES	YES	NO
02248151	BRIMONIDINE	Alphagan P 0.15% Oph Sol	ALL	2.6017	2.0305	YES	YES	NO
02301334	BRIMONIDINE	Brimonidine P 0.15% Oph Sol	AAP	2.0305	2.0305	YES	YES	NO
02515377	BRIMONIDINE	Brimonidine Tartrate Ophthalmic Solution 0.2% Oph Sol	TCI	1.1550	1.1550	YES	YES	NO
02449226	BRIMONIDINE	Jamp-Brimonidine 0.2% Oph Sol	JPC	1.1550	1.1550	YES	YES	NO
02507811	BRIMONIDINE	Med-Brimonidine 0.2% Oph Sol	GMP	1.1550	1.1550	YES	YES	NO
02246284	BRIMONIDINE	PMS-Brimonidine 0.2% Oph Sol	PMS	1.1550	1.1550	YES	YES	NO
02305429	BRIMONIDINE	Sandoz Brimonidine 0.2% Oph Sol	SDZ	1.1550	1.1550	YES	YES	NO
02375311	BRIMONIDINE TARTRATE & TIMOLOL MALEATE	Apo-Brimonidine-Timop 0.2% & 0.5% Oph Sol-10mL Pk	APX	23.2900	23.2900	YES	YES	NO
09857298	BRIMONIDINE TARTRATE & TIMOLOL MALEATE	Combigan 0.2% & 0.5% Oph Sol-10mL Pk	ALL	46.5800	23.2900	YES	YES	NO
02531704	BRIMONIDINE TARTRATE & TIMOLOL MALEATE	Jamp Brimonidine/Timolol 0.2% & 0.5% Oph Sol-10mL Pk	JPC	23.2900	23.2900	YES	YES	NO
02238873	BRINZOLAMIDE	Azopt 1% Oph Susp	NOV	3.5560	3.5560	NO	YES	NO
02435411	BRINZOLAMIDE & BRIMONIDINE TARTRATE	Simbrinza 1.0% & 0.2% Oph Susp-10mL Pk	NOV	50.6900	50.6900	NO	YES	NO
02331624	BRINZOLAMIDE & TIMOLOL MALEATE	Azarga 1% & 0.5% Oph Susp-5mL Pk	NOV	20.4000	20.4000	NO	YES	NO
02538717	BRIVARACETAM	Apo-Brivaracetam 100mg Tab	APX	2.1600	2.1600	YES	YES	NO
02538709	BRIVARACETAM	Apo-Brivaracetam 75mg Tab	APX	2.3760	2.3760	YES	YES	NO
02538695	BRIVARACETAM	Apo-Brivaracetam 50mg Tab	APX	2.1600	2.1600	YES	YES	NO
02538687	BRIVARACETAM	Apo-Brivaracetam 25mg Tab	APX	2.3760	2.3760	YES	YES	NO
02538679	BRIVARACETAM	Apo-Brivaracetam 10mg Tab	APX	2.3760	2.3760	YES	YES	NO
02539292	BRIVARACETAM	Auro-Brivaracetam 50mg Tab	AUR	2.1600	2.1600	YES	YES	NO
02539306	BRIVARACETAM	Auro-Brivaracetam 100mg Tab	AUR	2.1600	2.1600	YES	YES	NO
02452936	BRIVARACETAM	Brivlera 10mg Tab	UCB	4.3200	2.3760	YES	YES	NO
02452960	BRIVARACETAM	Brivlera 75mg Tab	UCB	4.3200	2.3760	YES	YES	NO
02452944	BRIVARACETAM	Brivlera 25mg Tab	UCB	4.3200	2.3760	YES	YES	NO
02452979	BRIVARACETAM	Brivlera 100mg Tab	UCB	4.3200	2.1600	YES	YES	NO
02452952	BRIVARACETAM	Brivlera 50mg Tab	UCB	4.3200	2.1600	YES	YES	NO
02473623	BRODALUMAB	Siliq 210mg/1.5mL Inj Sol-Pref Syr	VAL	645.0000	645.0000	NO	YES	NO
02496976	BROLUCIZUMAB	Beovu 6mg/0.05mL Inj Sol-0.05mL Pref Syr (Preservative-Free)	NOV	1390.0000	1390.0000	NO	YES	NO
02177188	BROMAZEPAM	Apo-Bromazepam 6mg Tab	APX	0.1310	0.1310	YES	NO	NO
02177153	BROMAZEPAM	Apo-Bromazepam 1.5mg Tab	APX	0.1028	0.1028	YES	NO	NO
02177161	BROMAZEPAM	Apo-Bromazepam 3mg Tab	APX	0.0897	0.0897	YES	NO	NO
00518123	BROMAZEPAM	Lectopam (Not a Benefit) 3mg Tab	HLR	N/A	N/A	YES	NO	NO
00518131	BROMAZEPAM	Lectopam (Not a Benefit) 6mg Tab	HLR	N/A	N/A	YES	NO	NO
00682314	BROMAZEPAM	Lectopam (Not a Benefit) 1.5mg Tab	HLR	N/A	N/A	YES	NO	NO
02230584	BROMAZEPAM	Teva-Bromazepam 3mg Tab	TEV	0.0897	0.0897	YES	NO	NO
02230585	BROMAZEPAM	Teva-Bromazepam 6mg Tab	TEV	0.1310	0.1310	YES	NO	NO
02537788	BROMFENAC	Apo-Bromfenac (Off-Formulary Interchangeable) 0.07% w/v Oph Sol (With Preservative)	APX	8.0400	N/A	YES	NO	YES
02439123	BROMFENAC	Prolensa (Off-Formulary Interchangeable) 0.07% w/v Oph Sol (With Preservative)	BSH	N/A	N/A	YES	NO	YES
02230454	BROMOCRIPTINE	Bromocriptine 5mg Cap	AAP	1.7097	1.7097	YES	NO	NO
00568643	BROMOCRIPTINE	Parlodel (Not a Benefit) 5mg Cap	NOV	N/A	N/A	YES	NO	NO
02087324	BROMOCRIPTINE	Bromocriptine 2.5mg Tab	AAP	1.0800	1.0800	YES	NO	NO
00371033	BROMOCRIPTINE	Parlodel (Not a Benefit) 2.5mg Tab	NOV	N/A	N/A	YES	NO	NO
01978926	BUDESONIDE	Pulmicort Nebuamp 0.5mg/mL Inh Susp	AZC	1.0888	0.4559	YES	YES	NO
01978918	BUDESONIDE	Pulmicort Nebuamp 0.25mg/mL Inh Susp	AZC	0.5458	0.3593	YES	YES	NO
02229099	BUDESONIDE	Pulmicort Nebuamp 0.125mg/mL Inh Susp	AZC	0.2724	0.1143	YES	YES	NO
02494264	BUDESONIDE	Taro-Budesonide 0.125mg/mL Inh Susp	TAR	0.1143	0.1143	YES	YES	NO
02494272	BUDESONIDE	Taro-Budesonide 0.25mg/mL Inh Susp	TAR	0.3593	0.3593	YES	YES	NO
02494280	BUDESONIDE	Taro-Budesonide 0.5mg/mL Inh Susp	TAR	0.4559	0.4559	YES	YES	NO
02465957	BUDESONIDE	Teva-Budesonide 0.5mg/mL Inh Susp	TEV	0.4559	0.4559	YES	YES	NO
02465949	BUDESONIDE	Teva-Budesonide 0.125mg/mL Inh Susp	TEV	0.1143	0.1143	YES	YES	NO
02231923	BUDESONIDE	Rhinocort Aqua 64mcg/Metered Dose Nas Sp-120 Dose Pk	MCL	11.0400	11.0400	NO	NO	YES
02230648	BUDESONIDE	Mylan-Budesonide AQ 100mcg/Metered Dose Nas Sp-165 Dose Pk	MYL	12.7400	12.7400	YES	NO	YES
01974432	BUDESONIDE	Rhinocort Aqua (Not a Benefit) 100mcg/Metered Dose Nas Sp-165 Dose Pk	AST	N/A	N/A	YES	NO	YES
00851760	BUDESONIDE	Pulmicort Turbuhaler 400mcg/Metered Dose Pd Inh-200 Dose Pk	AZC	114.2465	114.2465	NO	NO	NO
00851752	BUDESONIDE	Pulmicort Turbuhaler 200mcg/Metered Dose Pd Inh-200 Dose Pk	AZC	78.2690	78.2690	NO	NO	NO
00852074	BUDESONIDE	Pulmicort Turbuhaler 100mcg/Metered Dose Pd Inh-200 Dose Pk	AZC	38.2735	38.2735	NO	NO	NO
02498057	BUDESONIDE	Uceris 2mg/Act Rectal Foam-14 Act Canister	BHC	99.9600	99.9600	NO	NO	NO
02245385	BUDESONIDE & FORMOTEROL FUMARATE DIHYDRATE	Symbicort 100 Turbuhaler 100mcg/6mcg Pd Inh-120 Dose Pk	AZC	78.3613	78.3613	NO	YES	NO
02245386	BUDESONIDE & FORMOTEROL FUMARATE DIHYDRATE	Symbicort 200 Turbuhaler 200mcg/6mcg Pd Inh-120 Dose Pk	AZC	101.8235	101.8235	NO	YES	NO
02518058	BUDESONIDE&GLYCOPYRRONIUM (GLYCOPYRRONIUM BROMIDE)&FORMOTEROL FUMARATE DIHYDRATE	Breztri Aerosphere 160mcg & 7.2mcg & 5mcg/Act Metered Dose Inh-120 Dose Pk	AZC	127.0000	127.0000	NO	YES	NO
02483084	BUPRENORPHINE	Sublocade 100mg/0.5mL Inj Sol- 0.5mL Pref Syr	IND	550.0000	550.0000	NO	YES	NO
02483092	BUPRENORPHINE	Sublocade 300mg/1.5mL Inj Sol- 1.5mL Pref Syr	IND	550.0000	550.0000	NO	YES	NO
02453908	BUPRENORPHINE & NALOXONE	Act Buprenorphine/Naloxone 2mg & 0.5mg SL Tab	ACV	1.3350	1.3350	YES	NO	NO
02453916	BUPRENORPHINE & NALOXONE	Act Buprenorphine/Naloxone 8mg & 2mg SL Tab	ACV	2.3650	2.3650	YES	NO	NO
02424851	BUPRENORPHINE & NALOXONE	PMS-Buprenorphine-Naloxone 2mg & 0.5mg SL Tab	PMS	1.3350	1.3350	YES	NO	NO
02424878	BUPRENORPHINE & NALOXONE	PMS-Buprenorphine-Naloxone 8mg & 2mg SL Tab	PMS	2.3650	2.3650	YES	NO	NO
02295709	BUPRENORPHINE & NALOXONE	Suboxone 8mg & 2mg SL Tab	IND	4.8293	2.3650	YES	NO	NO
02295695	BUPRENORPHINE & NALOXONE	Suboxone 2mg & 0.5mg SL Tab	IND	2.7261	1.3350	YES	NO	NO
02502348	BUPRENORPHINE & NALOXONE	Suboxone 8mg & 2mg Soluble Film	IND	4.7300	4.7300	NO	NO	NO
02502313	BUPRENORPHINE & NALOXONE	Suboxone 2mg & 0.5mg Soluble Film	IND	2.6700	2.6700	NO	NO	NO
02502356	BUPRENORPHINE & NALOXONE	Suboxone 12mg & 3mg Soluble Film	IND	7.0950	7.0950	NO	NO	NO
02474921	BUPRENORPHINE HYDROCHLORIDE	Probuphine 80mg Subdermal Implant-Kit Pk	KNT	1495.0000	1495.0000	NO	YES	NO
02439662	BUPROPION HCL	Act Bupropion XL 300mg ER Tab	ACV	0.5853	0.5853	YES	YES	NO
02439654	BUPROPION HCL	Act Bupropion XL 150mg ER Tab	ACV	0.2926	0.2926	YES	YES	NO
02475812	BUPROPION HCL	Taro-Bupropion XL 300mg ER Tab	SPC	0.5853	0.5853	YES	YES	NO
02475804	BUPROPION HCL	Taro-Bupropion XL 150mg ER Tab	SPC	0.2926	0.2926	YES	YES	NO
02275104	BUPROPION HCL	Wellbutrin XL 300mg ER Tab	VAL	1.2425	0.5853	YES	YES	NO
02275090	BUPROPION HCL	Wellbutrin XL 150mg ER Tab	VAL	0.6211	0.2926	YES	YES	NO
02238441	BUPROPION HCL	Zyban 150mg SR Tab	VAL	1.3275	1.3275	NO	YES	NO
02275082	BUPROPION HCL	Odan Bupropion SR 150mg Tab	ODN	0.9169	0.9169	YES	YES	NO
02275074	BUPROPION HCL	Odan Bupropion SR 100mg Tab	ODN	0.5260	0.5260	YES	YES	NO
02237825	BUPROPION HCL	Wellbutrin SR (Not a Benefit) 150mg Tab	VAL	N/A	N/A	YES	NO	NO
02237824	BUPROPION HCL	Wellbutrin SR (Not a Benefit) 100mg Tab	BIO	N/A	N/A	YES	NO	NO
02228955	BUSERELIN ACETATE	Suprefact Depot 2 Months 6.3mg Implant Kit	CHE	929.2348	929.2348	NO	NO	NO
02240749	BUSERELIN ACETATE	Suprefact Depot 3 Months 9.45mg Implant Kit	CHE	1376.9938	1376.9938	NO	NO	NO
02225166	BUSERELIN ACETATE	Suprefact 1mg/mL Inj Sol-5.5mL Pk	CHE	77.0464	77.0464	NO	NO	NO
02225158	BUSERELIN ACETATE	Suprefact 1mg/mL Nas Sp-10mL Pk	CHE	85.5300	85.5300	NO	NO	NO
02550555	BUSPIRONE HYDROCHLORIDE	AMB-Buspirone 10mg Tab	AMB	0.2713	0.2713	YES	NO	NO
02211076	BUSPIRONE HYDROCHLORIDE	Apo-Buspirone 10mg Tab	APX	0.2713	0.2713	YES	NO	NO
02500213	BUSPIRONE HYDROCHLORIDE	Auro-Buspirone 10mg Tab	AUR	0.2713	0.2713	YES	NO	NO
00603821	BUSPIRONE HYDROCHLORIDE	Buspar (Not a Benefit) 10mg Tab	BQU	N/A	N/A	YES	NO	NO
02447851	BUSPIRONE HYDROCHLORIDE	Buspirone 10mg Tab	SAI	0.2713	0.2713	YES	NO	NO
02509911	BUSPIRONE HYDROCHLORIDE	Jamp Buspirone 10mg Tab	JPC	0.2713	0.2713	YES	NO	NO
02519054	BUSPIRONE HYDROCHLORIDE	Mint-Buspirone 10mg Tab	MIN	0.2713	0.2713	YES	NO	NO
02230942	BUSPIRONE HYDROCHLORIDE	PMS-Buspirone 10mg Tab	PMS	0.2713	0.2713	YES	NO	NO
02231492	BUSPIRONE HYDROCHLORIDE	Teva-Buspirone 10mg Tab	TEV	0.2713	0.2713	YES	NO	NO
00004618	BUSULFAN	Myleran 2mg Tab	ASN	2.2656	2.2656	NO	NO	NO
02242504	BUTORPHANOL TARTRATE	Butorphanol Nasal Spray (Off-Formulary Interchangeable) 10mg/mL Nas Sp-2.5mL Pk	AAP	64.0200	64.0200	YES	NO	NO
02113031	BUTORPHANOL TARTRATE	Stadol NS (Off-Formulary Interchangeable) 10mg/mL Nas Sp-2.5mL Pk	BQU	N/A	N/A	YES	NO	NO
02455897	CABERGOLINE	Apo-Cabergoline 0.5mg Tab	APX	7.2907	7.2907	YES	YES	NO
02242471	CABERGOLINE	Dostinex 0.5mg Tab	PMJ	23.0588	7.2907	YES	YES	NO
02549611	CABERGOLINE	Jamp Cabergoline 0.5mg Tab	JPC	7.2907	7.2907	YES	YES	NO
02547473	CABOTEGRAVIR	Apretude 200mg/mL Inj Sol-ER Susp 3mL Vial Kit Pk	VIH	1710.0000	1710.0000	NO	NO	NO
02547465	CABOTEGRAVIR	Apretude 30mg Tab	VIH	30.0750	30.0750	NO	NO	NO
02497204	CABOTEGRAVIR	Vocabria 30mg Tab	VIH	30.8270	30.8270	NO	NO	NO
02497220	CABOTEGRAVIR & RILPIVIRINE	Cabenuva 200mg/mL & 300mg/mL Inj Sol-2mL Kit	VIH	1316.4700	1316.4700	NO	NO	NO
02497247	CABOTEGRAVIR & RILPIVIRINE	Cabenuva 200mg/mL & 300mg/mL Inj Sol-3mL Kit	VIH	2568.7100	2568.7100	NO	NO	NO
01976133	CALCIPOTRIOL	Dovonex 50mcg/g Oint	LEO	1.2208	1.2208	NO	YES	NO
02244126	CALCIPOTRIOL & BETAMETHASONE DIPROPIONATE	Dovobet 50mcg/g & 0.5mg/g Oint	LEO	2.1425	1.2545	YES	NO	YES
02427419	CALCIPOTRIOL & BETAMETHASONE DIPROPIONATE	Teva-Betamethasone/Calcipotriol 50mcg/g & 0.5mg/g Oint	TEV	1.2545	1.2545	YES	NO	YES
02457393	CALCIPOTRIOL & BETAMETHASONE DIPROPIONATE	Enstilar 50mcg/g & 0.5mg/g Top Aero Foam	LEO	1.6412	1.6412	NO	NO	YES
02319012	CALCIPOTRIOL & BETAMETHASONE DIPROPIONATE	Dovobet Gel 50mcg/g & 0.5mg/g Top Gel	LEO	2.1375	1.3142	YES	NO	YES
02525178	CALCIPOTRIOL & BETAMETHASONE DIPROPIONATE	Taro-Calcipotriol / Betamethasone Gel 50mcg/g & 0.5mg/g Top Gel	TAR	1.3142	1.3142	YES	NO	YES
02007134	CALCITONIN (SALMON SYNTHETIC)	Caltine 100 100IU/mL Inj Sol-1mL Pk	FEI	7.8200	7.8200	NO	NO	NO
01926691	CALCITONIN (SALMON SYNTHETIC)	Calcimar 400IU/2mL Inj Sol-2mL Pk	SAV	65.4400	65.4400	NO	NO	NO
02431637	CALCITRIOL	Calcitriol-Odan 0.25mcg Cap	ODN	0.2341	0.2341	YES	NO	NO
02431645	CALCITRIOL	Calcitriol-Odan 0.5mcg Cap	ODN	0.3723	0.3723	YES	NO	NO
02495899	CALCITRIOL	PMS-Calcitriol 0.25mcg Cap	PMS	0.2341	0.2341	YES	NO	NO
02495902	CALCITRIOL	PMS-Calcitriol 0.5mcg Cap	PMS	0.3723	0.3723	YES	NO	NO
00481815	CALCITRIOL	Rocaltrol 0.5mcg Cap	HLR	1.1246	0.3723	YES	NO	NO
00481823	CALCITRIOL	Rocaltrol 0.25mcg Cap	HLR	0.7071	0.2341	YES	NO	NO
02485729	CALCITRIOL	Taro-Calcitriol 0.5mcg Cap	TAR	0.3723	0.3723	YES	NO	NO
02485710	CALCITRIOL	Taro-Calcitriol 0.25mcg Cap	TAR	0.2341	0.2341	YES	NO	NO
00891738	CALCITRIOL	Calcijex (Off-Formulary Interchangeable) 1mcg/mL Inj Sol Amp-1mL Pk	ABV	N/A	N/A	YES	NO	NO
02399334	CALCITRIOL	Calcitriol Injection USP (Off-Formulary Interchangeable) 1mcg/mL Inj Sol Amp-1mL Pk	STE	9.5132	9.5132	YES	NO	NO
02338572	CALCITRIOL	Silkis 3mcg/g Oint	GAC	1.3625	1.3625	NO	YES	NO
02425491	CANAGLIFLOZIN	Invokana 300mg Tab	JAN	3.0060	3.0060	NO	NO	YES
02425483	CANAGLIFLOZIN	Invokana 100mg Tab	JAN	2.8910	2.8910	NO	NO	YES
02365359	CANDESARTAN CILEXETIL	Apo-Candesartan 8mg Tab	APX	0.2281	0.2281	YES	NO	NO
02365367	CANDESARTAN CILEXETIL	Apo-Candesartan 16mg Tab	APX	0.2281	0.2281	YES	NO	NO
02399105	CANDESARTAN CILEXETIL	Apo-Candesartan 32mg Tab	APX	0.2281	0.2281	YES	NO	NO
02365340	CANDESARTAN CILEXETIL	Apo-Candesartan 4mg Tab	APX	0.1700	0.1700	YES	NO	NO
02541297	CANDESARTAN CILEXETIL	Apo-Candesartan Tablets 8mg Tab	APX	0.2281	0.2281	YES	NO	NO
02541289	CANDESARTAN CILEXETIL	Apo-Candesartan Tablets 4mg Tab	APX	0.1700	0.1700	YES	NO	NO
02541319	CANDESARTAN CILEXETIL	Apo-Candesartan Tablets 32mg Tab	APX	0.2281	0.2281	YES	NO	NO
02541300	CANDESARTAN CILEXETIL	Apo-Candesartan Tablets 16mg Tab	APX	0.2281	0.2281	YES	NO	NO
02239091	CANDESARTAN CILEXETIL	Atacand 8mg Tab	CHE	1.5845	0.2281	YES	NO	NO
02311658	CANDESARTAN CILEXETIL	Atacand 32mg Tab	CHE	1.5845	0.2281	YES	NO	NO
02239092	CANDESARTAN CILEXETIL	Atacand 16mg Tab	CHE	1.5845	0.2281	YES	NO	NO
02239090	CANDESARTAN CILEXETIL	Atacand 4mg Tab	CHE	0.9527	0.1700	YES	NO	NO
02445816	CANDESARTAN CILEXETIL	Auro-Candesartan 32mg Tab	AUR	0.2281	0.2281	YES	NO	NO
02445794	CANDESARTAN CILEXETIL	Auro-Candesartan 8mg Tab	AUR	0.2281	0.2281	YES	NO	NO
02445786	CANDESARTAN CILEXETIL	Auro-Candesartan 4mg Tab	AUR	0.1700	0.1700	YES	NO	NO
02445808	CANDESARTAN CILEXETIL	Auro-Candesartan 16mg Tab	AUR	0.2281	0.2281	YES	NO	NO
02388928	CANDESARTAN CILEXETIL	Candesartan 8mg Tab	SAI	0.2281	0.2281	YES	NO	NO
02388707	CANDESARTAN CILEXETIL	Candesartan 8mg Tab	SIV	0.2281	0.2281	YES	NO	NO
02528258	CANDESARTAN CILEXETIL	Candesartan 4mg Tab	SIV	0.1700	0.1700	YES	NO	NO
02388901	CANDESARTAN CILEXETIL	Candesartan 4mg Tab	SAI	0.1700	0.1700	YES	NO	NO
02528266	CANDESARTAN CILEXETIL	Candesartan 32mg Tab	SIV	0.2281	0.2281	YES	NO	NO
02435845	CANDESARTAN CILEXETIL	Candesartan 32mg Tab	SAI	0.2281	0.2281	YES	NO	NO
02388936	CANDESARTAN CILEXETIL	Candesartan 16mg Tab	SAI	0.2281	0.2281	YES	NO	NO
02388715	CANDESARTAN CILEXETIL	Candesartan 16mg Tab	SIV	0.2281	0.2281	YES	NO	NO
02379260	CANDESARTAN CILEXETIL	Candesartan Cilexetil Tablets 4mg Tab	ACH	0.1700	0.1700	YES	NO	NO
02379287	CANDESARTAN CILEXETIL	Candesartan Cilexetil Tablets 16mg Tab	ACH	0.2281	0.2281	YES	NO	NO
02379279	CANDESARTAN CILEXETIL	Candesartan Cilexetil Tablets 8mg Tab	ACH	0.2281	0.2281	YES	NO	NO
02379295	CANDESARTAN CILEXETIL	Candesartan Cilexetil Tablets 32mg Tab	ACH	0.2281	0.2281	YES	NO	NO
02376555	CANDESARTAN CILEXETIL	Co Candesartan 32mg Tab	COB	0.2281	0.2281	YES	NO	NO
02376539	CANDESARTAN CILEXETIL	Co Candesartan 8mg Tab	COB	0.2281	0.2281	YES	NO	NO
02376547	CANDESARTAN CILEXETIL	Co Candesartan 16mg Tab	COB	0.2281	0.2281	YES	NO	NO
02376520	CANDESARTAN CILEXETIL	Co Candesartan 4mg Tab	COB	0.1700	0.1700	YES	NO	NO
02386526	CANDESARTAN CILEXETIL	Jamp-Candesartan 16mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02386518	CANDESARTAN CILEXETIL	Jamp-Candesartan 8mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02386534	CANDESARTAN CILEXETIL	Jamp-Candesartan 32mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02386496	CANDESARTAN CILEXETIL	Jamp-Candesartan 4mg Tab	JPC	0.1700	0.1700	YES	NO	NO
02476924	CANDESARTAN CILEXETIL	Mint-Candesartan 16mg Tab	MIN	0.2281	0.2281	YES	NO	NO
02476932	CANDESARTAN CILEXETIL	Mint-Candesartan 32mg Tab	MIN	0.2281	0.2281	YES	NO	NO
02476916	CANDESARTAN CILEXETIL	Mint-Candesartan 8mg Tab	MIN	0.2281	0.2281	YES	NO	NO
02476908	CANDESARTAN CILEXETIL	Mint-Candesartan 4mg Tab	MIN	0.1700	0.1700	YES	NO	NO
02527022	CANDESARTAN CILEXETIL	NRA-Candesartan 16mg Tab	NRA	0.2281	0.2281	YES	NO	NO
02527014	CANDESARTAN CILEXETIL	NRA-Candesartan 8mg Tab	NRA	0.2281	0.2281	YES	NO	NO
02527006	CANDESARTAN CILEXETIL	NRA-Candesartan 4mg Tab	NRA	0.1700	0.1700	YES	NO	NO
02527030	CANDESARTAN CILEXETIL	NRA-Candesartan 32mg Tab	NRA	0.2281	0.2281	YES	NO	NO
02391198	CANDESARTAN CILEXETIL	PMS-Candesartan 8mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02391201	CANDESARTAN CILEXETIL	PMS-Candesartan 16mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02391171	CANDESARTAN CILEXETIL	PMS-Candesartan 4mg Tab	PMS	0.1700	0.1700	YES	NO	NO
02391228	CANDESARTAN CILEXETIL	PMS-Candesartan 32mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02380684	CANDESARTAN CILEXETIL	Ran-Candesartan 4mg Tab	RAN	0.1700	0.1700	YES	NO	NO
02380692	CANDESARTAN CILEXETIL	Ran-Candesartan 8mg Tab	RAN	0.2281	0.2281	YES	NO	NO
02380706	CANDESARTAN CILEXETIL	Ran-Candesartan 16mg Tab	RAN	0.2281	0.2281	YES	NO	NO
02380714	CANDESARTAN CILEXETIL	Ran-Candesartan 32mg Tab	RAN	0.2281	0.2281	YES	NO	NO
02417340	CANDESARTAN CILEXETIL	Sandoz Candesartan 32mg Tab	SDZ	0.2281	0.2281	YES	NO	NO
02326957	CANDESARTAN CILEXETIL	Sandoz Candesartan 4mg Tab	SDZ	0.1700	0.1700	YES	NO	NO
02326965	CANDESARTAN CILEXETIL	Sandoz Candesartan 8mg Tab	SDZ	0.2281	0.2281	YES	NO	NO
02326973	CANDESARTAN CILEXETIL	Sandoz Candesartan 16mg Tab	SDZ	0.2281	0.2281	YES	NO	NO
02366339	CANDESARTAN CILEXETIL	Teva-Candesartan 32mg Tab	TEV	0.2281	0.2281	YES	NO	NO
02366320	CANDESARTAN CILEXETIL	Teva-Candesartan 16mg Tab	TEV	0.2281	0.2281	YES	NO	NO
02366312	CANDESARTAN CILEXETIL	Teva-Candesartan 8mg Tab	TEV	0.2281	0.2281	YES	NO	NO
02332957	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Atacand Plus 32mg & 25mg Tab	CHE	1.5845	0.3008	YES	NO	NO
02332922	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Atacand Plus 32mg & 12.5mg Tab	CHE	1.5845	0.2156	YES	NO	NO
02244021	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Atacand Plus 16mg & 12.5mg Tab	CHE	1.5845	0.2156	YES	NO	NO
02421038	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Auro-Candesartan HCT 16mg & 12.5mg Tab	AUR	0.2156	0.2156	YES	NO	NO
02421046	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Auro-Candesartan HCT 32mg & 12.5mg Tab	AUR	0.2156	0.2156	YES	NO	NO
02421054	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Auro-Candesartan HCT 32mg & 25mg Tab	AUR	0.3008	0.3008	YES	NO	NO
02394812	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Candesartan HCT 16mg & 12.5mg Tab	SIV	0.2156	0.2156	YES	NO	NO
02394804	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Candesartan/HCTZ 16mg & 12.5mg Tab	SAI	0.2156	0.2156	YES	NO	NO
02536064	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Candesartan/HCTZ 32mg & 12.5mg Tab	SAI	0.2156	0.2156	YES	NO	NO
02473240	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Jamp Candesartan-HCT 16mg & 12.5mg Tab	JPC	0.2156	0.2156	YES	NO	NO
02473267	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Jamp Candesartan-HCT 32mg & 25mg Tab	JPC	0.3008	0.3008	YES	NO	NO
02473259	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Jamp Candesartan-HCT 32mg & 12.5mg Tab	JPC	0.2156	0.2156	YES	NO	NO
02531240	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	NRA-Candesartan HCTZ 16mg & 12.5mg Tab	NRA	0.2156	0.2156	YES	NO	NO
02531267	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	NRA-Candesartan HCTZ 32mg & 25mg Tab	NRA	0.3008	0.3008	YES	NO	NO
02531259	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	NRA-Candesartan HCTZ 32mg & 12.5mg Tab	NRA	0.2156	0.2156	YES	NO	NO
02391295	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	PMS-Candesartan-HCTZ 16mg & 12.5mg Tab	PMS	0.2156	0.2156	YES	NO	NO
02420740	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Sandoz Candesartan Plus 32mg & 25mg Tab	SDZ	0.3008	0.3008	YES	NO	NO
02327902	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Sandoz Candesartan Plus 16mg & 12.5mg Tab	SDZ	0.2156	0.2156	YES	NO	NO
02420732	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Sandoz Candesartan Plus 32mg & 12.5mg Tab	SDZ	0.2156	0.2156	YES	NO	NO
02395568	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Teva-Candesartan/HCTZ 32mg & 12.5mg Tab	TEV	0.2156	0.2156	YES	NO	NO
02395541	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	Teva-Candesartan/HCTZ 16mg & 12.5mg Tab	TEV	0.2156	0.2156	YES	NO	NO
02426757	CAPECITABINE	Ach-Capecitabine 150mg Tab	ACH	0.4575	0.4575	YES	NO	NO
02426765	CAPECITABINE	Ach-Capecitabine 500mg Tab	ACH	1.5250	1.5250	YES	NO	NO
02514990	CAPECITABINE	Capecitabine 500mg Tab	SAI	1.5250	1.5250	YES	NO	NO
02519879	CAPECITABINE	Capecitabine 150mg Tab	JPC	0.4575	0.4575	YES	NO	NO
02514982	CAPECITABINE	Capecitabine 150mg Tab	SAI	0.4575	0.4575	YES	NO	NO
02519887	CAPECITABINE	Capecitabine 500mg Tab	JPC	1.5250	1.5250	YES	NO	NO
02508028	CAPECITABINE	Mint-Capecitabine 500mg Tab	MIN	1.5250	1.5250	YES	NO	NO
02421925	CAPECITABINE	Sandoz Capecitabine 500mg Tab	SDZ	1.5250	1.5250	YES	NO	NO
02421917	CAPECITABINE	Sandoz Capecitabine 150mg Tab	SDZ	0.4575	0.4575	YES	NO	NO
02457504	CAPECITABINE	Taro-Capecitabine 500mg Tab	TAR	1.5250	1.5250	YES	NO	NO
02457490	CAPECITABINE	Taro-Capecitabine 150mg Tab	TAR	0.4575	0.4575	YES	NO	NO
02400030	CAPECITABINE	Teva-Capecitabine 500mg Tab	TEV	1.5250	1.5250	YES	NO	NO
02400022	CAPECITABINE	Teva-Capecitabine 150mg Tab	TEV	0.4575	0.4575	YES	NO	NO
02238453	CAPECITABINE	Xeloda 150mg Tab	HLR	1.9478	0.4575	YES	NO	NO
02238454	CAPECITABINE	Xeloda 500mg Tab	HLR	6.4933	1.5250	YES	NO	NO
00893595	CAPTOPRIL	Apo-Capto 12.5mg Tab	APX	0.2120	0.2120	YES	NO	NO
00893617	CAPTOPRIL	Apo-Capto 50mg Tab	APX	0.5590	0.5590	YES	NO	NO
00893609	CAPTOPRIL	Apo-Capto 25mg Tab	APX	0.3000	0.3000	YES	NO	NO
00893625	CAPTOPRIL	Apo-Capto 100mg Tab	APX	1.0395	1.0395	YES	NO	NO
00546291	CAPTOPRIL	Capoten (Not a Benefit) 50mg Tab	BQU	N/A	N/A	YES	NO	NO
00695661	CAPTOPRIL	Capoten (Not a Benefit) 12.5mg Tab	BQU	N/A	N/A	YES	NO	NO
00546305	CAPTOPRIL	Capoten (Not a Benefit) 100mg Tab	BQU	N/A	N/A	YES	NO	NO
00546283	CAPTOPRIL	Capoten (Not a Benefit) 25mg Tab	BQU	N/A	N/A	YES	NO	NO
01942964	CAPTOPRIL	Teva-Captopril 12.5mg Tab	TEV	0.2120	0.2120	YES	NO	NO
01942999	CAPTOPRIL	Teva-Captopril 100mg Tab	TEV	1.0395	1.0395	YES	NO	NO
01942980	CAPTOPRIL	Teva-Captopril 50mg Tab	TEV	0.5590	0.5590	YES	NO	NO
01942972	CAPTOPRIL	Teva-Captopril 25mg Tab	TEV	0.3000	0.3000	YES	NO	NO
00885568	CARBACHOL	Carbachol 2mg Tab	GLA	0.3727	0.3727	NO	NO	NO
02244404	CARBAMAZEPINE	Taro-Carbamazepine 200mg Chew Tab	TAR	0.3302	0.3302	YES	NO	NO
02244403	CARBAMAZEPINE	Taro-Carbamazepine 100mg Chew Tab	TAR	0.1702	0.1702	YES	NO	NO
00665088	CARBAMAZEPINE	Tegretol (Not a Benefit) 200mg Chew Tab	NOV	N/A	N/A	YES	NO	NO
00369810	CARBAMAZEPINE	Tegretol (Not a Benefit) 100mg Chew Tab	NOV	N/A	N/A	YES	NO	NO
09858341	CARBAMAZEPINE	Carbamazepine ER Tablets, USP 200mg (Temporary Benefit) 200mg ER Tab	SET	4.7080	4.7080	NO	NO	NO
09858342	CARBAMAZEPINE	Carbamazepine ER Tablets, USP 400mg (Temporary Benefit) 400mg ER Tab	SET	5.2216	5.2216	NO	NO	NO
02261847	CARBAMAZEPINE	Sandoz Carbamazepine CR 400mg LA Tab	SDZ	0.7689	0.7689	YES	YES	NO
02261839	CARBAMAZEPINE	Sandoz Carbamazepine CR 200mg LA Tab	SDZ	0.3845	0.3845	YES	YES	NO
00755583	CARBAMAZEPINE	Tegretol CR 400mg LA Tab	NOV	1.2083	0.7689	YES	YES	NO
00773611	CARBAMAZEPINE	Tegretol CR 200mg LA Tab	NOV	0.6041	0.3845	YES	YES	NO
02367394	CARBAMAZEPINE	Taro-Carbamazepine 100mg/5mL Oral Susp	TAR	0.0578	0.0578	YES	NO	NO
02194333	CARBAMAZEPINE	Tegretol 100mg/5mL Oral Susp	NOV	0.1159	0.0578	YES	NO	NO
02541238	CARBAMAZEPINE	Mint-Carbamazepine 200mg Tab	MIN	0.2217	0.2217	YES	NO	NO
00010405	CARBAMAZEPINE	Tegretol (Not a Benefit) 200mg Tab	NOV	N/A	N/A	YES	NO	NO
00782718	CARBAMAZEPINE	Teva-Carbamazepine 200mg Tab	TEV	0.2217	0.2217	YES	NO	NO
02526816	CARIPRAZINE	Vraylar 4.5mg Cap	ABV	4.9000	4.9000	NO	NO	NO
02526808	CARIPRAZINE	Vraylar 3mg Cap	ABV	4.9000	4.9000	NO	NO	NO
02526794	CARIPRAZINE	Vraylar 1.5mg Cap	ABV	4.9000	4.9000	NO	NO	NO
02526824	CARIPRAZINE	Vraylar 6mg Cap	ABV	4.9000	4.9000	NO	NO	NO
02247935	CARVEDILOL	Apo-Carvedilol 12.5mg Tab	APX	0.2060	0.2060	YES	YES	NO
02247934	CARVEDILOL	Apo-Carvedilol 6.25mg Tab	APX	0.2060	0.2060	YES	YES	NO
02247936	CARVEDILOL	Apo-Carvedilol 25mg Tab	APX	0.2060	0.2060	YES	YES	NO
02247933	CARVEDILOL	Apo-Carvedilol 3.125mg Tab	APX	0.2060	0.2060	YES	YES	NO
02418517	CARVEDILOL	Auro-Carvedilol 12.5mg Tab	AUR	0.2060	0.2060	YES	YES	NO
02418495	CARVEDILOL	Auro-Carvedilol 3.125mg Tab	AUR	0.2060	0.2060	YES	YES	NO
02418525	CARVEDILOL	Auro-Carvedilol 25mg Tab	AUR	0.2060	0.2060	YES	YES	NO
02418509	CARVEDILOL	Auro-Carvedilol 6.25mg Tab	AUR	0.2060	0.2060	YES	YES	NO
02248753	CARVEDILOL	Carvedilol 6.25mg Tab	SIV	0.2060	0.2060	YES	YES	NO
02248755	CARVEDILOL	Carvedilol 25mg Tab	SIV	0.2060	0.2060	YES	YES	NO
02364948	CARVEDILOL	Carvedilol 12.5mg Tab	SAI	0.2060	0.2060	YES	YES	NO
02248754	CARVEDILOL	Carvedilol 12.5mg Tab	SIV	0.2060	0.2060	YES	YES	NO
02364956	CARVEDILOL	Carvedilol 25mg Tab	SAI	0.2060	0.2060	YES	YES	NO
02248752	CARVEDILOL	Carvedilol 3.125mg Tab	SIV	0.2060	0.2060	YES	YES	NO
02364913	CARVEDILOL	Carvedilol 3.125mg Tab	SAI	0.2060	0.2060	YES	YES	NO
02364921	CARVEDILOL	Carvedilol 6.25mg Tab	SAI	0.2060	0.2060	YES	YES	NO
02229653	CARVEDILOL	Coreg (Not a Benefit) 25mg Tab	GSK	N/A	N/A	YES	NO	NO
02229650	CARVEDILOL	Coreg (Not a Benefit) 3.125mg Tab	GSK	N/A	N/A	YES	NO	NO
02229651	CARVEDILOL	Coreg (Not a Benefit) 6.25mg Tab	GSK	N/A	N/A	YES	NO	NO
02229652	CARVEDILOL	Coreg (Not a Benefit) 12.5mg Tab	GSK	N/A	N/A	YES	NO	NO
02368927	CARVEDILOL	Jamp-Carvedilol 25mg Tab	JPC	0.2060	0.2060	YES	YES	NO
02368919	CARVEDILOL	Jamp-Carvedilol 12.5mg Tab	JPC	0.2060	0.2060	YES	YES	NO
02368897	CARVEDILOL	Jamp-Carvedilol 3.125mg Tab	JPC	0.2060	0.2060	YES	YES	NO
02368900	CARVEDILOL	Jamp-Carvedilol 6.25mg Tab	JPC	0.2060	0.2060	YES	YES	NO
02245915	CARVEDILOL	PMS-Carvedilol 6.25mg Tab	PMS	0.2060	0.2060	YES	YES	NO
02245917	CARVEDILOL	PMS-Carvedilol 25mg Tab	PMS	0.2060	0.2060	YES	YES	NO
02245914	CARVEDILOL	PMS-Carvedilol 3.125mg Tab	PMS	0.2060	0.2060	YES	YES	NO
02245916	CARVEDILOL	PMS-Carvedilol 12.5mg Tab	PMS	0.2060	0.2060	YES	YES	NO
02268035	CARVEDILOL	Ran-Carvedilol 6.25mg Tab	RAN	0.2060	0.2060	YES	YES	NO
02268051	CARVEDILOL	Ran-Carvedilol 25mg Tab	RAN	0.2060	0.2060	YES	YES	NO
02268027	CARVEDILOL	Ran-Carvedilol 3.125mg Tab	RAN	0.2060	0.2060	YES	YES	NO
02268043	CARVEDILOL	Ran-Carvedilol 12.5mg Tab	RAN	0.2060	0.2060	YES	YES	NO
02252309	CARVEDILOL	Ratio-Carvedilol 3.125mg Tab	RPH	0.2060	0.2060	YES	YES	NO
02252333	CARVEDILOL	Ratio-Carvedilol 25mg Tab	RPH	0.2060	0.2060	YES	YES	NO
02252317	CARVEDILOL	Ratio-Carvedilol 6.25mg Tab	RPH	0.2060	0.2060	YES	YES	NO
02252325	CARVEDILOL	Ratio-Carvedilol 12.5mg Tab	RPH	0.2060	0.2060	YES	YES	NO
02244266	CASPOFUNGIN	Cancidas (Off-Formulary Interchangeable) 70mg/Vial Inj Pd-Vial Pk	FRS	N/A	N/A	YES	NO	NO
02460955	CASPOFUNGIN	Caspofungin for Injection (Off-Formulary Interchangeable) 70mg/Vial Inj Pd-Vial Pk	JUN	222.0000	222.0000	YES	NO	NO
02486997	CASPOFUNGIN	Caspofungin for Injection (Off-Formulary Interchangeable) 70mg/Vial Inj Pd-Vial Pk	FKC	222.5000	222.5000	YES	NO	NO
02244265	CASPOFUNGIN ACETATE	Cancidas (Off-Formulary Interchangeable) 50mg/Vial Inj-Vial Pk	FRS	N/A	N/A	YES	NO	NO
02460947	CASPOFUNGIN ACETATE	Caspofungin for Injection (Off-Formulary Interchangeable) 50mg/Vial Inj-Vial Pk	JUN	222.0000	222.0000	YES	NO	NO
02486989	CASPOFUNGIN ACETATE	Caspofungin for Injection (Off-Formulary Interchangeable) 50mg/Vial Inj-Vial Pk	FKC	222.5000	222.5000	YES	NO	NO
02240774	CEFADROXIL	Apo-Cefadroxil 500mg Cap	APX	0.5895	0.5895	YES	NO	NO
00507245	CEFADROXIL	Duricef (Not a Benefit) 500mg Cap	BQU	N/A	N/A	YES	NO	NO
02544792	CEFADROXIL	Jamp Cefadroxil 500mg Cap	JPC	0.5895	0.5895	YES	NO	NO
02235134	CEFADROXIL	Teva-Cefadroxil 500mg Cap	TEV	0.5895	0.5895	YES	NO	NO
02108119	CEFAZOLIN SODIUM	Cefazolin for Injection (Off-Formulary Interchangeable) 500mg/Vial Inj Pd-Vial Pk	TEV	N/A	N/A	YES	NO	NO
02297205	CEFAZOLIN SODIUM	Cefazolin for Injection (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	ORC	6.0000	6.0000	YES	NO	NO
02437120	CEFAZOLIN SODIUM	Cefazolin for Injection (Off-Formulary Interchangeable) 10g/Vial Inj Pd-Vial Pk	STE	56.0000	56.0000	YES	NO	NO
02297213	CEFAZOLIN SODIUM	Cefazolin for Injection (Off-Formulary Interchangeable) 10g/Vial Inj Pd-Vial Pk	ORC	56.0000	56.0000	YES	NO	NO
02108135	CEFAZOLIN SODIUM	Cefazolin for Injection (Off-Formulary Interchangeable) 10g/Vial Inj Pd-Vial Pk	TEV	N/A	N/A	YES	NO	NO
02437112	CEFAZOLIN SODIUM	Cefazolin for Injection (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	STE	6.0000	6.0000	YES	NO	NO
02437104	CEFAZOLIN SODIUM	Cefazolin for Injection (Off-Formulary Interchangeable) 500mg/Vial Inj Pd-Vial Pk	STE	4.0000	4.0000	YES	NO	NO
02108127	CEFAZOLIN SODIUM	Cefazolin for Injection (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	TEV	N/A	N/A	YES	NO	NO
02308959	CEFAZOLIN SODIUM	Cefazolin for Injection USP (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	SDZ	6.0000	6.0000	YES	NO	NO
02465477	CEFAZOLIN SODIUM	Cefazolin for Injection USP (Off-Formulary Interchangeable) 10g/Vial Inj Pd-Vial Pk	STE	56.0000	56.0000	YES	NO	NO
02465469	CEFAZOLIN SODIUM	Cefazolin for Injection USP (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	STE	6.0000	6.0000	YES	NO	NO
02308967	CEFAZOLIN SODIUM	Cefazolin for Injection USP (Off-Formulary Interchangeable) 10g/Vial Inj Pd-Vial Pk	SDZ	56.0000	56.0000	YES	NO	NO
02308932	CEFAZOLIN SODIUM	Cefazolin for Injection USP (Off-Formulary Interchangeable) 500mg/Vial Inj Pd-Vial Pk	SDZ	4.0000	4.0000	YES	NO	NO
02467496	CEFEPIME	Apo-Cefepime (Off-Formulary Interchangeable) 1g Inj Pd-Vial Pk	APX	15.1003	N/A	YES	NO	NO
02467518	CEFEPIME	Apo-Cefepime (Off-Formulary Interchangeable) 2g Inj Pd-Vial Pk	APX	30.2000	N/A	YES	NO	NO
02319039	CEFEPIME	Cefepime for Injection (Off-Formulary Interchangeable) 2g Inj Pd-Vial Pk	APX	30.1963	N/A	YES	NO	NO
02319020	CEFEPIME	Cefepime for Injection (Off-Formulary Interchangeable) 1g Inj Pd-Vial Pk	APX	12.9360	N/A	YES	NO	NO
02163632	CEFEPIME	Maxipime (Off-Formulary Interchangeable) 1g Inj Pd-Vial Pk	BQU	N/A	N/A	YES	NO	NO
02163640	CEFEPIME	Maxipime (Off-Formulary Interchangeable) 2g Inj Pd-Vial Pk	BQU	N/A	N/A	YES	NO	NO
02468689	CEFIXIME	Auro-Cefixime 20mg/mL Oral Susp	AUR	0.3899	0.3899	YES	NO	NO
00868965	CEFIXIME	Suprax 20mg/mL Oral Susp	ODN	0.3899	0.3899	YES	NO	NO
02432773	CEFIXIME	Auro-Cefixime 400mg Tab	AUR	2.7172	2.7172	YES	NO	NO
00868981	CEFIXIME	Suprax 400mg Tab	ODN	2.7172	2.7172	YES	NO	NO
02291738	CEFOXITIN SODIUM	Cefoxitin for Injection (Off-Formulary Interchangeable) 2g/Vial Inj Pd-Vial Pk	ORC	21.2500	21.2500	YES	NO	NO
02291711	CEFOXITIN SODIUM	Cefoxitin for Injection (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	ORC	10.6000	10.6000	YES	NO	NO
02128187	CEFOXITIN SODIUM	Cefoxitin for Injection USP (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	TEV	10.6000	10.6000	YES	NO	NO
02128195	CEFOXITIN SODIUM	Cefoxitin for Injection USP (Off-Formulary Interchangeable) 2g/Vial Inj Pd-Vial Pk	TEV	21.2500	21.2500	YES	NO	NO
00663697	CEFOXITIN SODIUM	Mefoxin (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	MSD	N/A	N/A	YES	NO	NO
00663700	CEFOXITIN SODIUM	Mefoxin (Off-Formulary Interchangeable) 2g/Vial Inj Pd-Vial Pk	MSD	N/A	N/A	YES	NO	NO
09858333	CEFPROZIL	Auro-Cefprozil 250mg/5mL Oral Susp-100mL Pk	AUR	19.3800	19.3800	YES	NO	NO
09858332	CEFPROZIL	Auro-Cefprozil 125mg/5mL Oral Susp-100mL Pk	AUR	9.7000	9.7000	YES	NO	NO
09857359	CEFPROZIL	Cefzil (Not a Benefit) 250mg/5mL Oral Susp-100mL Pk	BQU	N/A	N/A	YES	NO	NO
09857358	CEFPROZIL	Cefzil (Not a Benefit) 125mg/5mL Oral Susp-100mL Pk	BQU	N/A	N/A	YES	NO	NO
09857356	CEFPROZIL	Ran-Cefprozil 125mg/5mL Oral Susp-100mL Pk	RAN	9.7000	9.7000	YES	NO	NO
09857365	CEFPROZIL	Ran-Cefprozil 250mg/5mL Oral Susp-100mL Pk	RAN	19.3800	19.3800	YES	NO	NO
02347288	CEFPROZIL	Auro-Cefprozil 250mg/5mL Oral Susp-75mL Pk	AUR	14.5350	14.5350	YES	NO	NO
02347261	CEFPROZIL	Auro-Cefprozil 125mg/5mL Oral Susp-75mL Pk	AUR	7.2750	7.2750	YES	NO	NO
02163675	CEFPROZIL	Cefzil (Not a Benefit) 125mg/5mL Oral Susp-75mL Pk	BQU	N/A	N/A	YES	NO	NO
02163683	CEFPROZIL	Cefzil (Not a Benefit) 250mg/5mL Oral Susp-75mL Pk	BQU	N/A	N/A	YES	NO	NO
02293579	CEFPROZIL	Ran-Cefprozil 250mg/5mL Oral Susp-75mL Pk	RAN	14.5350	14.5350	YES	NO	NO
02329204	CEFPROZIL	Ran-Cefprozil 125mg/5mL Oral Susp-75mL Pk	RAN	7.2750	7.2750	YES	NO	NO
02347253	CEFPROZIL	Auro-Cefprozil 500mg Tab	AUR	2.0038	2.0038	YES	NO	NO
02163667	CEFPROZIL	Cefzil (Not a Benefit) 500mg Tab	BQU	N/A	N/A	YES	NO	NO
02163659	CEFPROZIL	Cefzil (Not a Benefit) 250mg Tab	BQU	N/A	N/A	YES	NO	NO
02293536	CEFPROZIL	Ran-Cefprozil 500mg Tab	RAN	2.0038	2.0038	YES	NO	NO
02293528	CEFPROZIL	Ran-Cefprozil 250mg Tab	RAN	1.7374	1.7374	YES	NO	NO
02292270	CEFTRIAXONE DISODIUM	Ceftriaxone 1g/Vial Inj Pd-Vial Pk	SDZ	12.4950	12.4950	YES	NO	NO
02292289	CEFTRIAXONE DISODIUM	Ceftriaxone 2g/Vial Inj Pd-Vial Pk	SDZ	24.1395	24.1395	YES	NO	NO
02292297	CEFTRIAXONE DISODIUM	Ceftriaxone Sodium For Injection BP (Off-Formulary Interchangeable) 10g/Vial Inj Pd-Vial Pk	SDZ	214.2000	214.2000	YES	NO	NO
02325624	CEFTRIAXONE DISODIUM	Ceftriaxone Sodium For Injection BP 2g/Vial Inj Pd-Vial Pk	STE	24.1395	24.1395	YES	NO	NO
02325616	CEFTRIAXONE DISODIUM	Ceftriaxone Sodium For Injection BP 1g/Vial Inj Pd-Vial Pk	STE	12.4950	12.4950	YES	NO	NO
02325594	CEFTRIAXONE DISODIUM	Ceftriaxone Sodium For Injection BP 0.25g/Vial Inj Pd-Vial Pk	STE	5.6430	5.6430	YES	NO	NO
02325632	CEFTRIAXONE DISODIUM	Ceftriaxone Sodium For Injection BP (Off-Formulary Interchangeable) 10g/Vial Inj Pd-Vial Pk	STE	214.2000	214.2000	YES	NO	NO
02287633	CEFTRIAXONE DISODIUM	Ceftriaxone Sodium for Injection 1g/Vial Inj Pd-Vial Pk	TEV	12.4950	12.4950	YES	NO	NO
02289709	CEFTRIAXONE DISODIUM	Ceftriaxone for Injection 2g/Vial Inj Pd-Vial Pk	FKC	24.1395	24.1395	YES	NO	NO
02289695	CEFTRIAXONE DISODIUM	Ceftriaxone for Injection 1g/Vial Inj Pd-Vial Pk	FKC	12.4950	12.4950	YES	NO	NO
02292904	CEFTRIAXONE DISODIUM	Ceftriaxone for Injection USP (Off-Formulary Interchangeable) 10g/Vial Inj Pd-Vial Pk	APX	214.2000	214.2000	YES	NO	NO
02292874	CEFTRIAXONE DISODIUM	Ceftriaxone for Injection USP 1g/Vial Inj Pd-Vial Pk	ORC	12.4950	12.4950	YES	NO	NO
00657387	CEFTRIAXONE DISODIUM	Rocephin (Not a Benefit) 0.25g/Vial Inj Pd-Vial Pk	HLR	N/A	N/A	YES	NO	NO
00657417	CEFTRIAXONE DISODIUM	Rocephin (Not a Benefit) 1g/Vial Inj Pd-Vial Pk	HLR	N/A	N/A	YES	NO	NO
00851957	CEFTRIAXONE DISODIUM	Rocephin (Off-Formulary Interchangeable) 10g/Vial Inj Pd-Vial Pk	HLR	N/A	N/A	YES	NO	NO
00657409	CEFTRIAXONE DISODIUM	Rocephin (Not a Benefit) 2g/Vial Inj Pd-Vial Pk	HLR	N/A	N/A	YES	NO	NO
02212307	CEFUROXIME AXETIL	Ceftin 125mg/5mL Susp	SDZ	0.1791	0.1791	NO	NO	NO
02244394	CEFUROXIME AXETIL	Apo-Cefuroxime 500mg Tab	APX	0.8308	0.8308	YES	NO	NO
02244393	CEFUROXIME AXETIL	Apo-Cefuroxime 250mg Tab	APX	0.4194	0.4194	YES	NO	NO
02344823	CEFUROXIME AXETIL	Auro-Cefuroxime 250mg Tab	AUR	0.4194	0.4194	YES	NO	NO
02344831	CEFUROXIME AXETIL	Auro-Cefuroxime 500mg Tab	AUR	0.8308	0.8308	YES	NO	NO
02212277	CEFUROXIME AXETIL	Ceftin (Not a Benefit) 250mg Tab	GSK	N/A	N/A	YES	NO	NO
02212285	CEFUROXIME AXETIL	Ceftin (Not a Benefit) 500mg Tab	GSK	N/A	N/A	YES	NO	NO
02547201	CEFUROXIME AXETIL	Jamp Cefuroxime 500mg Tab	JPC	0.8308	0.8308	YES	NO	NO
02547198	CEFUROXIME AXETIL	Jamp Cefuroxime 250mg Tab	JPC	0.4194	0.4194	YES	NO	NO
02437589	CELECOXIB	AG-Celecoxib 200mg Cap	ANG	0.2558	0.2558	YES	YES	YES
02437570	CELECOXIB	AG-Celecoxib 100mg Cap	ANG	0.1279	0.1279	YES	YES	YES
02420163	CELECOXIB	Act Celecoxib 200mg Cap	ACV	0.2558	0.2558	YES	YES	YES
02420155	CELECOXIB	Act Celecoxib 100mg Cap	ACV	0.1279	0.1279	YES	YES	YES
02418932	CELECOXIB	Apo-Celecoxib 100mg Cap	APX	0.1279	0.1279	YES	YES	YES
02418940	CELECOXIB	Apo-Celecoxib 200mg Cap	APX	0.2558	0.2558	YES	YES	YES
02445689	CELECOXIB	Auro-Celecoxib 200mg Cap	AUR	0.2558	0.2558	YES	YES	YES
02445670	CELECOXIB	Auro-Celecoxib 100mg Cap	AUR	0.1279	0.1279	YES	YES	YES
02426382	CELECOXIB	Bio-Celecoxib 100mg Cap	BMP	0.1279	0.1279	YES	YES	YES
02426390	CELECOXIB	Bio-Celecoxib 200mg Cap	BMP	0.2558	0.2558	YES	YES	YES
02239941	CELECOXIB	Celebrex 100mg Cap	UJC	0.8299	0.1279	YES	YES	YES
02239942	CELECOXIB	Celebrex 200mg Cap	UJC	1.6601	0.2558	YES	YES	YES
02429675	CELECOXIB	Celecoxib 100mg Cap	SIV	0.1279	0.1279	YES	YES	YES
02429683	CELECOXIB	Celecoxib 200mg Cap	SIV	0.2558	0.2558	YES	YES	YES
02436302	CELECOXIB	Celecoxib 200mg Cap	SAI	0.2558	0.2558	YES	YES	YES
02436299	CELECOXIB	Celecoxib 100mg Cap	SAI	0.1279	0.1279	YES	YES	YES
02424541	CELECOXIB	Jamp-Celecoxib 200mg Cap	JPC	0.2558	0.2558	YES	YES	YES
02424533	CELECOXIB	Jamp-Celecoxib 100mg Cap	JPC	0.1279	0.1279	YES	YES	YES
02495473	CELECOXIB	M-Celecoxib 200mg Cap	MAT	0.2558	0.2558	YES	YES	YES
02495465	CELECOXIB	M-Celecoxib 100mg Cap	MAT	0.1279	0.1279	YES	YES	YES
02420066	CELECOXIB	Mar-Celecoxib 200mg Cap	MAR	0.2558	0.2558	YES	YES	YES
02420058	CELECOXIB	Mar-Celecoxib 100mg Cap	MAR	0.1279	0.1279	YES	YES	YES
02412497	CELECOXIB	Mint-Celecoxib 100mg Cap	MIN	0.1279	0.1279	YES	YES	YES
02412500	CELECOXIB	Mint-Celecoxib 200mg Cap	MIN	0.2558	0.2558	YES	YES	YES
02479745	CELECOXIB	NRA-Celecoxib 200mg Cap	NRA	0.2558	0.2558	YES	YES	YES
02479737	CELECOXIB	NRA-Celecoxib 100mg Cap	NRA	0.1279	0.1279	YES	YES	YES
02355442	CELECOXIB	PMS-Celecoxib 100mg Cap	PMS	0.1279	0.1279	YES	YES	YES
02355450	CELECOXIB	PMS-Celecoxib 200mg Cap	PMS	0.2558	0.2558	YES	YES	YES
02517116	CELECOXIB	PMSC-Celecoxib 100mg Cap	PMS	0.1279	0.1279	YES	YES	YES
02517124	CELECOXIB	PMSC-Celecoxib 200mg Cap	PMS	0.2558	0.2558	YES	YES	YES
02412373	CELECOXIB	Ran-Celecoxib 100mg Cap	RAN	0.1279	0.1279	YES	YES	YES
02412381	CELECOXIB	Ran-Celecoxib 200mg Cap	RAN	0.2558	0.2558	YES	YES	YES
02442647	CELECOXIB	Sdz Celecoxib 200mg Cap	SDZ	0.2558	0.2558	YES	YES	YES
02442639	CELECOXIB	Sdz Celecoxib 100mg Cap	SDZ	0.1279	0.1279	YES	YES	YES
02288923	CELECOXIB	Teva-Celecoxib 200mg Cap	TEV	0.2558	0.2558	YES	YES	YES
02288915	CELECOXIB	Teva-Celecoxib 100mg Cap	TEV	0.1279	0.1279	YES	YES	YES
02538652	CENOBAMATE	Xcopri 12.5mg Tab	EVL	8.8000	8.8000	NO	YES	NO
02538660	CENOBAMATE	Xcopri 25mg Tab	EVL	8.8000	8.8000	NO	YES	NO
02538725	CENOBAMATE	Xcopri 50mg Tab	EVL	8.8000	8.8000	NO	YES	NO
02538733	CENOBAMATE	Xcopri 100mg Tab	EVL	8.8000	8.8000	NO	YES	NO
02538741	CENOBAMATE	Xcopri 150mg Tab	EVL	8.8000	8.8000	NO	YES	NO
02538768	CENOBAMATE	Xcopri 200mg Tab	EVL	8.8000	8.8000	NO	YES	NO
02538776	CENOBAMATE	Xcopri 12.5mg & 25mg Tab - (Starter Kit)	EVL	8.8000	8.8000	NO	YES	NO
02538784	CENOBAMATE	Xcopri 50mg & 100mg Tab - (Starter Kit)	EVL	8.8000	8.8000	NO	YES	NO
02538792	CENOBAMATE	Xcopri 150mg & 200mg Tab - (Starter Kit)	EVL	8.8000	8.8000	NO	YES	NO
00253154	CEPHALEXIN MONOHYDRATE	Ceporex (Not a Benefit) 250mg Cap	GLA	N/A	N/A	YES	NO	NO
00253146	CEPHALEXIN MONOHYDRATE	Ceporex (Not a Benefit) 500mg Cap	GLA	N/A	N/A	YES	NO	NO
00342084	CEPHALEXIN MONOHYDRATE	Teva-Cephalexin 250mg Cap	TEV	0.3703	0.3703	YES	NO	NO
00342114	CEPHALEXIN MONOHYDRATE	Teva-Cephalexin 500mg Cap	TEV	0.7252	0.7252	YES	NO	NO
02497751	CEPHALEXIN MONOHYDRATE	Auro-Cephalexin 50mg/mL Pd for Oral Susp	AUR	0.2573	0.2573	YES	NO	NO
02497743	CEPHALEXIN MONOHYDRATE	Auro-Cephalexin 25mg/mL Pd for Oral Susp	AUR	0.1535	0.1535	YES	NO	NO
02528436	CEPHALEXIN MONOHYDRATE	Jamp Cephalexin Suspension 25mg/mL Pd for Oral Susp	JPC	0.1535	0.1535	YES	NO	NO
02528444	CEPHALEXIN MONOHYDRATE	Jamp Cephalexin Suspension 50mg/mL Pd for Oral Susp	JPC	0.2573	0.2573	YES	NO	NO
00035645	CEPHALEXIN MONOHYDRATE	Keflex (Not a Benefit) 50mg/mL Pd for Oral Susp	PHE	N/A	N/A	YES	NO	NO
00015547	CEPHALEXIN MONOHYDRATE	Keflex (Not a Benefit) 25mg/mL Pd for Oral Susp	PHE	N/A	N/A	YES	NO	NO
02469189	CEPHALEXIN MONOHYDRATE	Lupin-Cephalexin 50mg/mL Pd for Oral Susp	LUP	0.2573	0.2573	YES	NO	NO
02469170	CEPHALEXIN MONOHYDRATE	Lupin-Cephalexin 25mg/mL Pd for Oral Susp	LUP	0.1535	0.1535	YES	NO	NO
00342106	CEPHALEXIN MONOHYDRATE	Teva-Cephalexin 125 25mg/mL Pd for Oral Susp	TEV	0.1535	0.1535	YES	NO	NO
00342092	CEPHALEXIN MONOHYDRATE	Teva-Cephalexin 250 50mg/mL Pd for Oral Susp	TEV	0.2573	0.2573	YES	NO	NO
00768723	CEPHALEXIN MONOHYDRATE	Apo-Cephalex 250mg Tab	APX	0.0866	0.0866	YES	NO	NO
00768715	CEPHALEXIN MONOHYDRATE	Apo-Cephalex 500mg Tab	APX	0.1731	0.1731	YES	NO	NO
02470578	CEPHALEXIN MONOHYDRATE	Auro-Cephalexin 250mg Tab	AUR	0.0866	0.0866	YES	NO	NO
02470586	CEPHALEXIN MONOHYDRATE	Auro-Cephalexin 500mg Tab	AUR	0.1731	0.1731	YES	NO	NO
02521261	CEPHALEXIN MONOHYDRATE	Cephalexin 500mg Tab	SAI	0.1731	0.1731	YES	NO	NO
02495651	CEPHALEXIN MONOHYDRATE	Cephalexin 500mg Tab	SIV	0.1731	0.1731	YES	NO	NO
02521253	CEPHALEXIN MONOHYDRATE	Cephalexin 250mg Tab	SAI	0.0866	0.0866	YES	NO	NO
02494698	CEPHALEXIN MONOHYDRATE	Jamp Cephalexin 250mg Tab	JPC	0.0866	0.0866	YES	NO	NO
02494701	CEPHALEXIN MONOHYDRATE	Jamp Cephalexin 500mg Tab	JPC	0.1731	0.1731	YES	NO	NO
00403628	CEPHALEXIN MONOHYDRATE	Keflex (Not a Benefit) 250mg Tab	PHE	N/A	N/A	YES	NO	NO
00244392	CEPHALEXIN MONOHYDRATE	Keflex (Not a Benefit) 500mg Tab	PHE	N/A	N/A	YES	NO	NO
00583413	CEPHALEXIN MONOHYDRATE	Teva-Cephalexin 250mg Tab	TEV	0.0866	0.0866	YES	NO	NO
00583421	CEPHALEXIN MONOHYDRATE	Teva-Cephalexin 500mg Tab	TEV	0.1731	0.1731	YES	NO	NO
02231603	CETIRIZINE HYDROCHLORIDE	Apo-Cetirizine (Off-Formulary Interchangeable) 10mg Tab	APX	0.4083	N/A	YES	NO	NO
02453363	CETIRIZINE HYDROCHLORIDE	Apo-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	APX	0.7535	N/A	YES	NO	NO
02515695	CETIRIZINE HYDROCHLORIDE	Cetirizine (Off-Formulary Interchangeable) 20mg Tab	SAI	0.7535	N/A	YES	NO	NO
02534126	CETIRIZINE HYDROCHLORIDE	Cetirizine (Off-Formulary Interchangeable) 20mg Tab	SIV	0.7535	N/A	YES	NO	NO
02315955	CETIRIZINE HYDROCHLORIDE	Extra Strength Allergy Relief (Off-Formulary Interchangeable) 10mg Tab	PMS	0.3938	N/A	YES	NO	NO
02517566	CETIRIZINE HYDROCHLORIDE	Jamp Cetirizine (Off-Formulary Interchangeable) 10mg Tab	JPC	0.4083	N/A	YES	NO	NO
02517353	CETIRIZINE HYDROCHLORIDE	Jamp Cetirizine Tablets (Off-Formulary Interchangeable) 20mg Tab	JPC	0.7535	N/A	YES	NO	NO
02451778	CETIRIZINE HYDROCHLORIDE	Jamp-Cetirizine (Off-Formulary Interchangeable) 10mg Tab	JPC	0.4083	N/A	YES	NO	NO
02466171	CETIRIZINE HYDROCHLORIDE	Jamp-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	JPC	0.7535	N/A	YES	NO	NO
02512025	CETIRIZINE HYDROCHLORIDE	M-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	MAT	0.7535	N/A	YES	NO	NO
02427133	CETIRIZINE HYDROCHLORIDE	Mar-Cetirizine (Off-Formulary Interchangeable) 10mg Tab	MAR	0.4083	N/A	YES	NO	NO
02427141	CETIRIZINE HYDROCHLORIDE	Mar-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	MAR	0.7535	N/A	YES	NO	NO
02491125	CETIRIZINE HYDROCHLORIDE	Mint-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	MIN	0.7535	N/A	YES	NO	NO
02521806	CETIRIZINE HYDROCHLORIDE	NRA-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	NRA	0.7535	N/A	YES	NO	NO
02530236	CETIRIZINE HYDROCHLORIDE	NRA-Cetirizine Tablets (Off-Formulary Interchangeable) 20mg Tab	NRA	0.7535	N/A	YES	NO	NO
02496488	CETIRIZINE HYDROCHLORIDE	Nat-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	NAT	0.7535	N/A	YES	NO	NO
02496461	CETIRIZINE HYDROCHLORIDE	Nat-Cetirizine (Off-Formulary Interchangeable) 10mg Tab	NAT	0.4083	N/A	YES	NO	NO
02315963	CETIRIZINE HYDROCHLORIDE	PMS-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	PMS	0.7535	N/A	YES	NO	NO
02223554	CETIRIZINE HYDROCHLORIDE	Reactine (Off-Formulary Interchangeable) 10mg Tab	MCL	N/A	N/A	YES	NO	NO
01900978	CETIRIZINE HYDROCHLORIDE	Reactine (Off-Formulary Interchangeable) 20mg Tab	MCL	N/A	N/A	YES	NO	NO
02528681	CETIRIZINE HYDROCHLORIDE	Teva-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	TEV	0.7535	N/A	YES	NO	NO
00004626	CHLORAMBUCIL	Leukeran 2mg Tab	ASN	2.1300	2.1300	NO	NO	NO
00522988	CHLORDIAZEPOXIDE	Chlordiazepoxide 10mg Cap	AAP	0.1115	0.1115	YES	NO	NO
00522996	CHLORDIAZEPOXIDE	Chlordiazepoxide 25mg Cap	AAP	0.2014	0.2014	YES	NO	NO
00522724	CHLORDIAZEPOXIDE	Chlordiazepoxide 5mg Cap	AAP	0.0825	0.0825	YES	NO	NO
00012637	CHLORDIAZEPOXIDE	Librium (Not a Benefit) 10mg Cap	HLR	N/A	N/A	YES	NO	NO
00012629	CHLORDIAZEPOXIDE	Librium (Not a Benefit) 5mg Cap	HLR	N/A	N/A	YES	NO	NO
00012645	CHLORDIAZEPOXIDE	Librium (Not a Benefit) 25mg Cap	HLR	N/A	N/A	YES	NO	NO
02240433	CHLORHEXIDINE GLUCONATE	PMS-Chlorhexidine (Off-Formulary Interchangeable) 0.12% Oral Rinse	PMS	0.0253	N/A	YES	NO	NO
02493160	CHLORHEXIDINE GLUCONATE	PMS-Chlorhexidine Without Alcohol (Off-Formulary Interchangeable) 0.12% Oral Rinse	PMS	0.0253	N/A	YES	NO	NO
02237452	CHLORHEXIDINE GLUCONATE	Peridex (Off-Formulary Interchangeable) 0.12% Oral Rinse	ZIL	N/A	N/A	YES	NO	NO
01929925	CHLORPROMAZINE	Largactil (Not a Benefit) 50mg Tab	RPP	N/A	N/A	YES	NO	NO
01929917	CHLORPROMAZINE	Largactil (Not a Benefit) 25mg Tab	RPP	N/A	N/A	YES	NO	NO
01929933	CHLORPROMAZINE	Largactil (Not a Benefit) 100mg Tab	RPP	N/A	N/A	YES	NO	NO
00232831	CHLORPROMAZINE	Teva-Chlorpromazine 100mg Tab	TEV	0.7475	0.7475	YES	NO	NO
00232823	CHLORPROMAZINE	Teva-Chlorpromazine 25mg Tab	TEV	0.2454	0.2454	YES	NO	NO
00232807	CHLORPROMAZINE	Teva-Chlorpromazine 50mg Tab	TEV	0.2808	0.2808	YES	NO	NO
00360279	CHLORTHALIDONE	Apo-Chlorthalidone 50mg Tab	APX	0.1277	0.1277	YES	NO	NO
00010413	CHLORTHALIDONE	Hygroton (Not a Benefit) 50mg Tab	GEI	N/A	N/A	YES	NO	NO
02523817	CHLORTHALIDONE	Jamp Chlorthalidone 50mg Tab	JPC	0.1277	0.1277	YES	NO	NO
02455609	CHOLESTYRAMINE RESIN	Cholestyramine-Odan 4g/sachet Oral Pd-Pouch Pk	ODN	0.9217	0.9217	YES	NO	NO
02478595	CHOLESTYRAMINE RESIN	Jamp-Cholestyramine 4g/Sachet Oral Pd-Pouch Pk	JPC	0.9217	0.9217	YES	NO	NO
02210320	CHOLESTYRAMINE RESIN	Olestyr 4g/9g Pk Oral Pd-Pouch Pk	PMS	0.9217	0.9217	YES	NO	NO
01918486	CHOLESTYRAMINE RESIN	Questran Light 4g Pk (Not a Benefit) Oral Pd-Pouch Pk	BQU	N/A	N/A	YES	NO	NO
09858335	CHOLESTYRAMINE RESIN	Cholestyramine for Oral Suspension USP (Temporary Benefit) 4g Pd for Oral Susp	JUN	0.9000	0.9000	NO	NO	NO
02285606	CICLESONIDE	Alvesco 100mcg/Actuation Inh-120 Dose Pk	COV	55.2807	55.2807	NO	NO	NO
02285614	CICLESONIDE	Alvesco 200mcg/Actuation Inh-120 Dose Pk	COV	91.4739	91.4739	NO	NO	NO
02303671	CICLESONIDE	Omnaris 50mcg/Actuation Metered Dose Nas Sp-120 Dose Pk	COP	31.2444	31.2444	NO	NO	NO
02298953	CICLOPIROX	Apo-Ciclopirox (Off-Formulary Interchangeable) 8% W/W Top Sol	APX	7.7433	N/A	YES	NO	YES
02250535	CICLOPIROX	Penlac (Off-Formulary Interchangeable) 8% W/W Top Sol	VAL	N/A	N/A	YES	NO	YES
02353288	CICLOPIROX	Taro-Ciclopirox (Off-Formulary Interchangeable) 8% W/W Top Sol	TAR	7.7433	N/A	YES	NO	YES
02291142	CILAZAPRIL	Apo-Cilazapril 2.5mg Tab	APX	0.4295	0.4295	YES	NO	NO
02291150	CILAZAPRIL	Apo-Cilazapril 5mg Tab	APX	0.4989	0.4989	YES	NO	NO
01911481	CILAZAPRIL	Inhibace 5mg Tab	CHE	1.1469	0.4989	YES	NO	NO
01911465	CILAZAPRIL	Inhibace (Not a Benefit) 1mg Tab	HLR	N/A	N/A	YES	NO	NO
01911473	CILAZAPRIL	Inhibace (Not a Benefit) 2.5mg Tab	HLR	N/A	N/A	YES	NO	NO
02283778	CILAZAPRIL	Mylan-Cilazapril 1mg Tab	MYL	0.3426	0.3426	YES	NO	NO
02283794	CILAZAPRIL	Mylan-Cilazapril 5mg Tab	MYL	0.4989	0.4989	YES	NO	NO
02283786	CILAZAPRIL	Mylan-Cilazapril 2.5mg Tab	MYL	0.4295	0.4295	YES	NO	NO
02284987	CILAZAPRIL & HYDROCHLOROTHIAZIDE	Apo-Cilazapril/HCTZ 5mg/12.5mg Tab	APX	0.4170	0.4170	YES	NO	NO
02181479	CILAZAPRIL & HYDROCHLOROTHIAZIDE	Inhibace Plus 5mg/12.5mg Tab	CHE	1.1465	0.4170	YES	NO	NO
02313731	CILAZAPRIL & HYDROCHLOROTHIAZIDE	Teva-Cilazapril/HCTZ 5mg/12.5mg Tab	TEV	0.4170	0.4170	YES	NO	NO
00600059	CIMETIDINE	Cimetidine 400mg Tab	AAP	0.2930	0.2930	YES	NO	YES
00487872	CIMETIDINE	Cimetidine 300mg Tab	AAP	0.3423	0.3423	YES	NO	YES
00584215	CIMETIDINE	Cimetidine 200mg Tab	AAP	0.3557	0.3557	YES	NO	YES
00749494	CIMETIDINE	Cimetidine 800mg Tab	AAP	0.2530	0.2530	YES	NO	YES
00600067	CIMETIDINE	Cimetidine 600mg Tab	AAP	0.3405	0.3405	YES	NO	YES
01916785	CIMETIDINE	Tagamet (Not a Benefit) 400mg Tab	SMJ	N/A	N/A	YES	NO	YES
01916769	CIMETIDINE	Tagamet (Not a Benefit) 800mg Tab	SMJ	N/A	N/A	YES	NO	YES
01916793	CIMETIDINE	Tagamet (Not a Benefit) 200mg Tab	SMJ	N/A	N/A	YES	NO	YES
01916815	CIMETIDINE	Tagamet (Not a Benefit) 300mg Tab	SMJ	N/A	N/A	YES	NO	YES
01916777	CIMETIDINE	Tagamet (Not a Benefit) 600mg Tab	SMJ	N/A	N/A	YES	NO	YES
02452693	CINACALCET	Apo-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	APX	10.1947	10.1947	YES	NO	NO
02452715	CINACALCET	Apo-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	APX	27.0517	27.0517	YES	NO	NO
02452707	CINACALCET	Apo-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	APX	18.5900	18.5900	YES	NO	NO
02478919	CINACALCET	Auro-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	AUR	18.5900	18.5900	YES	NO	NO
02478943	CINACALCET	Auro-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	AUR	27.0517	27.0517	YES	NO	NO
02478900	CINACALCET	Auro-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	AUR	10.1947	10.1947	YES	NO	NO
02524880	CINACALCET	Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	SAI	10.1947	10.1947	YES	NO	NO
02500094	CINACALCET	Jamp Cinacalcet Tablets (Off-Formulary Interchangeable) 30mg Tab	JPC	10.1947	10.1947	YES	NO	NO
02500116	CINACALCET	Jamp Cinacalcet Tablets (Off-Formulary Interchangeable) 90mg Tab	JPC	27.0517	27.0517	YES	NO	NO
02500108	CINACALCET	Jamp Cinacalcet Tablets (Off-Formulary Interchangeable) 60mg Tab	JPC	18.5900	18.5900	YES	NO	NO
02481987	CINACALCET	M-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	MAT	10.1947	10.1947	YES	NO	NO
02481995	CINACALCET	M-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	MAT	18.5900	18.5900	YES	NO	NO
02482002	CINACALCET	M-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	MAT	27.0517	27.0517	YES	NO	NO
02480301	CINACALCET	Mar-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	MAR	18.5900	18.5900	YES	NO	NO
02480328	CINACALCET	Mar-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	MAR	27.0517	27.0517	YES	NO	NO
02480298	CINACALCET	Mar-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	MAR	10.1947	10.1947	YES	NO	NO
02434539	CINACALCET	Mylan-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	MYL	10.1947	10.1947	YES	NO	NO
02434547	CINACALCET	Mylan-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	MYL	18.5900	18.5900	YES	NO	NO
02434555	CINACALCET	Mylan-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	MYL	27.0517	27.0517	YES	NO	NO
02517604	CINACALCET	PMS-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	PMS	10.1947	10.1947	YES	NO	NO
02517612	CINACALCET	PMS-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	PMS	18.5900	18.5900	YES	NO	NO
02517620	CINACALCET	PMS-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	PMS	27.0517	27.0517	YES	NO	NO
02257149	CINACALCET	Sensipar (Not a Benefit) 60mg Tab	AMG	N/A	N/A	YES	NO	NO
02257157	CINACALCET	Sensipar (Not a Benefit) 90mg Tab	AMG	N/A	N/A	YES	NO	NO
02257130	CINACALCET	Sensipar (Not a Benefit) 30mg Tab	AMG	N/A	N/A	YES	NO	NO
02441640	CINACALCET	Teva-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	TEV	27.0517	27.0517	YES	NO	NO
02441624	CINACALCET	Teva-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	TEV	10.1947	10.1947	YES	NO	NO
02441632	CINACALCET	Teva-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	TEV	18.5900	18.5900	YES	NO	NO
02263130	CIPROFLOXACIN	Apo-Ciproflox (Off-Formulary Interchangeable) 0.3% Oph Sol-5mL Pk	APX	1.7600	N/A	YES	NO	YES
01945270	CIPROFLOXACIN	Ciloxan (Off-Formulary Interchangeable) 0.3% Oph Sol-5mL Pk	NOV	N/A	N/A	YES	NO	YES
02387131	CIPROFLOXACIN	Sandoz Ciprofloxacin (Off-Formulary Interchangeable) 0.3% Oph Sol-5mL Pk	SDZ	9.3000	N/A	YES	NO	YES
02237514	CIPROFLOXACIN	Cipro 10g/100mL Oral Susp	BAY	0.5756	0.5756	NO	YES	YES
02229523	CIPROFLOXACIN	Apo-Ciproflox 750mg Tab	APX	0.9201	0.9201	YES	NO	YES
02229522	CIPROFLOXACIN	Apo-Ciproflox 500mg Tab	APX	0.5025	0.5025	YES	NO	YES
02229521	CIPROFLOXACIN	Apo-Ciproflox 250mg Tab	APX	0.4454	0.4454	YES	NO	YES
02381931	CIPROFLOXACIN	Auro-Ciprofloxacin 750mg Tab	AUR	0.9201	0.9201	YES	NO	YES
02381923	CIPROFLOXACIN	Auro-Ciprofloxacin 500mg Tab	AUR	0.5025	0.5025	YES	NO	YES
02381907	CIPROFLOXACIN	Auro-Ciprofloxacin 250mg Tab	AUR	0.4454	0.4454	YES	NO	YES
02155966	CIPROFLOXACIN	Cipro (Not a Benefit) 500mg Tab	BAY	N/A	N/A	YES	NO	YES
02155974	CIPROFLOXACIN	Cipro (Not a Benefit) 750mg Tab	BAY	N/A	N/A	YES	NO	YES
02155958	CIPROFLOXACIN	Cipro (Not a Benefit) 250mg Tab	BAY	N/A	N/A	YES	NO	YES
02386127	CIPROFLOXACIN	Ciprofloxacin 500mg Tab	SIV	0.5025	0.5025	YES	NO	YES
02353326	CIPROFLOXACIN	Ciprofloxacin 500mg Tab	SAI	0.5025	0.5025	YES	NO	YES
02386119	CIPROFLOXACIN	Ciprofloxacin 250mg Tab	SIV	0.4454	0.4454	YES	NO	YES
02353318	CIPROFLOXACIN	Ciprofloxacin 250mg Tab	SAI	0.4454	0.4454	YES	NO	YES
02247339	CIPROFLOXACIN	Co Ciprofloxacin 250mg Tab	COB	0.4454	0.4454	YES	NO	YES
02247340	CIPROFLOXACIN	Co Ciprofloxacin 500mg Tab	COB	0.5025	0.5025	YES	NO	YES
02247341	CIPROFLOXACIN	Co Ciprofloxacin 750mg Tab	COB	0.9201	0.9201	YES	NO	YES
02380358	CIPROFLOXACIN	Jamp-Ciprofloxacin 250mg Tab	JPC	0.4454	0.4454	YES	NO	YES
02380374	CIPROFLOXACIN	Jamp-Ciprofloxacin 750mg Tab	JPC	0.9201	0.9201	YES	NO	YES
02380366	CIPROFLOXACIN	Jamp-Ciprofloxacin 500mg Tab	JPC	0.5025	0.5025	YES	NO	YES
02379694	CIPROFLOXACIN	Mar-Ciprofloxacin 500mg Tab	MAR	0.5025	0.5025	YES	NO	YES
02379686	CIPROFLOXACIN	Mar-Ciprofloxacin 250mg Tab	MAR	0.4454	0.4454	YES	NO	YES
02379708	CIPROFLOXACIN	Mar-Ciprofloxacin 750mg Tab	MAR	0.9201	0.9201	YES	NO	YES
02423553	CIPROFLOXACIN	Mint-Ciproflox 250mg Tab	MIN	0.4454	0.4454	YES	NO	YES
02423588	CIPROFLOXACIN	Mint-Ciproflox 750mg Tab	MIN	0.9201	0.9201	YES	NO	YES
02423561	CIPROFLOXACIN	Mint-Ciproflox 500mg Tab	MIN	0.5025	0.5025	YES	NO	YES
02492008	CIPROFLOXACIN	NRA-Ciprofloxacin 500mg Tab	NRA	0.5025	0.5025	YES	NO	YES
02248438	CIPROFLOXACIN	PMS-Ciprofloxacin 500mg Tab	PMS	0.5025	0.5025	YES	NO	YES
02248437	CIPROFLOXACIN	PMS-Ciprofloxacin 250mg Tab	PMS	0.4454	0.4454	YES	NO	YES
02248439	CIPROFLOXACIN	PMS-Ciprofloxacin 750mg Tab	PMS	0.9201	0.9201	YES	NO	YES
02303736	CIPROFLOXACIN	Ran-Ciproflox 500mg Tab	RAN	0.5025	0.5025	YES	NO	YES
02303728	CIPROFLOXACIN	Ran-Ciproflox 250mg Tab	RAN	0.4454	0.4454	YES	NO	YES
02303744	CIPROFLOXACIN	Ran-Ciproflox 750mg Tab	RAN	0.9201	0.9201	YES	NO	YES
02246825	CIPROFLOXACIN	Ratio-Ciprofloxacin 250mg Tab	RPH	0.4454	0.4454	YES	NO	YES
02246826	CIPROFLOXACIN	Ratio-Ciprofloxacin 500mg Tab	RPH	0.5025	0.5025	YES	NO	YES
02246827	CIPROFLOXACIN	Ratio-Ciprofloxacin 750mg Tab	RPH	0.9201	0.9201	YES	NO	YES
02248758	CIPROFLOXACIN	Sandoz Ciprofloxacin 750mg Tab	SDZ	0.9201	0.9201	YES	NO	YES
02248756	CIPROFLOXACIN	Sandoz Ciprofloxacin 250mg Tab	SDZ	0.4454	0.4454	YES	NO	YES
02248757	CIPROFLOXACIN	Sandoz Ciprofloxacin 500mg Tab	SDZ	0.5025	0.5025	YES	NO	YES
02379627	CIPROFLOXACIN	Septa-Ciprofloxacin 250mg Tab	SET	0.4454	0.4454	YES	NO	YES
02379643	CIPROFLOXACIN	Septa-Ciprofloxacin 750mg Tab	SET	0.9201	0.9201	YES	NO	YES
02379635	CIPROFLOXACIN	Septa-Ciprofloxacin 500mg Tab	SET	0.5025	0.5025	YES	NO	YES
02161737	CIPROFLOXACIN	Teva-Ciprofloxacin 250mg Tab	TEV	0.4454	0.4454	YES	NO	YES
02252716	CIPROFLOXACIN AND DEXAMETHASONE	Ciprodex 0.3% w/v & 0.1% w/v Otic Susp-7.5mL Pk (With Preservative)	NOV	31.9700	14.4203	YES	YES	NO
02506882	CIPROFLOXACIN AND DEXAMETHASONE	Sandoz Ciprofloxacin/Dexamethasone 0.3% w/v & 0.1% w/v Otic Susp-7.5mL Pk (With Preservative)	SDZ	14.4203	14.4203	YES	YES	NO
02481901	CIPROFLOXACIN AND DEXAMETHASONE	Taro-Ciprofloxacin/Dexamethasone 0.3% w/v & 0.1% w/v Otic Susp-7.5mL Pk (With Preservative)	TAR	14.4203	14.4203	YES	YES	NO
02247916	CIPROFLOXACIN HCL & CIPROFLOXACIN BASE	Cipro XL (Not a Benefit) 500mg ER Tab	BAY	N/A	N/A	YES	NO	NO
02416433	CIPROFLOXACIN HCL & CIPROFLOXACIN BASE	PMS-Ciprofloxacin XL 500mg ER Tab	PMS	2.3110	2.3110	YES	YES	NO
02355256	CITALOPRAM HYDROBROMIDE	Accel Citalopram Tablets 20mg Tab	ACC	0.1332	0.1332	YES	NO	NO
02355264	CITALOPRAM HYDROBROMIDE	Accel Citalopram Tablets 40mg Tab	ACC	0.1332	0.1332	YES	NO	NO
02246056	CITALOPRAM HYDROBROMIDE	Apo-Citalopram 20mg Tab	APX	0.1332	0.1332	YES	NO	NO
02246057	CITALOPRAM HYDROBROMIDE	Apo-Citalopram 40mg Tab	APX	0.1332	0.1332	YES	NO	NO
02275570	CITALOPRAM HYDROBROMIDE	Auro-Citalopram 40mg Tab	AUR	0.1332	0.1332	YES	NO	NO
02275562	CITALOPRAM HYDROBROMIDE	Auro-Citalopram 20mg Tab	AUR	0.1332	0.1332	YES	NO	NO
02459922	CITALOPRAM HYDROBROMIDE	CCP-Citalopram 40mg Tab	CCP	0.1332	0.1332	YES	NO	NO
02459914	CITALOPRAM HYDROBROMIDE	CCP-Citalopram 20mg Tab	CCP	0.1332	0.1332	YES	NO	NO
02239606	CITALOPRAM HYDROBROMIDE	Celexa (Off-Formulary Interchangeable) 10mg Tab	VLH	N/A	N/A	YES	NO	NO
02239607	CITALOPRAM HYDROBROMIDE	Celexa 20mg Tab	VLH	1.8408	0.1332	YES	NO	NO
02239608	CITALOPRAM HYDROBROMIDE	Celexa 40mg Tab	VLH	1.8408	0.1332	YES	NO	NO
02430541	CITALOPRAM HYDROBROMIDE	Citalopram 20mg Tab	JPC	0.1332	0.1332	YES	NO	NO
02430517	CITALOPRAM HYDROBROMIDE	Citalopram (Off-Formulary Interchangeable) 10mg Tab	JPC	0.4464	N/A	YES	NO	NO
02387948	CITALOPRAM HYDROBROMIDE	Citalopram (Off-Formulary Interchangeable) 10mg Tab	SIV	0.4464	N/A	YES	NO	NO
02387956	CITALOPRAM HYDROBROMIDE	Citalopram 20mg Tab	SIV	0.1332	0.1332	YES	NO	NO
02353660	CITALOPRAM HYDROBROMIDE	Citalopram 20mg Tab	SAI	0.1332	0.1332	YES	NO	NO
02430568	CITALOPRAM HYDROBROMIDE	Citalopram 40mg Tab	JPC	0.1332	0.1332	YES	NO	NO
02387964	CITALOPRAM HYDROBROMIDE	Citalopram 40mg Tab	SIV	0.1332	0.1332	YES	NO	NO
02353679	CITALOPRAM HYDROBROMIDE	Citalopram 40mg Tab	SAI	0.1332	0.1332	YES	NO	NO
02248051	CITALOPRAM HYDROBROMIDE	Co Citalopram 40mg Tab	COB	0.1332	0.1332	YES	NO	NO
02248050	CITALOPRAM HYDROBROMIDE	Co Citalopram 20mg Tab	COB	0.1332	0.1332	YES	NO	NO
02467844	CITALOPRAM HYDROBROMIDE	M-Citalopram 40mg Tab	MAT	0.1332	0.1332	YES	NO	NO
02467836	CITALOPRAM HYDROBROMIDE	M-Citalopram 20mg Tab	MAT	0.1332	0.1332	YES	NO	NO
02532123	CITALOPRAM HYDROBROMIDE	M-Citalopram (Off-Formulary Interchangeable) 10mg Tab	MAT	0.4464	N/A	YES	NO	NO
02371901	CITALOPRAM HYDROBROMIDE	Mar-Citalopram 40mg Tab	MAR	0.1332	0.1332	YES	NO	NO
02371898	CITALOPRAM HYDROBROMIDE	Mar-Citalopram 20mg Tab	MAR	0.1332	0.1332	YES	NO	NO
02371871	CITALOPRAM HYDROBROMIDE	Mar-Citalopram (Off-Formulary Interchangeable) 10mg Tab	MAR	0.4464	N/A	YES	NO	NO
02429705	CITALOPRAM HYDROBROMIDE	Mint-Citalopram 20mg Tab	MIN	0.1332	0.1332	YES	NO	NO
02429713	CITALOPRAM HYDROBROMIDE	Mint-Citalopram 40mg Tab	MIN	0.1332	0.1332	YES	NO	NO
02477645	CITALOPRAM HYDROBROMIDE	NRA-Citalopram 20mg Tab	NRA	0.1332	0.1332	YES	NO	NO
02477653	CITALOPRAM HYDROBROMIDE	NRA-Citalopram 40mg Tab	NRA	0.1332	0.1332	YES	NO	NO
02409011	CITALOPRAM HYDROBROMIDE	Nat-Citalopram 20mg Tab	NAT	0.1332	0.1332	YES	NO	NO
02409038	CITALOPRAM HYDROBROMIDE	Nat-Citalopram 40mg Tab	NAT	0.1332	0.1332	YES	NO	NO
02409003	CITALOPRAM HYDROBROMIDE	Natco-Citalopram (Off-Formulary Interchangeable) 10mg Tab	NAT	0.4464	N/A	YES	NO	NO
02443899	CITALOPRAM HYDROBROMIDE	Natco-Citalopram 40mg Tab	NAT	0.1332	0.1332	YES	NO	NO
02443880	CITALOPRAM HYDROBROMIDE	Natco-Citalopram 20mg Tab	NAT	0.1332	0.1332	YES	NO	NO
02248011	CITALOPRAM HYDROBROMIDE	PMS-Citalopram 40mg Tab	PMS	0.1332	0.1332	YES	NO	NO
02270609	CITALOPRAM HYDROBROMIDE	PMS-Citalopram (Off-Formulary Interchangeable) 10mg Tab	PMS	0.4464	N/A	YES	NO	NO
02248010	CITALOPRAM HYDROBROMIDE	PMS-Citalopram 20mg Tab	PMS	0.1332	0.1332	YES	NO	NO
02285630	CITALOPRAM HYDROBROMIDE	Ran-Citalo 40mg Tab	RAN	0.1332	0.1332	YES	NO	NO
02285622	CITALOPRAM HYDROBROMIDE	Ran-Citalo 20mg Tab	RAN	0.1332	0.1332	YES	NO	NO
02303264	CITALOPRAM HYDROBROMIDE	Riva-Citalopram 20mg Tab	RIA	0.1332	0.1332	YES	NO	NO
02303272	CITALOPRAM HYDROBROMIDE	Riva-Citalopram 40mg Tab	RIA	0.1332	0.1332	YES	NO	NO
02248171	CITALOPRAM HYDROBROMIDE	Sandoz Citalopram 40mg Tab	SDZ	0.1332	0.1332	YES	NO	NO
02248170	CITALOPRAM HYDROBROMIDE	Sandoz Citalopram 20mg Tab	SDZ	0.1332	0.1332	YES	NO	NO
02355280	CITALOPRAM HYDROBROMIDE	Septa-Citalopram 40mg Tab	SET	0.1332	0.1332	YES	NO	NO
02355272	CITALOPRAM HYDROBROMIDE	Septa-Citalopram 20mg Tab	SET	0.1332	0.1332	YES	NO	NO
02293218	CITALOPRAM HYDROBROMIDE	Teva-Citalopram 20mg Tab	TEV	0.1332	0.1332	YES	NO	NO
02293226	CITALOPRAM HYDROBROMIDE	Teva-Citalopram 40mg Tab	TEV	0.1332	0.1332	YES	NO	NO
02403196	CLARITHROMYCIN	Act Clarithromycin XL 500mg ER Tab	ACV	1.2572	1.2572	YES	NO	YES
02413345	CLARITHROMYCIN	Apo-Clarithromycin XL 500mg ER Tab	APX	1.2572	1.2572	YES	NO	YES
02244756	CLARITHROMYCIN	Biaxin XL 500mg ER Tab	BGP	2.5672	1.2572	YES	NO	YES
02146908	CLARITHROMYCIN	Biaxin 125mg/5mL Ped Gran	BGP	0.3425	0.2388	YES	NO	YES
02390442	CLARITHROMYCIN	Taro-Clarithromycin 125mg/5mL Ped Gran	TAR	0.2388	0.2388	YES	NO	YES
02244641	CLARITHROMYCIN	Biaxin 250mg/5mL Susp	BGP	0.6718	0.4685	YES	NO	YES
02390450	CLARITHROMYCIN	Taro-Clarithromycin 250mg/5mL Susp	TAR	0.4685	0.4685	YES	NO	YES
02274752	CLARITHROMYCIN	Apo-Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	APX	2.2009	N/A	YES	NO	YES
02274744	CLARITHROMYCIN	Apo-Clarithromycin 250mg Tab	APX	0.4122	0.4122	YES	NO	YES
02126710	CLARITHROMYCIN	Biaxin BID (Off-Formulary Interchangeable) 500mg Tab	BGP	N/A	N/A	YES	NO	YES
01984853	CLARITHROMYCIN	Biaxin BID 250mg Tab	BGP	1.9234	0.4122	YES	NO	YES
02466120	CLARITHROMYCIN	Clarithromycin 250mg Tab	SAI	0.4122	0.4122	YES	NO	YES
02442469	CLARITHROMYCIN	Clarithromycin 250mg Tab	SIV	0.4122	0.4122	YES	NO	YES
02466139	CLARITHROMYCIN	Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	SAI	2.2009	N/A	YES	NO	YES
02442485	CLARITHROMYCIN	Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	SIV	2.2009	N/A	YES	NO	YES
02471388	CLARITHROMYCIN	M-Clarithromycin 250mg Tab	MAT	0.4122	0.4122	YES	NO	YES
02471396	CLARITHROMYCIN	M-Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	MAT	2.2009	N/A	YES	NO	YES
02247574	CLARITHROMYCIN	PMS-Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	PMS	2.2009	N/A	YES	NO	YES
02247573	CLARITHROMYCIN	PMS-Clarithromycin 250mg Tab	PMS	0.4122	0.4122	YES	NO	YES
02361434	CLARITHROMYCIN	Ran-Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	RAN	2.2009	N/A	YES	NO	YES
02361426	CLARITHROMYCIN	Ran-Clarithromycin 250mg Tab	RAN	0.4122	0.4122	YES	NO	YES
02266547	CLARITHROMYCIN	Sandoz Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	SDZ	2.2009	N/A	YES	NO	YES
02266539	CLARITHROMYCIN	Sandoz Clarithromycin 250mg Tab	SDZ	0.4122	0.4122	YES	NO	YES
02248805	CLARITHROMYCIN	Teva-Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	TEV	2.2009	N/A	YES	NO	YES
02248804	CLARITHROMYCIN	Teva-Clarithromycin 250mg Tab	TEV	0.4122	0.4122	YES	NO	YES
02483769	CLINDAMYCIN	Clindamycin Phosphate Topical Solution (Off-Formulary Interchangeable) 1% Top Sol	TEP	0.2613	N/A	YES	NO	NO
00582301	CLINDAMYCIN	Dalacin T 1% (Off-Formulary Interchangeable) 1% Top Sol	PFI	N/A	N/A	YES	NO	NO
02266938	CLINDAMYCIN	Taro-Clindamycin (Off-Formulary Interchangeable) 1% Top Sol	TAR	0.2613	N/A	YES	NO	NO
02245232	CLINDAMYCIN HCL	Apo-Clindamycin 150mg Cap	APX	0.2217	0.2217	YES	NO	NO
02245233	CLINDAMYCIN HCL	Apo-Clindamycin 300mg Cap	APX	0.4434	0.4434	YES	NO	NO
02436914	CLINDAMYCIN HCL	Auro-Clindamycin 300mg Cap	AUR	0.4434	0.4434	YES	NO	NO
02436906	CLINDAMYCIN HCL	Auro-Clindamycin 150mg Cap	AUR	0.2217	0.2217	YES	NO	NO
02400529	CLINDAMYCIN HCL	Clindamycin 150mg Cap	SAI	0.2217	0.2217	YES	NO	NO
02400537	CLINDAMYCIN HCL	Clindamycin 300mg Cap	SAI	0.4434	0.4434	YES	NO	NO
00030570	CLINDAMYCIN HCL	Dalacin C (Not a Benefit) 150mg Cap	PFI	N/A	N/A	YES	NO	NO
02182866	CLINDAMYCIN HCL	Dalacin C 300mg Cap	PFI	2.9008	0.4434	YES	NO	NO
02483734	CLINDAMYCIN HCL	Jamp-Clindamycin 150mg Cap	JPC	0.2217	0.2217	YES	NO	NO
02483742	CLINDAMYCIN HCL	Jamp-Clindamycin 300mg Cap	JPC	0.4434	0.4434	YES	NO	NO
02479931	CLINDAMYCIN HCL	M-Clindamycin 300mg Cap	MAT	0.4434	0.4434	YES	NO	NO
02479923	CLINDAMYCIN HCL	M-Clindamycin 150mg Cap	MAT	0.2217	0.2217	YES	NO	NO
02462656	CLINDAMYCIN HCL	Med-Clindamycin 150mg Cap	GMP	0.2217	0.2217	YES	NO	NO
02462664	CLINDAMYCIN HCL	Med-Clindamycin 300mg Cap	GMP	0.4434	0.4434	YES	NO	NO
02493748	CLINDAMYCIN HCL	NRA-Clindamycin 150mg Cap	NRA	0.2217	0.2217	YES	NO	NO
02493756	CLINDAMYCIN HCL	NRA-Clindamycin 300mg Cap	NRA	0.4434	0.4434	YES	NO	NO
02468484	CLINDAMYCIN HCL	Riva-Clindamycin 300mg Cap	RIA	0.4434	0.4434	YES	NO	NO
02468476	CLINDAMYCIN HCL	Riva-Clindamycin 150mg Cap	RIA	0.2217	0.2217	YES	NO	NO
02241709	CLINDAMYCIN HCL	Teva-Clindamycin 150mg Cap	TEV	0.2217	0.2217	YES	NO	NO
02241710	CLINDAMYCIN HCL	Teva-Clindamycin 300mg Cap	TEV	0.4434	0.4434	YES	NO	NO
00225851	CLINDAMYCIN PALMITATE	Dalacin C Flavoured Granules 15mg/mL Pd for Oral Susp	PFI	0.3152	0.3152	NO	NO	NO
02230540	CLINDAMYCIN PHOSPHATE	Clindamycin Phosphate Injection USP (Not a Benefit) 300mg/2mL Inj Sol-2mL Pk	SDZ	N/A	N/A	YES	NO	YES
00260436	CLINDAMYCIN PHOSPHATE	Dalacin C 300mg/2mL Inj Sol-2mL Pk	PFI	8.8938	8.8938	YES	NO	YES
02550423	CLINDAMYCIN PHOSPHATE & ADAPALENE & BENZOYL PEROXIDE	Cabtreo 1.2% w/w & 0.15% w/w & 3.1% w/w Top Gel Pump	BHC	2.9483	2.9483	NO	YES	NO
02243158	CLINDAMYCIN PHOSPHATE & BENZOYL PEROXIDE	Clindoxyl 1% & 5% Gel	STI	0.7500	0.6857	YES	NO	NO
02440180	CLINDAMYCIN PHOSPHATE & BENZOYL PEROXIDE	Taro-Clindamycin/Benzoyl Peroxide Gel 1% & 5% Gel	TAR	0.6857	0.6857	YES	NO	NO
02248472	CLINDAMYCIN PHOSPHATE & BENZOYL PEROXIDE	BenzaClin Topical Gel 1% & 5% Top Gel	VAL	1.3169	0.7422	YES	NO	NO
02464519	CLINDAMYCIN PHOSPHATE & BENZOYL PEROXIDE	Taro-Benzoyl Peroxide / Clindamycin Kit 1% & 5% Top Gel	TAR	0.7422	0.7422	YES	NO	NO
02244638	CLOBAZAM	Apo-Clobazam 10mg Tab	APX	0.2197	0.2197	YES	YES	NO
02221799	CLOBAZAM	Frisium (Not a Benefit) 10mg Tab	OVA	N/A	N/A	YES	NO	NO
02238334	CLOBAZAM	Teva-Clobazam 10mg Tab	TEV	0.2197	0.2197	YES	YES	NO
02213265	CLOBETASOL PROPIONATE	Dermovate 0.05% Cr	TPH	0.9964	0.2279	YES	NO	YES
02024187	CLOBETASOL PROPIONATE	Mylan-Clobetasol 0.05% Cr	MYL	0.2279	0.2279	YES	NO	YES
02309521	CLOBETASOL PROPIONATE	PMS-Clobetasol 0.05% Cr	PMS	0.2279	0.2279	YES	NO	YES
02245523	CLOBETASOL PROPIONATE	Taro-Clobetasol Cream USP 0.05% Cr	TAR	0.2279	0.2279	YES	NO	YES
01910272	CLOBETASOL PROPIONATE	Teva-Clobetasol 0.05% Cr	TEV	0.2279	0.2279	YES	NO	YES
02213273	CLOBETASOL PROPIONATE	Dermovate 0.05% Oint	TPH	0.9964	0.2279	YES	NO	YES
02026767	CLOBETASOL PROPIONATE	Mylan-Clobetasol 0.05% Oint	MYL	0.2279	0.2279	YES	NO	YES
02309548	CLOBETASOL PROPIONATE	PMS-Clobetasol 0.05% Oint	PMS	0.2279	0.2279	YES	NO	YES
02245524	CLOBETASOL PROPIONATE	Taro-Clobetasol Ointment USP 0.05% Oint	TAR	0.2279	0.2279	YES	NO	YES
01910280	CLOBETASOL PROPIONATE	Teva-Clobetasol 0.05% Oint	TEV	0.2279	0.2279	YES	NO	YES
02213281	CLOBETASOL PROPIONATE	Dermovate 0.05% Scalp Lot	TPH	0.7992	0.1990	YES	NO	YES
02216213	CLOBETASOL PROPIONATE	Mylan-Clobetasol Scalp Application 0.05% Scalp Lot	MYL	0.1990	0.1990	YES	NO	YES
02245522	CLOBETASOL PROPIONATE	Taro-Clobetasol Topical Solution USP 0.05% Scalp Lot	TAR	0.1990	0.1990	YES	NO	YES
01910299	CLOBETASOL PROPIONATE	Teva-Clobetasol 0.05% Scalp Lot	TEV	0.1990	0.1990	YES	NO	YES
02256371	CLOBETASOL PROPIONATE	Clobex Shampoo (Off-Formulary Interchangeable) 0.05% w/w Top Shampoo	GAC	N/A	N/A	YES	NO	YES
02519437	CLOBETASOL PROPIONATE	Reddy-Clobetasol Shampoo (Off-Formulary Interchangeable) 0.05% w/w Top Shampoo	DRR	1.0838	N/A	YES	NO	YES
02506203	CLOBETASOL PROPIONATE	Taro-Clobetasol Shampoo (Off-Formulary Interchangeable) 0.05% w/w Top Shampoo	TAR	1.0838	N/A	YES	NO	YES
02475162	CLOBETASOL PROPIONATE	Apo-Clobetasol Spray (Off-Formulary Interchangeable) 0.05% w/w Top Sol Sp	APX	1.9259	N/A	YES	NO	YES
02299739	CLOBETASOL PROPIONATE	Clobex Spray (Off-Formulary Interchangeable) 0.05% w/w Top Sol Sp	GAC	N/A	N/A	YES	NO	YES
02534665	CLOBETASOL PROPIONATE	Jamp Clobetasol Spray (Off-Formulary Interchangeable) 0.05% w/w Top Sol Sp	JPC	1.9259	N/A	YES	NO	YES
02490706	CLOBETASOL PROPIONATE	Odan Clobetasol (Off-Formulary Interchangeable) 0.05% w/w Top Sol Sp	ODN	1.9260	N/A	YES	NO	YES
02495023	CLOBETASOL PROPIONATE	Sandoz Clobetasol (Off-Formulary Interchangeable) 0.05% w/w Top Sol Sp	SDZ	1.9259	N/A	YES	NO	YES
02489619	CLOBETASOL PROPIONATE	Taro-Clobetasol Spray (Off-Formulary Interchangeable) 0.05% w/w Top Sol Sp	TAR	1.9259	N/A	YES	NO	YES
02245828	CLODRONATE DISODIUM	Clasteon 400mg Cap	SUO	1.2083	1.2083	YES	YES	NO
01927078	CLODRONATE DISODIUM	Ostac (Not a Benefit) 400mg Cap	HLR	N/A	N/A	YES	NO	NO
00002038	CLOFIBRATE	Atromid-S (Not a Benefit) 500mg Cap	AYE	N/A	N/A	YES	NO	NO
00337382	CLOFIBRATE	Novo-Fibrate (Not a Benefit) 500mg Cap	NOP	N/A	N/A	YES	NO	NO
00324019	CLOMIPRAMINE HCL	Anafranil Tab 25mg	APX	0.4020	0.3417	YES	NO	NO
00402591	CLOMIPRAMINE HCL	Anafranil Tab 50mg	APX	0.7401	0.6291	YES	NO	NO
02497514	CLOMIPRAMINE HCL	Taro-Clomipramine Cap 50mg	TAR	0.6291	0.6291	YES	NO	NO
02497506	CLOMIPRAMINE HCL	Taro-Clomipramine Cap 25mg	TAR	0.3417	0.3417	YES	NO	NO
00330566	CLOMIPRAMINE HCL	Anafranil 10mg Tab	APX	0.2949	0.2949	NO	NO	NO
02177897	CLONAZEPAM	Apo-Clonazepam 2mg Tab	APX	0.0721	0.0721	YES	NO	NO
02177889	CLONAZEPAM	Apo-Clonazepam 0.5mg Tab	APX	0.0418	0.0418	YES	NO	NO
02048736	CLONAZEPAM	PMS-Clonazepam 2mg Tab	PMS	0.0721	0.0721	YES	NO	NO
02048701	CLONAZEPAM	PMS-Clonazepam 0.5mg Tab	PMS	0.0418	0.0418	YES	NO	NO
02207818	CLONAZEPAM	PMS-Clonazepam-R 0.5mg Tab	PMS	0.0418	0.0418	YES	NO	NO
00382841	CLONAZEPAM	Rivotril 2mg Tab	HLR	0.4912	0.0721	YES	NO	NO
00382825	CLONAZEPAM	Rivotril 0.5mg Tab	HLR	0.2849	0.0418	YES	NO	NO
02239024	CLONAZEPAM	Teva-Clonazepam 0.5mg Tab	TEV	0.0418	0.0418	YES	NO	NO
02239025	CLONAZEPAM	Teva-Clonazepam 2mg Tab	TEV	0.0721	0.0721	YES	NO	NO
00259527	CLONIDINE HCL	Catapres (Not a Benefit) 0.1mg Tab	BOE	N/A	N/A	YES	NO	YES
00291889	CLONIDINE HCL	Catapres (Not a Benefit) 0.2mg Tab	BOE	N/A	N/A	YES	NO	YES
02538490	CLONIDINE HCL	Clonidine 0.1mg Tab	SIV	0.0679	0.0679	YES	NO	YES
02540061	CLONIDINE HCL	Clonidine (Off-Formulary Interchangeable) 0.025mg Tab	SIV	0.2713	N/A	YES	NO	YES
02538504	CLONIDINE HCL	Clonidine 0.2mg Tab	SIV	0.1212	0.1212	YES	NO	YES
00519251	CLONIDINE HCL	Dixarit (Off-Formulary Interchangeable) 0.025mg Tab	BOE	N/A	N/A	YES	NO	YES
02528207	CLONIDINE HCL	Jamp Clonidine (Off-Formulary Interchangeable) 0.025mg Tab	JPC	0.2713	N/A	YES	NO	YES
02524198	CLONIDINE HCL	Mar-Clonidine (Off-Formulary Interchangeable) 0.025mg Tab	MAR	0.2713	N/A	YES	NO	YES
02462206	CLONIDINE HCL	Mint-Clonidine 0.2mg Tab	MIN	0.1212	0.1212	YES	NO	YES
02534738	CLONIDINE HCL	Mint-Clonidine (Off-Formulary Interchangeable) 0.025mg Tab	MIN	0.2713	N/A	YES	NO	YES
02462192	CLONIDINE HCL	Mint-Clonidine 0.1mg Tab	MIN	0.0679	0.0679	YES	NO	YES
02515792	CLONIDINE HCL	Sandoz Clonidine 0.2mg Tab	SDZ	0.1212	0.1212	YES	NO	YES
02516217	CLONIDINE HCL	Sandoz Clonidine (Off-Formulary Interchangeable) 0.025mg Tab	SDZ	0.2713	N/A	YES	NO	YES
02515784	CLONIDINE HCL	Sandoz Clonidine 0.1mg Tab	SDZ	0.0679	0.0679	YES	NO	YES
02046148	CLONIDINE HCL	Teva-Clonidine 0.2mg Tab	TEV	0.1212	0.1212	YES	NO	YES
02304163	CLONIDINE HCL	Teva-Clonidine (Off-Formulary Interchangeable) 0.025mg Tab	TEV	0.2713	N/A	YES	NO	YES
02046121	CLONIDINE HCL	Teva-Clonidine 0.1mg Tab	TEV	0.0679	0.0679	YES	NO	YES
02398591	CLOPIDOGREL BISULFATE	Apo-Clopidogrel (Off-Formulary Interchangeable) 300mg Tab	APX	9.5447	N/A	YES	NO	NO
02252767	CLOPIDOGREL BISULFATE	Apo-Clopidogrel 75mg Tab	APX	0.2631	0.2631	YES	NO	NO
02416387	CLOPIDOGREL BISULFATE	Auro-Clopidogrel 75mg Tab	AUR	0.2631	0.2631	YES	NO	NO
02400553	CLOPIDOGREL BISULFATE	Clopidogrel 75mg Tab	SAI	0.2631	0.2631	YES	NO	NO
02385813	CLOPIDOGREL BISULFATE	Clopidogrel 75mg Tab	SIV	0.2631	0.2631	YES	NO	NO
02303027	CLOPIDOGREL BISULFATE	Co Clopidogrel 75mg Tab	COB	0.2631	0.2631	YES	NO	NO
02415550	CLOPIDOGREL BISULFATE	Jamp-Clopidogrel 75mg Tab	JPC	0.2631	0.2631	YES	NO	NO
02502283	CLOPIDOGREL BISULFATE	M-Clopidogrel 75mg Tab	MAT	0.2631	0.2631	YES	NO	NO
02422255	CLOPIDOGREL BISULFATE	Mar-Clopidogrel 75mg Tab	MAR	0.2631	0.2631	YES	NO	NO
02408910	CLOPIDOGREL BISULFATE	Mint-Clopidogrel 75mg Tab	MIN	0.2631	0.2631	YES	NO	NO
02482037	CLOPIDOGREL BISULFATE	NRA-Clopidogrel 75mg Tab	NRA	0.2631	0.2631	YES	NO	NO
02348004	CLOPIDOGREL BISULFATE	PMS-Clopidogrel 75mg Tab	PMS	0.2631	0.2631	YES	NO	NO
02330555	CLOPIDOGREL BISULFATE	Plavix (Off-Formulary Interchangeable) 300mg Tab	SAV	N/A	N/A	YES	NO	NO
02238682	CLOPIDOGREL BISULFATE	Plavix 75mg Tab	SAV	2.8180	0.2631	YES	NO	NO
02379813	CLOPIDOGREL BISULFATE	Ran-Clopidogrel 75mg Tab	RAN	0.2631	0.2631	YES	NO	NO
02359316	CLOPIDOGREL BISULFATE	Sandoz Clopidogrel 75mg Tab	SDZ	0.2631	0.2631	YES	NO	NO
02388065	CLOPIDOGREL BISULFATE	Teva-Clopidogrel (Off-Formulary Interchangeable) 300mg Tab	TEV	9.5447	N/A	YES	NO	NO
02293161	CLOPIDOGREL BISULFATE	Teva-Clopidogrel 75mg Tab	TEV	0.2631	0.2631	YES	NO	NO
00860697	CLORAZEPATE DIPOTASSIUM	Clorazepate 15mg Cap	AAP	0.4405	0.4405	YES	NO	NO
00860700	CLORAZEPATE DIPOTASSIUM	Clorazepate 7.5mg Cap	AAP	0.2337	0.2337	YES	NO	NO
00860689	CLORAZEPATE DIPOTASSIUM	Clorazepate 3.75mg Cap	AAP	0.1793	0.1793	YES	NO	NO
00264946	CLORAZEPATE DIPOTASSIUM	Tranxene (Not a Benefit) 7.5mg Cap	ABB	N/A	N/A	YES	NO	NO
00264911	CLORAZEPATE DIPOTASSIUM	Tranxene (Not a Benefit) 15mg Cap	ABB	N/A	N/A	YES	NO	NO
00264938	CLORAZEPATE DIPOTASSIUM	Tranxene (Not a Benefit) 3.75mg Cap	ABB	N/A	N/A	YES	NO	NO
02324032	CLOSTRIDIUM BOTULINUM NEUROTOXIN TYPE A	Xeomin 100 LD50 Units Pd for Inj-Vial Pk	MEZ	338.9100	338.9100	NO	YES	NO
02371081	CLOSTRIDIUM BOTULINUM NEUROTOXIN TYPE A	Xeomin 50 LD50 Units Pd for Inj-Vial Pk	MEZ	169.4550	169.4550	NO	YES	NO
02150867	CLOTRIMAZOLE	Canesten 1% Topical Cream (Not a Benefit) 10mg/g Cr	BAY	N/A	N/A	YES	NO	YES
00812382	CLOTRIMAZOLE	Clotrimaderm 10mg/g Cr	TAR	0.2233	0.2233	YES	NO	YES
02264102	CLOTRIMAZOLE	Canesten 1 Comfortab Combi-Pak 500mg & 1% Tab & Cr	BAY	12.0800	12.0800	NO	NO	YES
02150905	CLOTRIMAZOLE	Canesten 3 Cream 20mg/g Vag Cr-App	BAY	0.4424	0.3624	YES	NO	YES
02150891	CLOTRIMAZOLE	Canesten 6 Cream 10mg/g Vag Cr-App	BAY	0.2212	0.1812	YES	NO	YES
00812366	CLOTRIMAZOLE	Clotrimaderm Vaginal Cream 10mg/g Vag Cr-App	TAR	0.1812	0.1812	YES	NO	YES
00812374	CLOTRIMAZOLE	Clotrimaderm Vaginal Cream 20mg/g Vag Cr-App	TAR	0.3624	0.3624	YES	NO	YES
00611174	CLOTRIMAZOLE & BETAMETHASONE DIPROPIONATE	Lotriderm Cream (Off-Formulary Interchangeable) 1% w/w & 0.05% w/w Top Cr	MEK	N/A	N/A	YES	NO	YES
02496410	CLOTRIMAZOLE & BETAMETHASONE DIPROPIONATE	TaroClotrimazole/BetamethasoneDipropiona (Off-Formulary Interchangeable) 1% w/w & 0.05% w/w Top Cr	TAR	1.0578	N/A	YES	NO	YES
02510758	CLOXACILLIN	Jamp Cloxacillin 500mg Cap	JPC	0.4045	0.4045	YES	NO	NO
02510731	CLOXACILLIN	Jamp Cloxacillin 250mg Cap	JPC	0.2141	0.2141	YES	NO	NO
00002046	CLOXACILLIN	Orbenin (Not a Benefit) 250mg Cap	AYE	N/A	N/A	YES	NO	NO
00002054	CLOXACILLIN	Orbenin (Not a Benefit) 500mg Cap	AYE	N/A	N/A	YES	NO	NO
00337773	CLOXACILLIN	Teva-Cloxacillin 500mg Cap	TEV	0.4045	0.4045	YES	NO	NO
00337765	CLOXACILLIN	Teva-Cloxacillin 250mg Cap	TEV	0.2141	0.2141	YES	NO	NO
02042975	CLOXACILLIN	Orbenin (Not a Benefit) 25mg/mL O/L	WAY	N/A	N/A	YES	NO	NO
00337757	CLOXACILLIN	Teva-Cloxacillin 25mg/mL O/L	TEV	0.0606	0.0606	YES	NO	NO
02248035	CLOZAPINE	AA-Clozapine (Off-Formulary Interchangeable) 100mg Tab	AAP	2.6446	N/A	YES	NO	NO
02458748	CLOZAPINE	AA-Clozapine (Off-Formulary Interchangeable) 50mg Tab	AAP	1.3206	N/A	YES	NO	NO
02458756	CLOZAPINE	AA-Clozapine (Off-Formulary Interchangeable) 200mg Tab	AAP	5.2892	N/A	YES	NO	NO
02248034	CLOZAPINE	AA-Clozapine (Off-Formulary Interchangeable) 25mg Tab	AAP	0.6594	N/A	YES	NO	NO
02490676	CLOZAPINE	Clozaril (Off-Formulary Interchangeable) 200mg Tab	HLS	N/A	N/A	YES	NO	NO
00894737	CLOZAPINE	Clozaril (Off-Formulary Interchangeable) 25mg Tab	NOV	N/A	N/A	YES	NO	NO
00894745	CLOZAPINE	Clozaril (Off-Formulary Interchangeable) 100mg Tab	NOV	N/A	N/A	YES	NO	NO
02490668	CLOZAPINE	Clozaril (Off-Formulary Interchangeable) 50mg Tab	HLS	N/A	N/A	YES	NO	NO
02247244	CLOZAPINE	Gen-Clozapine (Off-Formulary Interchangeable) 100mg Tab	MYL	2.6446	N/A	YES	NO	NO
02247243	CLOZAPINE	Gen-Clozapine (Off-Formulary Interchangeable) 25mg Tab	MYL	0.6594	N/A	YES	NO	NO
02397137	COBICISTAT & ELVITEGRAVIR & EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	Stribild 150mg & 150mg & 200mg & 300mg Tab	GIL	48.0177	48.0177	NO	NO	NO
00779458	CODEINE PHOSPHATE	Codeine (Not a Benefit) 15mg Tab	ROG	N/A	N/A	YES	NO	YES
00593435	CODEINE PHOSPHATE	Teva-Codeine 15mg Tab	TEV	0.0542	0.0542	YES	NO	YES
00593451	CODEINE PHOSPHATE	Teva-Codeine 30mg Tab	TEV	0.0966	0.0966	NO	NO	YES
02163748	CODEINE SULFATE TRIHYDRATE & MONOHYDRATE	Codeine Contin 100mg CR Tab	PFP	1.0074	1.0074	NO	YES	YES
02230302	CODEINE SULFATE TRIHYDRATE & MONOHYDRATE	Codeine Contin 50mg CR Tab	PFP	0.5032	0.5032	NO	YES	YES
02163799	CODEINE SULFATE TRIHYDRATE & MONOHYDRATE	Codeine Contin 200mg CR Tab	PFP	2.0148	2.0148	NO	YES	YES
02163780	CODEINE SULFATE TRIHYDRATE & MONOHYDRATE	Codeine Contin 150mg CR Tab	PFP	1.5116	1.5116	NO	YES	YES
02494051	COLESEVELAM HYDROCHLORIDE	Apo-Colesevelam 625mg Tab	APX	0.5931	0.5931	YES	NO	YES
09858334	COLESEVELAM HYDROCHLORIDE	Colesevelam (Temporary Benefit) 625mg Tab	GLP	0.5931	0.5931	NO	NO	YES
02373955	COLESEVELAM HYDROCHLORIDE	Lodalis 625mg Tab	VAL	1.3906	0.5931	YES	NO	YES
00642975	COLESTIPOL HCL	Colestid Regular Gran-5g Pk	PFI	1.4595	1.4595	NO	NO	YES
02063670	COLLAGENASE	Santyl Ointment 250Unit/g 30g Pk	SNE	87.5000	87.5000	NO	NO	NO
09858336	COLLAGENASE	Santyl (Temporary Benefit) 250Unit/g Oint-30g Pk	SNE	87.5000	87.5000	NO	NO	NO
02414686	CONJUGATED ESTROGENS	Premarin 0.625mg SR Tab	PFI	0.4088	0.4088	NO	YES	NO
02043440	CONJUGATED ESTROGENS	Premarin Vaginal Cream 0.625mg/g Vag Cr	PFI	0.9110	0.9110	NO	NO	NO
00253952	COSYNTROPIN ZINC HYDROXIDE	Synacthen Depot 1mg/mL Inj Susp-1mL Pk	QUO	680.0000	680.0000	NO	NO	NO
01987003	CYANOCOBALAMIN	Cyanocobalamin 1mg/mL Inj Sol-10mL Pk	STE	3.0600	3.0600	YES	NO	NO
02413795	CYANOCOBALAMIN	Cyanocobalamin Injection USP 1mg/mL Inj Sol-10mL Pk	MYL	3.0600	3.0600	YES	NO	NO
02420147	CYANOCOBALAMIN	Jamp-Cyanocobalamin 1mg/mL Inj Sol-10mL Pk	JPC	3.0600	3.0600	YES	NO	NO
00029165	CYANOCOBALAMIN	Rubramin (Not a Benefit) 1mg/mL Inj Sol-10mL Pk	BQU	N/A	N/A	YES	NO	NO
00521515	CYANOCOBALAMIN	Vitamin B12-1000mcg/mL 1mg/mL Inj Sol-10mL Pk	SDZ	3.0600	3.0600	YES	NO	NO
02485419	CYCLOBENZAPRINE HCL	AG-Cyclobenzaprine (Not a Benefit) 10mg Tab	ANG	N/A	N/A	YES	NO	YES
02177145	CYCLOBENZAPRINE HCL	Apo-Cyclobenzaprine (Not a Benefit) 10mg Tab	APX	N/A	N/A	YES	NO	YES
02348853	CYCLOBENZAPRINE HCL	Auro-Cyclobenzaprine (Not a Benefit) 10mg Tab	AUR	N/A	N/A	YES	NO	YES
02424584	CYCLOBENZAPRINE HCL	Cyclobenzaprine (Not a Benefit) 10mg Tab	SIV	N/A	N/A	YES	NO	YES
02287064	CYCLOBENZAPRINE HCL	Cyclobenzaprine (Not a Benefit) 10mg Tab	SAI	N/A	N/A	YES	NO	YES
02495422	CYCLOBENZAPRINE HCL	Flexeril (Not a Benefit) 10mg Tab	ORI	N/A	N/A	YES	NO	YES
00782742	CYCLOBENZAPRINE HCL	Flexeril (Not a Benefit) 10mg Tab	FRS	N/A	N/A	YES	NO	YES
02357127	CYCLOBENZAPRINE HCL	Jamp-Cyclobenzaprine (Not a Benefit) 10mg Tab	JPC	N/A	N/A	YES	NO	YES
02212048	CYCLOBENZAPRINE HCL	PMS-Cyclobenzaprine (Not a Benefit) 10mg Tab	PMS	N/A	N/A	YES	NO	YES
02236506	CYCLOBENZAPRINE HCL	Ratio-Cyclobenzaprine (Not a Benefit) 10mg Tab	RPH	N/A	N/A	YES	NO	YES
02242079	CYCLOBENZAPRINE HCL	Riva-Cyclobenzaprine (Not a Benefit) 10mg Tab	RIA	N/A	N/A	YES	NO	YES
02080052	CYCLOBENZAPRINE HCL	Teva-Cyclobenzaprine HCL (Not a Benefit) 10mg Tab	TEV	N/A	N/A	YES	NO	YES
00252506	CYCLOPENTOLATE HCL	Cyclogyl (Off-Formulary Interchangeable) 1% Oph Sol	NOV	N/A	N/A	YES	NO	NO
00626627	CYCLOPENTOLATE HCL	Odan-Cyclopentolate (Off-Formulary Interchangeable) 1% Oph Sol	ODN	0.8925	N/A	YES	NO	NO
00344885	CYCLOPHOSPHAMIDE	Cytoxan (Not a Benefit) 50mg Tab	BQU	N/A	N/A	YES	NO	NO
02241795	CYCLOPHOSPHAMIDE	Procytox 25mg Tab	BAX	0.3545	0.3545	NO	NO	NO
02241796	CYCLOPHOSPHAMIDE	Procytox 50mg Tab	BAX	0.4773	0.4773	YES	NO	NO
02237671	CYCLOSPORINE	Neoral 10mg Cap	NOV	0.7676	0.7676	NO	NO	NO
02150689	CYCLOSPORINE	Neoral 25mg Cap	NOV	1.7850	0.8657	YES	NO	NO
02150662	CYCLOSPORINE	Neoral 50mg Cap	NOV	3.4816	1.6885	YES	NO	NO
02150670	CYCLOSPORINE	Neoral 100mg Cap	NOV	6.9680	3.3792	YES	NO	NO
02247074	CYCLOSPORINE	Sandoz Cyclosporine 50mg Cap	SDZ	1.6885	1.6885	YES	NO	NO
02247073	CYCLOSPORINE	Sandoz Cyclosporine 25mg Cap	SDZ	0.8657	0.8657	YES	NO	NO
02242821	CYCLOSPORINE	Sandoz Cyclosporine 100mg Cap	SDZ	3.3792	3.3792	YES	NO	NO
02150697	CYCLOSPORINE	Neoral 100mg/mL O/L	NOV	6.1952	6.1952	NO	NO	NO
02355655	CYCLOSPORINE	Restasis (Off-Formulary Interchangeable) 0.05% w/v Oph Emuls-0.4mL Pk	ALL	N/A	N/A	YES	NO	NO
02462486	CYCLOSPORINE	Teva-Cyclosporine (Off-Formulary Interchangeable) 0.05% w/v Oph Emuls-0.4mL Pk	TEV	2.9160	N/A	YES	NO	NO
00704431	CYPROTERONE ACETATE	Androcur 50mg Tab	BAY	1.4085	1.4000	YES	NO	NO
02245898	CYPROTERONE ACETATE	Cyproterone 50mg Tab	AAP	1.4085	1.4000	YES	NO	NO
02390760	CYPROTERONE ACETATE	Med-Cyproterone 50mg Tab	GMP	1.4000	1.4000	YES	NO	NO
02436736	CYPROTERONE ACETATE & ETHINYL ESTRADIOL	Cleo-35 (Off-Formulary Interchangeable) 2mg & 0.035mg Tab-21 Pk	ALH	23.3394	N/A	YES	NO	NO
02290308	CYPROTERONE ACETATE & ETHINYL ESTRADIOL	Cyestra-35 (Off-Formulary Interchangeable) 2mg & 0.035mg Tab-21 Pk	PAL	23.3394	N/A	YES	NO	NO
02233542	CYPROTERONE ACETATE & ETHINYL ESTRADIOL	Diane-35 (Off-Formulary Interchangeable) 2mg & 0.035mg Tab-21 Pk	BAY	N/A	N/A	YES	NO	NO
02425017	CYPROTERONE ACETATE & ETHINYL ESTRADIOL	Ran-Cyproterone/Ethinyl Estradiol (Off-Formulary Interchangeable) 2mg & 0.035mg Tab-21 Pk	RAN	23.3394	N/A	YES	NO	NO
02309556	CYPROTERONE ACETATE & ETHINYL ESTRADIOL	Teva-Cyproterone/Ethinyl Estradiol (Off-Formulary Interchangeable) 2mg & 0.035mg Tab-21 Pk	TEV	23.3400	N/A	YES	NO	NO
02468913	DABIGATRAN ETEXILATE	Apo-Dabigatran 150mg Cap	APX	1.2540	1.2540	YES	NO	NO
02468905	DABIGATRAN ETEXILATE	Apo-Dabigatran 110mg Cap	APX	1.2540	1.2540	YES	NO	NO
02468891	DABIGATRAN ETEXILATE	Apo-Dabigatran (Off-Formulary Interchangeable) 75mg Cap	APX	1.5577	N/A	YES	NO	NO
02358808	DABIGATRAN ETEXILATE	Pradaxa 150mg Cap	BOE	1.7310	1.2540	YES	NO	NO
02312441	DABIGATRAN ETEXILATE	Pradaxa 110mg Cap	BOE	1.7310	1.2540	YES	NO	NO
02312433	DABIGATRAN ETEXILATE	Pradaxa (Off-Formulary Interchangeable) 75mg Cap	BOE	N/A	N/A	YES	NO	NO
02480522	DALBAVANCIN HYDROCHLORIDE	Xydalba 500mg/Vial Pd for Sol (Preservative-Free)	EVL	985.8900	985.8900	NO	YES	NO
02352672	DALTEPARIN SODIUM	Fragmin 15000IU/0.6mL Inj Pref Syr	PFI	35.6160	35.6160	NO	YES	NO
02352680	DALTEPARIN SODIUM	Fragmin 18000IU/0.72mL Inj Pref Syr	PFI	42.7400	42.7400	NO	YES	NO
02352664	DALTEPARIN SODIUM	Fragmin 12500IU/0.5mL Inj Pref Syr	PFI	29.6880	29.6880	NO	YES	NO
02352656	DALTEPARIN SODIUM	Fragmin 10000IU/0.4mL Inj Pref Syr	PFI	23.7500	23.7500	NO	YES	NO
02132648	DALTEPARIN SODIUM	Fragmin 5000IU/0.2mL Inj Pref Syr	PFI	11.8740	11.8740	NO	YES	NO
02132621	DALTEPARIN SODIUM	Fragmin 2500IU/0.2mL Inj Pref Syr	PFI	5.9370	5.9370	NO	YES	NO
02430789	DALTEPARIN SODIUM	Fragmin 3500IU/0.28mL Inj Pref Syr	PFI	8.3110	8.3110	NO	YES	NO
02352648	DALTEPARIN SODIUM	Fragmin 7500IU/0.3mL Inj Pref Syr	PFI	17.8120	17.8120	NO	YES	NO
02494582	DALTEPARIN SODIUM	Fragmin 16500IU/0.66mL Inj Pref Syr-0.66mL Pk	PFI	39.1780	39.1780	NO	YES	NO
02231171	DALTEPARIN SODIUM	Fragmin 25000IU/mL Multidose 3.8mL Pk	PFI	178.1000	178.1000	NO	YES	NO
02018144	DANAZOL	Cyclomen 50mg Cap	SAV	1.0720	1.0720	NO	NO	NO
02018152	DANAZOL	Cyclomen 100mg Cap	SAV	1.5910	1.5910	NO	NO	NO
02018160	DANAZOL	Cyclomen 200mg Cap	SAV	2.5425	2.5425	NO	NO	NO
01997602	DANTROLENE SODIUM	Dantrium Capsules 25mg Cap	EDO	0.7198	0.7198	NO	NO	YES
02527197	DAPAGLIFLOZIN	Apo-Dapagliflozin 10mg Tab	APX	0.6825	0.6825	YES	NO	YES
02527189	DAPAGLIFLOZIN	Apo-Dapagliflozin 5mg Tab	APX	0.6825	0.6825	YES	NO	YES
02531402	DAPAGLIFLOZIN	Auro-Dapagliflozin 5mg Tab	AUR	0.6825	0.6825	YES	NO	YES
02531410	DAPAGLIFLOZIN	Auro-Dapagliflozin 10mg Tab	AUR	0.6825	0.6825	YES	NO	YES
02435470	DAPAGLIFLOZIN	Forxiga 10mg Tab	AZC	2.7300	0.6825	YES	NO	YES
02435462	DAPAGLIFLOZIN	Forxiga 5mg Tab	AZC	2.7300	0.6825	YES	NO	YES
02519852	DAPAGLIFLOZIN	GLN-Dapagliflozin 5mg Tab	GLP	0.6825	0.6825	YES	NO	YES
02519860	DAPAGLIFLOZIN	GLN-Dapagliflozin 10mg Tab	GLP	0.6825	0.6825	YES	NO	YES
02531364	DAPAGLIFLOZIN	Jamp Dapagliflozin 5mg Tab	JPC	0.6825	0.6825	YES	NO	YES
02531372	DAPAGLIFLOZIN	Jamp Dapagliflozin 10mg Tab	JPC	0.6825	0.6825	YES	NO	YES
02535297	DAPAGLIFLOZIN	M-Dapagliflozin 5mg Tab	MAT	0.6825	0.6825	YES	NO	YES
02535300	DAPAGLIFLOZIN	M-Dapagliflozin 10mg Tab	MAT	0.6825	0.6825	YES	NO	YES
02538342	DAPAGLIFLOZIN	NRA-Dapagliflozin 10mg Tab	NRA	0.6825	0.6825	YES	NO	YES
02538334	DAPAGLIFLOZIN	NRA-Dapagliflozin 5mg Tab	NRA	0.6825	0.6825	YES	NO	YES
02531569	DAPAGLIFLOZIN	PMS-Dapagliflozin 10mg Tab	PMS	0.6825	0.6825	YES	NO	YES
02531550	DAPAGLIFLOZIN	PMS-Dapagliflozin 5mg Tab	PMS	0.6825	0.6825	YES	NO	YES
02518740	DAPAGLIFLOZIN	Sandoz Dapagliflozin 10mg Tab	SDZ	0.6825	0.6825	YES	NO	YES
02518732	DAPAGLIFLOZIN	Sandoz Dapagliflozin 5mg Tab	SDZ	0.6825	0.6825	YES	NO	YES
02536161	DAPAGLIFLOZIN & METFORMIN	Apo-Dapagliflozin-Metformin 5mg & 1000mg Tab	APX	0.6432	0.6432	YES	NO	YES
02536153	DAPAGLIFLOZIN & METFORMIN	Apo-Dapagliflozin-Metformin 5mg & 850mg Tab	APX	0.6432	0.6432	YES	NO	YES
02533081	DAPAGLIFLOZIN & METFORMIN	Auro-Dapagliflozin / Metformin 5mg & 1000mg Tab	AUR	0.6432	0.6432	YES	NO	YES
02533073	DAPAGLIFLOZIN & METFORMIN	Auro-Dapagliflozin / Metformin 5mg & 850mg Tab	AUR	0.6432	0.6432	YES	NO	YES
02449943	DAPAGLIFLOZIN & METFORMIN	Xigduo 5mg & 1000mg Tab	AZC	1.2863	0.6432	YES	NO	YES
02449935	DAPAGLIFLOZIN & METFORMIN	Xigduo 5mg & 850mg Tab	AZC	1.2863	0.6432	YES	NO	YES
02041510	DAPSONE	Dapsone 100mg Tab	JAC	1.4061	1.1952	YES	NO	NO
02481227	DAPSONE	Mar-Dapsone 100mg Tab	MAR	1.1952	1.1952	YES	NO	NO
02299909	DAPTOMYCIN	Cubicin (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial Pk	SUO	N/A	N/A	YES	NO	NO
02490463	DAPTOMYCIN	Daptomycin for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial Pk	DRR	162.3500	162.3500	YES	NO	NO
02490838	DAPTOMYCIN	Daptomycin for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial Pk	SDZ	162.3500	162.3500	YES	NO	NO
02511738	DAPTOMYCIN	Daptomycin for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial Pk	JUN	162.3500	162.3500	YES	NO	NO
02391791	DARBEPOETIN ALFA	Aranesp 150mcg/0.3mL Pref Syr-0.3mL Pk	AMG	402.0000	402.0000	NO	YES	NO
02391805	DARBEPOETIN ALFA	Aranesp 200mcg/0.4mL Pref Syr-0.4mL Pk	AMG	701.0200	701.0200	NO	YES	NO
02391821	DARBEPOETIN ALFA	Aranesp 300mcg/0.6mL Pref Syr-0.6mL Pk	AMG	1082.9500	1082.9500	NO	YES	NO
02392364	DARBEPOETIN ALFA	Aranesp 500mcg/1.0mL Pref Syr-1.0mL Pk	AMG	1804.9400	1804.9400	NO	YES	NO
02452510	DARIFENACIN	Apo-Darifenacin 7.5mg ER Tab	APX	0.8058	0.8058	YES	YES	NO
02452529	DARIFENACIN	Apo-Darifenacin 15mg ER Tab	APX	0.8058	0.8058	YES	YES	NO
02273225	DARIFENACIN	Enablex 15mg ER Tab	SLP	1.6116	0.8058	YES	YES	NO
02273217	DARIFENACIN	Enablex 7.5mg ER Tab	SLP	1.6116	0.8058	YES	YES	NO
02491869	DARIFENACIN	Jamp Darifenacin 7.5mg ER Tab	JPC	0.8058	0.8058	YES	YES	NO
02491877	DARIFENACIN	Jamp Darifenacin 15mg ER Tab	JPC	0.8058	0.8058	YES	YES	NO
02487241	DARUNAVIR	Apo-Darunavir 600mg Tab	APX	4.2970	4.2970	YES	NO	NO
02487268	DARUNAVIR	Apo-Darunavir 800mg Tab	APX	5.8295	5.8295	YES	NO	NO
02486121	DARUNAVIR	Auro-Darunavir 600mg Tab	AUR	4.2970	4.2970	YES	NO	NO
02486148	DARUNAVIR	Auro-Darunavir 800mg Tab	AUR	5.8295	5.8295	YES	NO	NO
02521350	DARUNAVIR	Darunavir 800mg Tab	JPC	5.8295	5.8295	YES	NO	NO
02521342	DARUNAVIR	Darunavir 600mg Tab	JPC	4.2970	4.2970	YES	NO	NO
02324024	DARUNAVIR	Prezista (Not a Benefit) 600mg Tab	JAN	N/A	N/A	YES	NO	NO
02393050	DARUNAVIR	Prezista (Not a Benefit) 800mg Tab	JAN	N/A	N/A	YES	NO	NO
02426501	DARUNAVIR & COBICISTAT	Prezcobix 800mg & 150mg Tab	JAN	25.1870	25.1870	NO	NO	NO
02470713	DASATINIB	Apo-Dasatinib (Off-Formulary Interchangeable) 50mg Tab	APX	66.1782	66.1782	YES	NO	NO
02481502	DASATINIB	Apo-Dasatinib (Off-Formulary Interchangeable) 80mg Tab	APX	117.3255	N/A	YES	NO	NO
02470705	DASATINIB	Apo-Dasatinib (Off-Formulary Interchangeable) 20mg Tab	APX	32.8823	32.8823	YES	NO	NO
02481499	DASATINIB	Apo-Dasatinib (Off-Formulary Interchangeable) 70mg Tab	APX	72.9336	72.9336	YES	NO	NO
02470721	DASATINIB	Apo-Dasatinib (Off-Formulary Interchangeable) 100mg Tab	APX	132.2671	132.2671	YES	NO	NO
02514761	DASATINIB	Reddy-Dasatinib (Off-Formulary Interchangeable) 80mg Tab	DRR	117.3255	N/A	YES	NO	NO
02514796	DASATINIB	Reddy-Dasatinib (Off-Formulary Interchangeable) 140mg Tab	DRR	141.8806	N/A	YES	NO	NO
02514788	DASATINIB	Reddy-Dasatinib (Off-Formulary Interchangeable) 100mg Tab	DRR	132.2670	132.2670	YES	NO	NO
02514753	DASATINIB	Reddy-Dasatinib (Off-Formulary Interchangeable) 70mg Tab	DRR	72.9336	72.9336	YES	NO	NO
02514745	DASATINIB	Reddy-Dasatinib (Off-Formulary Interchangeable) 50mg Tab	DRR	66.1782	66.1782	YES	NO	NO
02514737	DASATINIB	Reddy-Dasatinib (Off-Formulary Interchangeable) 20mg Tab	DRR	32.8823	32.8823	YES	NO	NO
02293129	DASATINIB	Sprycel (Off-Formulary Interchangeable) 20mg Tab	BQU	38.6850	32.8823	YES	NO	NO
02293137	DASATINIB	Sprycel (Off-Formulary Interchangeable) 50mg Tab	BQU	77.8567	66.1783	YES	NO	NO
02320193	DASATINIB	Sprycel (Off-Formulary Interchangeable) 100mg Tab	BQU	155.6083	132.2671	YES	NO	NO
02360810	DASATINIB	Sprycel (Off-Formulary Interchangeable) 80mg Tab	BQU	N/A	N/A	YES	NO	NO
02293145	DASATINIB	Sprycel (Off-Formulary Interchangeable) 70mg Tab	BQU	85.8042	72.9337	YES	NO	NO
02360829	DASATINIB	Sprycel (Off-Formulary Interchangeable) 140mg Tab	BQU	N/A	N/A	YES	NO	NO
02499347	DASATINIB	Taro-Dasatinib (Off-Formulary Interchangeable) 140mg Tab	TAR	141.8806	N/A	YES	NO	NO
02499282	DASATINIB	Taro-Dasatinib (Off-Formulary Interchangeable) 20mg Tab	TAR	32.8823	32.8823	YES	NO	NO
02499320	DASATINIB	Taro-Dasatinib (Off-Formulary Interchangeable) 80mg Tab	TAR	117.3257	N/A	YES	NO	NO
02499312	DASATINIB	Taro-Dasatinib (Off-Formulary Interchangeable) 70mg Tab	TAR	72.9337	72.9337	YES	NO	NO
02499339	DASATINIB	Taro-Dasatinib (Off-Formulary Interchangeable) 100mg Tab	TAR	132.2670	132.2670	YES	NO	NO
02499304	DASATINIB	Taro-Dasatinib (Off-Formulary Interchangeable) 50mg Tab	TAR	66.1783	66.1783	YES	NO	NO
02478331	DASATINIB	Teva-Dasatinib (Off-Formulary Interchangeable) 80mg Tab	TEV	117.3255	N/A	YES	NO	NO
02478307	DASATINIB	Teva-Dasatinib (Off-Formulary Interchangeable) 20mg Tab	TEV	32.8823	32.8823	YES	NO	NO
02478323	DASATINIB	Teva-Dasatinib (Off-Formulary Interchangeable) 70mg Tab	TEV	72.9336	72.9336	YES	NO	NO
02478358	DASATINIB	Teva-Dasatinib (Off-Formulary Interchangeable) 100mg Tab	TEV	132.2671	132.2671	YES	NO	NO
02478315	DASATINIB	Teva-Dasatinib (Off-Formulary Interchangeable) 50mg Tab	TEV	66.1782	66.1782	YES	NO	NO
01926683	DAUNORUBICIN	Cerubidine Inj Pd-20mg Pk	SLP	91.0000	91.0000	NO	NO	NO
02485265	DEFERASIROX	Apo-Deferasirox (Type J) 90mg Tab	APX	2.6303	2.6303	YES	NO	NO
02485281	DEFERASIROX	Apo-Deferasirox (Type J) 360mg Tab	APX	10.5228	10.5228	YES	NO	NO
02485273	DEFERASIROX	Apo-Deferasirox (Type J) 180mg Tab	APX	5.2610	5.2610	YES	NO	NO
02527790	DEFERASIROX	Auro-Deferasirox (Type J) 360mg Tab	AUR	10.5228	10.5228	YES	NO	NO
02527782	DEFERASIROX	Auro-Deferasirox (Type J) 180mg Tab	AUR	5.2610	5.2610	YES	NO	NO
02527774	DEFERASIROX	Auro-Deferasirox (Type J) 90mg Tab	AUR	2.6303	2.6303	YES	NO	NO
02452227	DEFERASIROX	Jadenu 180mg Tab	NOV	21.7850	5.2610	YES	NO	NO
02452219	DEFERASIROX	Jadenu 90mg Tab	NOV	10.8920	2.6303	YES	NO	NO
02452235	DEFERASIROX	Jadenu 360mg Tab	NOV	43.5730	10.5228	YES	NO	NO
02528304	DEFERASIROX	PMS-Deferasirox (Type J) 180mg Tab	PMS	5.2610	5.2610	YES	NO	NO
02528312	DEFERASIROX	PMS-Deferasirox (Type J) 360mg Tab	PMS	10.5228	10.5228	YES	NO	NO
02528290	DEFERASIROX	PMS-Deferasirox (Type J) 90mg Tab	PMS	2.6303	2.6303	YES	NO	NO
02489902	DEFERASIROX	Sandoz Deferasirox (Type J) 180mg Tab	SDZ	5.2610	5.2610	YES	NO	NO
02489899	DEFERASIROX	Sandoz Deferasirox (Type J) 90mg Tab	SDZ	2.6303	2.6303	YES	NO	NO
02489910	DEFERASIROX	Sandoz Deferasirox (Type J) 360mg Tab	SDZ	10.5228	10.5228	YES	NO	NO
02507323	DEFERASIROX	Taro-Deferasirox (Type J) 180mg Tab	TAR	5.2610	5.2610	YES	NO	NO
02507315	DEFERASIROX	Taro-Deferasirox (Type J) 90mg Tab	TAR	2.6303	2.6303	YES	NO	NO
02507331	DEFERASIROX	Taro-Deferasirox (Type J) 360mg Tab	TAR	10.5228	10.5228	YES	NO	NO
02461552	DEFERASIROX	Apo-Deferasirox 250mg Tab for Susp	APX	10.4820	10.4820	YES	NO	NO
02461544	DEFERASIROX	Apo-Deferasirox 125mg Tab for Susp	APX	5.2408	5.2408	YES	NO	NO
02461560	DEFERASIROX	Apo-Deferasirox 500mg Tab for Susp	APX	20.9649	20.9649	YES	NO	NO
02287420	DEFERASIROX	Exjade 125mg Tab for Susp	NOV	11.0375	5.2408	YES	NO	NO
02287439	DEFERASIROX	Exjade 250mg Tab for Susp	NOV	22.0757	10.4820	YES	NO	NO
02287447	DEFERASIROX	Exjade 500mg Tab for Susp	NOV	44.1507	20.9649	YES	NO	NO
02464454	DEFERASIROX	Sandoz Deferasirox 125mg Tab for Susp	SDZ	5.2408	5.2408	YES	NO	NO
02464470	DEFERASIROX	Sandoz Deferasirox 500mg Tab for Susp	SDZ	20.9649	20.9649	YES	NO	NO
02464462	DEFERASIROX	Sandoz Deferasirox 250mg Tab for Susp	SDZ	10.4820	10.4820	YES	NO	NO
02436558	DEFERIPRONE	Ferriprox (Off-Formulary Interchangeable) 1000mg Tab	APO	33.4740	18.4107	YES	NO	NO
02553112	DEFERIPRONE	Taro-Deferiprone (Off-Formulary Interchangeable) 1000mg Tab	TAR	18.4107	18.4107	YES	NO	NO
02337037	DEGARELIX ACETATE	Firmagon 120mg Pd for Inj-Vial Pk	FEI	370.9440	370.9440	NO	NO	NO
02337029	DEGARELIX ACETATE	Firmagon 80mg Pd for Inj-Vial Pk	FEI	274.1760	274.1760	NO	NO	NO
02238348	DELAVIRDINE MESYLATE	Rescriptor 100mg Tab	PFI	0.7609	0.7609	NO	NO	NO
02545411	DENOSUMAB	Jubbonti (Preservative Free) 60mg/mL Inj Sol-Pref Syr	SDZ	194.7000	194.7000	NO	YES	NO
02343541	DENOSUMAB	Prolia (Preservative Free) 60mg/mL Inj Sol-Pref Syr	AMG	440.1000	440.1000	NO	YES	NO
02545764	DENOSUMAB	Wyost (Preservative Free) 120mg/1.7mL Inj Sol-Vial Pk	SDZ	312.0000	312.0000	NO	YES	NO
02216256	DESIPRAMINE	Desipramine 25mg Tab	AAP	0.4345	0.4345	YES	NO	NO
02216272	DESIPRAMINE	Desipramine 75mg Tab	AAP	1.0184	1.0184	YES	NO	NO
02216264	DESIPRAMINE	Desipramine 50mg Tab	AAP	0.7659	0.7659	YES	NO	NO
02099136	DESIPRAMINE	Norpramin (Not a Benefit) 50mg Tab	SAV	N/A	N/A	YES	NO	NO
02099144	DESIPRAMINE	Norpramin (Not a Benefit) 75mg Tab	HMR	N/A	N/A	YES	NO	NO
02099128	DESIPRAMINE	Norpramin (Not a Benefit) 25mg Tab	SAV	N/A	N/A	YES	NO	NO
00010448	DESIPRAMINE	Pertofrane (Not a Benefit) 25mg Tab	GEI	N/A	N/A	YES	NO	NO
02513579	DESMOPRESSIN ACETATE	Bipazen (Off-Formulary Interchangeable) 4mcg/mL Inj Sol-1mL Amp Pk	KVR	9.0000	9.0000	YES	NO	NO
00873993	DESMOPRESSIN ACETATE	DDAVP (Off-Formulary Interchangeable) 4mcg/mL Inj Sol-1mL Amp Pk	RIP	N/A	N/A	YES	NO	NO
00402516	DESMOPRESSIN ACETATE	DDAVP 0.1mg/mL Nas Sol-2.5mL Pk	FEI	52.0375	52.0375	NO	NO	NO
00836362	DESMOPRESSIN ACETATE	DDAVP (Not a Benefit) 10mcg/Metered Dose Nas Sp-2.5mL Pk	FEI	N/A	N/A	YES	NO	NO
02242465	DESMOPRESSIN ACETATE	Desmopressin Spray 10mcg/Metered Dose Nas Sp-2.5mL Pk	AAP	42.1661	42.1661	YES	NO	NO
02285002	DESMOPRESSIN ACETATE	DDAVP Melt 120mcg Orally Disintegrating Tab	FEI	2.9121	2.9121	NO	NO	NO
02285010	DESMOPRESSIN ACETATE	DDAVP Melt 240mcg Orally Disintegrating Tab	FEI	3.9382	3.9382	NO	NO	NO
02284995	DESMOPRESSIN ACETATE	DDAVP Melt 60mcg Orally Disintegrating Tab	FEI	1.4556	1.4556	NO	NO	NO
02284049	DESMOPRESSIN ACETATE	Apo-Desmopressin 0.2mg Tab	APX	1.3217	1.3217	YES	NO	NO
02284030	DESMOPRESSIN ACETATE	Apo-Desmopressin 0.1mg Tab	APX	0.6609	0.6609	YES	NO	NO
00824143	DESMOPRESSIN ACETATE	DDAVP 0.2mg Tab	FEI	2.6434	1.3217	YES	NO	NO
00824305	DESMOPRESSIN ACETATE	DDAVP 0.1mg Tab	FEI	1.3217	0.6609	YES	NO	NO
02304376	DESMOPRESSIN ACETATE	PMS-Desmopressin 0.2mg Tab	PMS	1.3217	1.3217	YES	NO	NO
02304368	DESMOPRESSIN ACETATE	PMS-Desmopressin 0.1mg Tab	PMS	0.6609	0.6609	YES	NO	NO
02317192	DESOGESTREL & ETHINYL ESTRADIOL	Apri 21 0.15mg & 0.03mg Tab-21 Pk	BAR	11.4200	7.7700	YES	NO	NO
02396491	DESOGESTREL & ETHINYL ESTRADIOL	Freya 21 0.15mg & 0.03mg Tab-21 Pk	FAM	7.7700	7.7700	YES	NO	NO
02042487	DESOGESTREL & ETHINYL ESTRADIOL	Marvelon 21 0.15mg & 0.03mg Tab-21 Pk	ORG	21.1050	7.7700	YES	NO	NO
02410249	DESOGESTREL & ETHINYL ESTRADIOL	Mirvala 21 0.15mg & 0.03mg Tab-21 Pk	APX	7.7700	7.7700	YES	NO	NO
02420813	DESOGESTREL & ETHINYL ESTRADIOL	Reclipsen 21 (Not a Benefit) 0.15mg & 0.03mg Tab-21 Pk	ACV	N/A	N/A	YES	NO	NO
02317206	DESOGESTREL & ETHINYL ESTRADIOL	Apri 28 0.15mg & 0.03mg Tab-28 Pk	BAR	11.4200	7.7700	YES	NO	NO
02396610	DESOGESTREL & ETHINYL ESTRADIOL	Freya 28 0.15mg & 0.03mg Tab-28 Pk	FAM	7.7700	7.7700	YES	NO	NO
02042479	DESOGESTREL & ETHINYL ESTRADIOL	Marvelon 28 0.15mg & 0.03mg Tab-28 Pk	ORG	21.1050	7.7700	YES	NO	NO
02410257	DESOGESTREL & ETHINYL ESTRADIOL	Mirvala 28 0.15mg & 0.03mg Tab-28 Pk	APX	7.7700	7.7700	YES	NO	NO
02417464	DESOGESTREL & ETHINYL ESTRADIOL	Reclipsen 28 (Not a Benefit) 0.15mg & 0.03mg Tab-28 Pk	ACV	N/A	N/A	YES	NO	NO
02272903	DESOGESTREL & ETHINYL ESTRADIOL	Linessa 21 3 Phase Tabs-21 Pk	ASN	19.7888	19.7888	NO	NO	NO
02257238	DESOGESTREL & ETHINYL ESTRADIOL	Linessa 28 3 Phase Tabs-28 Pk	ASN	19.7941	19.7941	NO	NO	NO
02229315	DESONIDE	PDP-Desonide 0.05% Cr	PEN	0.2857	0.2857	YES	NO	NO
02154862	DESONIDE	Tridesilon (Not a Benefit) 0.05% Cr	CPL	N/A	N/A	YES	NO	NO
02229323	DESONIDE	PDP-Desonide 0.05% Oint	PEN	0.2853	0.2853	YES	NO	NO
02154870	DESONIDE	Tridesilon (Not a Benefit) 0.05% Oint	CPL	N/A	N/A	YES	NO	NO
02466988	DESVENLAFAXINE	Apo-Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	APX	2.3409	N/A	YES	NO	NO
02466996	DESVENLAFAXINE	Apo-Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	APX	2.3409	N/A	YES	NO	NO
02554976	DESVENLAFAXINE	Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	SIV	2.3409	N/A	YES	NO	NO
02535114	DESVENLAFAXINE	Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	SAI	2.3409	N/A	YES	NO	NO
02554968	DESVENLAFAXINE	Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	SIV	2.3409	N/A	YES	NO	NO
02467127	DESVENLAFAXINE	Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	APX	2.3409	N/A	YES	NO	NO
02535106	DESVENLAFAXINE	Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	SAI	2.3409	N/A	YES	NO	NO
02467119	DESVENLAFAXINE	Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	APX	2.3409	N/A	YES	NO	NO
02495139	DESVENLAFAXINE	Jamp Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	JPC	2.3409	N/A	YES	NO	NO
02495147	DESVENLAFAXINE	Jamp Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	JPC	2.3409	N/A	YES	NO	NO
02321092	DESVENLAFAXINE	Pristiq (Off-Formulary Interchangeable) 50mg ER Tab	PFI	N/A	N/A	YES	NO	NO
02321106	DESVENLAFAXINE	Pristiq (Off-Formulary Interchangeable) 100mg ER Tab	PFI	N/A	N/A	YES	NO	NO
02538423	DESVENLAFAXINE	Sandoz Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	SDZ	2.3409	N/A	YES	NO	NO
02538415	DESVENLAFAXINE	Sandoz Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	SDZ	2.3409	N/A	YES	NO	NO
02532166	DESVENLAFAXINE	Taro-Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	TAR	2.3409	N/A	YES	NO	NO
02532158	DESVENLAFAXINE	Taro-Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	TAR	2.3409	N/A	YES	NO	NO
02458225	DESVENLAFAXINE	Teva-Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	TEV	2.3409	N/A	YES	NO	NO
02458217	DESVENLAFAXINE	Teva-Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	TEV	2.3409	N/A	YES	NO	NO
00042579	DEXAMETHASONE	Maxidex 0.1% Oph Oint-3.5g Pk	NOV	9.7200	9.7200	NO	NO	YES
00042560	DEXAMETHASONE	Maxidex 0.1% Oph Susp	NOV	1.7900	1.7900	NO	NO	YES
02261081	DEXAMETHASONE	Apo-Dexamethasone 0.5mg Tab	APX	0.1564	0.1564	YES	NO	NO
02250055	DEXAMETHASONE	Apo-Dexamethasone 4mg Tab	APX	0.6112	0.6112	YES	NO	NO
00016462	DEXAMETHASONE	Decadron (Not a Benefit) 0.5mg Tab	MSD	N/A	N/A	YES	NO	NO
00354309	DEXAMETHASONE	Decadron (Not a Benefit) 4mg Tab	MSD	N/A	N/A	YES	NO	NO
01964976	DEXAMETHASONE	PMS-Dexamethasone 0.5mg Tab	PMS	0.1564	0.1564	YES	NO	NO
01964070	DEXAMETHASONE	PMS-Dexamethasone 4mg Tab	PMS	0.6112	0.6112	YES	NO	NO
00213624	DEXAMETHASONE 21-PHOSPHATE	Decadron (Not a Benefit) 4mg/mL Inj Sol	MSD	N/A	N/A	YES	NO	NO
01977547	DEXAMETHASONE 21-PHOSPHATE	Dexamethasone Sodium 4mg/mL Inj Sol	STE	1.6900	1.6900	YES	NO	NO
00664227	DEXAMETHASONE 21-PHOSPHATE	Dexamethasone Sodium 4mg/mL Inj Sol	SDZ	1.6900	1.6900	YES	NO	NO
02528991	DEXLANSOPRAZOLE	Apo-Dexlansoprazole (Off-Formulary Interchangeable) 30mg DR Cap	APX	2.0526	N/A	YES	NO	NO
02529025	DEXLANSOPRAZOLE	Apo-Dexlansoprazole (Off-Formulary Interchangeable) 60mg DR Cap	APX	2.0526	N/A	YES	NO	NO
02354969	DEXLANSOPRAZOLE	Dexilant (Off-Formulary Interchangeable) 60mg DR Cap	TAK	N/A	N/A	YES	NO	NO
02354950	DEXLANSOPRAZOLE	Dexilant (Off-Formulary Interchangeable) 30mg DR Cap	TAK	N/A	N/A	YES	NO	NO
02536390	DEXLANSOPRAZOLE	Dexlansoprazole (Off-Formulary Interchangeable) 30mg DR Cap	ALH	2.0526	N/A	YES	NO	NO
02536404	DEXLANSOPRAZOLE	Dexlansoprazole (Off-Formulary Interchangeable) 60mg DR Cap	ALH	2.0526	N/A	YES	NO	NO
00743445	DEXTRAN 70 & HYDROXYPROPYL METHYLCELLULOSE & POLYQUAD	Tears Naturale II 0.1%/0.3%/0.001% Oph-Sol	ALC	0.4387	0.4387	NO	YES	NO
02448327	DEXTROAMPHETAMINE SULFATE	Act Dextroamphetamine SR 15mg SR Cap	ACV	0.9898	0.9898	YES	NO	YES
02448319	DEXTROAMPHETAMINE SULFATE	Act Dextroamphetamine SR 10mg SR Cap	ACV	0.8096	0.8096	YES	NO	YES
01924567	DEXTROAMPHETAMINE SULFATE	Dexedrine Spansules 15mg SR Cap	PPI	1.4924	0.9898	YES	NO	YES
01924559	DEXTROAMPHETAMINE SULFATE	Dexedrine Spansules 10mg SR Cap	PPI	1.2207	0.8096	YES	NO	YES
01924516	DEXTROAMPHETAMINE SULFATE	Dexedrine 5mg Tab	PPI	0.8267	0.5081	YES	NO	YES
02443236	DEXTROAMPHETAMINE SULFATE	Dextroamphetamine 5mg Tab	AAP	0.5081	0.5081	YES	NO	YES
00391069	DEXTROMETHORPHAN HBR	DM-Syrup (Not a Benefit) 3mg/mL O/L	PDA	N/A	N/A	YES	NO	NO
01928783	DEXTROMETHORPHAN HBR	Koffex DM 3mg/mL O/L	ROG	0.0190	0.0190	YES	NO	NO
00399728	DIAZEPAM	Diazepam Injection USP 5mg/mL Inj Sol (Preservative Free)	SDZ	1.6415	1.6415	NO	YES	NO
02238162	DIAZEPAM	Diastat 5mg/mL Rect Gel-2x 5mg Pk	VAL	214.0310	214.0310	NO	NO	NO
09853340	DIAZEPAM	Diastat 5mg/mL Rect Gel-2x10mg Pk	VAL	214.0310	214.0310	NO	NO	NO
09853430	DIAZEPAM	Diastat 5mg/mL Rect Gel-2x15mg Pk	VAL	214.0310	214.0310	NO	NO	NO
00405337	DIAZEPAM	Diazepam 10mg Tab	AAP	0.1204	0.1204	YES	NO	NO
00362158	DIAZEPAM	Diazepam 5mg Tab	AAP	0.1662	0.1662	YES	NO	NO
00405329	DIAZEPAM	Diazepam 2mg Tab	AAP	0.0532	0.0532	YES	NO	NO
00013277	DIAZEPAM	Valium (Not a Benefit) 2mg Tab	HLR	N/A	N/A	YES	NO	NO
00013293	DIAZEPAM	Valium (Not a Benefit) 10mg Tab	HLR	N/A	N/A	YES	NO	NO
00013285	DIAZEPAM	Valium (Not a Benefit) 5mg Tab	HLR	N/A	N/A	YES	NO	NO
02243433	DICLOFENAC POTASSIUM	Apo-Diclo Rapide (Off-Formulary Interchangeable) 50mg Tab	APX	0.3937	N/A	YES	NO	YES
02239753	DICLOFENAC POTASSIUM	PMS-Diclofenac K (Off-Formulary Interchangeable) 50mg Tab	PMS	0.3937	N/A	YES	NO	YES
02261774	DICLOFENAC POTASSIUM	Sandoz Diclofenac Rapide (Off-Formulary Interchangeable) 50mg Tab	SDZ	0.4165	N/A	YES	NO	YES
02239355	DICLOFENAC POTASSIUM	Teva-Diclofenac-K (Off-Formulary Interchangeable) 50mg Tab	TEV	0.3937	N/A	YES	NO	YES
00881635	DICLOFENAC POTASSIUM	Voltaren Rapide (Off-Formulary Interchangeable) 50mg Tab	NOV	N/A	N/A	YES	NO	YES
00839183	DICLOFENAC SODIUM	Apo-Diclo 50mg Ent Tab	APX	0.2064	0.2064	YES	NO	YES
00839175	DICLOFENAC SODIUM	Apo-Diclo 25mg Ent Tab	APX	0.0781	0.0781	YES	NO	YES
02302624	DICLOFENAC SODIUM	PMS-Diclofenac 50mg Ent Tab	PMS	0.2064	0.2064	YES	NO	YES
02302616	DICLOFENAC SODIUM	PMS-Diclofenac 25mg Ent Tab	PMS	0.0781	0.0781	YES	NO	YES
02261960	DICLOFENAC SODIUM	Sandoz Diclofenac 50mg Ent Tab	SDZ	0.2064	0.2064	YES	NO	YES
00808539	DICLOFENAC SODIUM	Teva-Diclofenac 25mg Ent Tab	TEV	0.0781	0.0781	YES	NO	YES
00808547	DICLOFENAC SODIUM	Teva-Diclofenac 50mg Ent Tab	TEV	0.2064	0.2064	YES	NO	YES
00514004	DICLOFENAC SODIUM	Voltaren (Not a Benefit) 25mg Ent Tab	GEI	N/A	N/A	YES	NO	YES
00514012	DICLOFENAC SODIUM	Voltaren 50mg Ent Tab	NOV	1.1384	0.2064	YES	NO	YES
02091194	DICLOFENAC SODIUM	Apo-Diclo SR 100mg LA Tab	APX	1.1053	1.1053	YES	NO	YES
02162814	DICLOFENAC SODIUM	Apo-Diclo SR 75mg LA Tab	APX	0.4529	0.4529	YES	NO	YES
02158582	DICLOFENAC SODIUM	Teva-Diclofenac SR 75mg LA Tab	TEV	0.4529	0.4529	YES	NO	YES
00590827	DICLOFENAC SODIUM	Voltaren SR (Not a Benefit) 100mg LA Tab	NOV	N/A	N/A	YES	NO	YES
00782459	DICLOFENAC SODIUM	Voltaren SR (Not a Benefit) 75mg LA Tab	NOV	N/A	N/A	YES	NO	YES
02441020	DICLOFENAC SODIUM	Apo-Diclofenac Ophthalmic 0.1% Oph Sol	APX	1.2397	1.2397	YES	NO	YES
02475065	DICLOFENAC SODIUM	Diclofenac 0.1% Oph Sol	PHS	1.2397	1.2397	YES	NO	YES
02534525	DICLOFENAC SODIUM	Jamp Diclofenac 0.1% Oph Sol	JPC	1.2397	1.2397	YES	NO	YES
02475197	DICLOFENAC SODIUM	Mint-Diclofenac 0.1% Oph Sol	MIN	1.2397	1.2397	YES	NO	YES
02454807	DICLOFENAC SODIUM	Sandoz Diclofenac Ophtha 0.1% Oph Sol	SDZ	1.2397	1.2397	YES	NO	YES
01940414	DICLOFENAC SODIUM	Voltaren Ophtha 0.1% Oph Sol	NOV	4.3500	1.2397	YES	NO	YES
02231508	DICLOFENAC SODIUM	PMS-Diclofenac 100mg Sup	PMS	0.5840	0.5840	YES	NO	YES
02261928	DICLOFENAC SODIUM	Sandoz Diclofenac 50mg Sup	SDZ	1.2818	1.2818	YES	NO	YES
02261936	DICLOFENAC SODIUM	Sandoz Diclofenac 100mg Sup	SDZ	0.5840	0.5840	YES	NO	YES
00632732	DICLOFENAC SODIUM	Voltaren (Not a Benefit) 100mg Sup	NOV	N/A	N/A	YES	NO	YES
00632724	DICLOFENAC SODIUM	Voltaren 50mg Sup	NOV	2.0130	1.2818	YES	NO	YES
02476134	DICLOFENAC SODIUM	Diclofenac Sodium Solution (Off-Formulary Interchangeable) 1.5% W/W Top Sol	TEL	0.6226	N/A	YES	NO	NO
02434571	DICLOFENAC SODIUM	Diclofenac Topical Solution (Off-Formulary Interchangeable) 1.5% W/W Top Sol	STE	0.6226	N/A	YES	NO	NO
02472309	DICLOFENAC SODIUM	Jamp-Diclofenac (Off-Formulary Interchangeable) 1.5% W/W Top Sol	JPC	0.6226	N/A	YES	NO	NO
02356783	DICLOFENAC SODIUM	PMS-Diclofenac (Off-Formulary Interchangeable) 1.5% W/W Top Sol	PMS	0.6227	N/A	YES	NO	NO
02247265	DICLOFENAC SODIUM	Pennsaid (Off-Formulary Interchangeable) 1.5% W/W Top Sol	PAL	N/A	N/A	YES	NO	NO
02420988	DICLOFENAC SODIUM	Taro-Diclofenac (Off-Formulary Interchangeable) 1.5% W/W Top Sol	TAR	0.6226	N/A	YES	NO	NO
01917056	DICLOFENAC SODIUM & MISOPROSTOL	Arthrotec 50 50mg & 200mcg Tab	PFI	0.7643	0.3149	YES	NO	YES
02229837	DICLOFENAC SODIUM & MISOPROSTOL	Arthrotec 75 75mg & 200mcg Tab	PFI	1.0402	0.4286	YES	NO	YES
02341689	DICLOFENAC SODIUM & MISOPROSTOL	Gd-Diclofenac/Misoprostol 50 50mg & 200mcg Tab	GEM	0.3149	0.3149	YES	NO	YES
02341697	DICLOFENAC SODIUM & MISOPROSTOL	Gd-Diclofenac/Misoprostol 75 75mg & 200mcg Tab	GEM	0.4286	0.4286	YES	NO	YES
02413469	DICLOFENAC SODIUM & MISOPROSTOL	PMS-Diclofenac-Misoprostol 50mg & 200mcg Tab	PMS	0.3149	0.3149	YES	NO	YES
02413477	DICLOFENAC SODIUM & MISOPROSTOL	PMS-Diclofenac-Misoprostol 75mg & 200mcg Tab	PMS	0.4286	0.4286	YES	NO	YES
02244597	DIDANOSINE	Videx EC 200mg Enteric Coated Cap	BQU	6.8716	6.8716	NO	NO	NO
02244598	DIDANOSINE	Videx EC 250mg Enteric Coated Cap	BQU	8.5150	8.5150	NO	NO	NO
02244599	DIDANOSINE	Videx EC 400mg Enteric Coated Cap	BQU	13.7717	13.7717	NO	NO	NO
02244596	DIDANOSINE	Videx EC 125mg Enteric Coated Cap	BQU	4.2950	4.2950	NO	NO	NO
02493055	DIENOGEST	Aspen-Dienogest 2mg Tab	ASI	0.5115	0.5115	YES	YES	NO
02498189	DIENOGEST	Jamp Dienogest 2mg Tab	JPC	0.5115	0.5115	YES	YES	NO
02543613	DIENOGEST	M-Dienogest 2mg Tab	MAT	0.5115	0.5115	YES	YES	NO
02374900	DIENOGEST	Visanne 2mg Tab	BAH	2.1876	0.5115	YES	YES	NO
02242320	DIGOXIN	PMS-Digoxin 0.05mg/mL O/L	PMS	0.3692	0.3692	NO	NO	YES
02498502	DIGOXIN	Jamp Digoxin 0.0625mg Tab	JPC	0.1850	0.1850	YES	NO	YES
02498510	DIGOXIN	Jamp Digoxin 0.125mg Tab	JPC	0.1751	0.1751	YES	NO	YES
02335700	DIGOXIN	PMS-Digoxin 0.0625mg Tab	PMS	0.1850	0.1850	YES	NO	YES
02335727	DIGOXIN	PMS-Digoxin 0.25mg Tab	PMS	0.2060	0.2060	NO	NO	YES
02335719	DIGOXIN	PMS-Digoxin 0.125mg Tab	PMS	0.1751	0.1751	YES	NO	YES
02429357	DILTIAZEM HCL	Teva-Diltiazem XC 360mg ER Tab	TEV	1.2211	1.2211	YES	NO	NO
02429349	DILTIAZEM HCL	Teva-Diltiazem XC 300mg ER Tab	TEV	1.2175	1.2175	YES	NO	NO
02429322	DILTIAZEM HCL	Teva-Diltiazem XC 180mg ER Tab	TEV	0.9195	0.9195	YES	NO	NO
02429330	DILTIAZEM HCL	Teva-Diltiazem XC 240mg ER Tab	TEV	1.2212	1.2212	YES	NO	NO
02256762	DILTIAZEM HCL	Tiazac XC 300mg ER Tab	BIO	1.8825	1.2175	YES	NO	NO
02256754	DILTIAZEM HCL	Tiazac XC 240mg ER Tab	BIO	1.8882	1.2212	YES	NO	NO
02256746	DILTIAZEM HCL	Tiazac XC 180mg ER Tab	BIO	1.4218	0.9195	YES	NO	NO
02256738	DILTIAZEM HCL	Tiazac XC 120mg ER Tab	BIO	1.0697	1.0697	NO	NO	NO
02256770	DILTIAZEM HCL	Tiazac XC 360mg ER Tab	BIO	1.8880	1.2211	YES	NO	NO
02230997	DILTIAZEM HCL	Apo-Diltiaz CD 120mg LA Cap	APX	0.3634	0.3634	YES	NO	NO
02230998	DILTIAZEM HCL	Apo-Diltiaz CD 180mg LA Cap	APX	0.4824	0.4824	YES	NO	NO
02230999	DILTIAZEM HCL	Apo-Diltiaz CD 240mg LA Cap	APX	0.6399	0.6399	YES	NO	NO
02229526	DILTIAZEM HCL	Apo-Diltiaz CD 300mg LA Cap	APX	0.7999	0.7999	YES	NO	NO
02097257	DILTIAZEM HCL	Cardizem CD 180mg LA Cap	VAL	2.1565	0.4824	YES	NO	NO
02097265	DILTIAZEM HCL	Cardizem CD 240mg LA Cap	VAL	2.8604	0.6399	YES	NO	NO
02097273	DILTIAZEM HCL	Cardizem CD 300mg LA Cap	VAL	3.5755	0.7999	YES	NO	NO
02097249	DILTIAZEM HCL	Cardizem CD 120mg LA Cap	VAL	1.6244	0.3634	YES	NO	NO
02370654	DILTIAZEM HCL	Co Diltiazem CD 300mg LA Cap	COB	0.7999	0.7999	YES	NO	NO
02370611	DILTIAZEM HCL	Co Diltiazem CD 120mg LA Cap	COB	0.3634	0.3634	YES	NO	NO
02370638	DILTIAZEM HCL	Co Diltiazem CD 180mg LA Cap	COB	0.4824	0.4824	YES	NO	NO
02370646	DILTIAZEM HCL	Co Diltiazem CD 240mg LA Cap	COB	0.6399	0.6399	YES	NO	NO
02400456	DILTIAZEM HCL	Diltiazem CD 240mg LA Cap	SAI	0.6399	0.6399	YES	NO	NO
02445999	DILTIAZEM HCL	Diltiazem CD 120mg LA Cap	SIV	0.3634	0.3634	YES	NO	NO
02446014	DILTIAZEM HCL	Diltiazem CD 240mg LA Cap	SIV	0.6399	0.6399	YES	NO	NO
02446022	DILTIAZEM HCL	Diltiazem CD 300mg LA Cap	SIV	0.7999	0.7999	YES	NO	NO
02400448	DILTIAZEM HCL	Diltiazem CD 180mg LA Cap	SAI	0.4824	0.4824	YES	NO	NO
02400464	DILTIAZEM HCL	Diltiazem CD 300mg LA Cap	SAI	0.7999	0.7999	YES	NO	NO
02446006	DILTIAZEM HCL	Diltiazem CD 180mg LA Cap	SIV	0.4824	0.4824	YES	NO	NO
02400421	DILTIAZEM HCL	Diltiazem CD 120mg LA Cap	SAI	0.3634	0.3634	YES	NO	NO
02528045	DILTIAZEM HCL	Jamp Diltiazem CD 180mg LA Cap	JPC	0.4824	0.4824	YES	NO	NO
02528061	DILTIAZEM HCL	Jamp Diltiazem CD 300mg LA Cap	JPC	0.7999	0.7999	YES	NO	NO
02528037	DILTIAZEM HCL	Jamp Diltiazem CD 120mg LA Cap	JPC	0.3634	0.3634	YES	NO	NO
02528053	DILTIAZEM HCL	Jamp Diltiazem CD 240mg LA Cap	JPC	0.6399	0.6399	YES	NO	NO
02546116	DILTIAZEM HCL	M-Diltiazem CD 300mg LA Cap	MAT	0.7999	0.7999	YES	NO	NO
02546108	DILTIAZEM HCL	M-Diltiazem CD 240mg LA Cap	MAT	0.6399	0.6399	YES	NO	NO
02546086	DILTIAZEM HCL	M-Diltiazem CD 120mg LA Cap	MAT	0.3634	0.3634	YES	NO	NO
02546094	DILTIAZEM HCL	M-Diltiazem CD 180mg LA Cap	MAT	0.4824	0.4824	YES	NO	NO
02484064	DILTIAZEM HCL	Mar-Diltiazem CD 120mg LA Cap	MAR	0.3634	0.3634	YES	NO	NO
02484099	DILTIAZEM HCL	Mar-Diltiazem CD 300mg LA Cap	MAR	0.7999	0.7999	YES	NO	NO
02484080	DILTIAZEM HCL	Mar-Diltiazem CD 240mg LA Cap	MAR	0.6399	0.6399	YES	NO	NO
02484072	DILTIAZEM HCL	Mar-Diltiazem CD 180mg LA Cap	MAR	0.4824	0.4824	YES	NO	NO
02355779	DILTIAZEM HCL	PMS-Diltiazem CD 240mg LA Cap	PMS	0.6399	0.6399	YES	NO	NO
02355787	DILTIAZEM HCL	PMS-Diltiazem CD 300mg LA Cap	PMS	0.7999	0.7999	YES	NO	NO
02355752	DILTIAZEM HCL	PMS-Diltiazem CD 120mg LA Cap	PMS	0.3634	0.3634	YES	NO	NO
02355760	DILTIAZEM HCL	PMS-Diltiazem CD 180mg LA Cap	PMS	0.4824	0.4824	YES	NO	NO
02243340	DILTIAZEM HCL	Sandoz Diltiazem CD 240mg LA Cap	SDZ	0.6399	0.6399	YES	NO	NO
02243341	DILTIAZEM HCL	Sandoz Diltiazem CD 300mg LA Cap	SDZ	0.7999	0.7999	YES	NO	NO
02243338	DILTIAZEM HCL	Sandoz Diltiazem CD 120mg LA Cap	SDZ	0.3634	0.3634	YES	NO	NO
02243339	DILTIAZEM HCL	Sandoz Diltiazem CD 180mg LA Cap	SDZ	0.4824	0.4824	YES	NO	NO
02242541	DILTIAZEM HCL	Teva-Diltazem CD 300mg LA Cap	TEV	0.7999	0.7999	YES	NO	NO
02242538	DILTIAZEM HCL	Teva-Diltazem CD 120mg LA Cap	TEV	0.3634	0.3634	YES	NO	NO
02242540	DILTIAZEM HCL	Teva-Diltazem CD 240mg LA Cap	TEV	0.6399	0.6399	YES	NO	NO
02242539	DILTIAZEM HCL	Teva-Diltazem CD 180mg LA Cap	TEV	0.4824	0.4824	YES	NO	NO
02516152	DILTIAZEM HCL	Diltiazem T 360mg SR Cap	SAI	0.5778	0.5778	YES	NO	NO
02516144	DILTIAZEM HCL	Diltiazem T 300mg SR Cap	SAI	0.4720	0.4720	YES	NO	NO
02516136	DILTIAZEM HCL	Diltiazem T 240mg SR Cap	SAI	0.3832	0.3832	YES	NO	NO
02516128	DILTIAZEM HCL	Diltiazem T 180mg SR Cap	SAI	0.2889	0.2889	YES	NO	NO
02516101	DILTIAZEM HCL	Diltiazem T 120mg SR Cap	SAI	0.2133	0.2133	YES	NO	NO
02495414	DILTIAZEM HCL	Jamp Diltiazem T 360mg SR Cap	JPC	0.5778	0.5778	YES	NO	NO
02495376	DILTIAZEM HCL	Jamp Diltiazem T 120mg SR Cap	JPC	0.2133	0.2133	YES	NO	NO
02495384	DILTIAZEM HCL	Jamp Diltiazem T 180mg SR Cap	JPC	0.2889	0.2889	YES	NO	NO
02495392	DILTIAZEM HCL	Jamp Diltiazem T 240mg SR Cap	JPC	0.3832	0.3832	YES	NO	NO
02495406	DILTIAZEM HCL	Jamp Diltiazem T 300mg SR Cap	JPC	0.4720	0.4720	YES	NO	NO
02546434	DILTIAZEM HCL	M-Diltiazem T 120mg SR Cap	MAT	0.2133	0.2133	YES	NO	NO
02546477	DILTIAZEM HCL	M-Diltiazem T 360mg SR Cap	MAT	0.5778	0.5778	YES	NO	NO
02546450	DILTIAZEM HCL	M-Diltiazem T 240mg SR Cap	MAT	0.3832	0.3832	YES	NO	NO
02546469	DILTIAZEM HCL	M-Diltiazem T 300mg SR Cap	MAT	0.4720	0.4720	YES	NO	NO
02546442	DILTIAZEM HCL	M-Diltiazem T 180mg SR Cap	MAT	0.2889	0.2889	YES	NO	NO
02465388	DILTIAZEM HCL	Mar-Diltiazem T 240mg SR Cap	MAR	0.3832	0.3832	YES	NO	NO
02465396	DILTIAZEM HCL	Mar-Diltiazem T 300mg SR Cap	MAR	0.4720	0.4720	YES	NO	NO
02465418	DILTIAZEM HCL	Mar-Diltiazem T 360mg SR Cap	MAR	0.5778	0.5778	YES	NO	NO
02465353	DILTIAZEM HCL	Mar-Diltiazem T 120mg SR Cap	MAR	0.2133	0.2133	YES	NO	NO
02465361	DILTIAZEM HCL	Mar-Diltiazem T 180mg SR Cap	MAR	0.2889	0.2889	YES	NO	NO
02245920	DILTIAZEM HCL	Sandoz Diltiazem T 240mg SR Cap	SDZ	0.3832	0.3832	YES	NO	NO
02245921	DILTIAZEM HCL	Sandoz Diltiazem T 300mg SR Cap	SDZ	0.4720	0.4720	YES	NO	NO
02245919	DILTIAZEM HCL	Sandoz Diltiazem T 180mg SR Cap	SDZ	0.2889	0.2889	YES	NO	NO
02245918	DILTIAZEM HCL	Sandoz Diltiazem T 120mg SR Cap	SDZ	0.2133	0.2133	YES	NO	NO
02245922	DILTIAZEM HCL	Sandoz Diltiazem T 360mg SR Cap	SDZ	0.5778	0.5778	YES	NO	NO
02271648	DILTIAZEM HCL	Teva-Diltiazem HCL ER 300mg SR Cap	TEV	0.4720	0.4720	YES	NO	NO
02271621	DILTIAZEM HCL	Teva-Diltiazem HCL ER 240mg SR Cap	TEV	0.3832	0.3832	YES	NO	NO
02271613	DILTIAZEM HCL	Teva-Diltiazem HCL ER 180mg SR Cap	TEV	0.2889	0.2889	YES	NO	NO
02271605	DILTIAZEM HCL	Teva-Diltiazem HCL ER 120mg SR Cap	TEV	0.2133	0.2133	YES	NO	NO
02271656	DILTIAZEM HCL	Teva-Diltiazem HCL ER 360mg SR Cap	TEV	0.5778	0.5778	YES	NO	NO
02370514	DILTIAZEM HCL	Teva-Diltiazem T 300mg SR Cap	TEV	0.4720	0.4720	YES	NO	NO
02370522	DILTIAZEM HCL	Teva-Diltiazem T 360mg SR Cap	TEV	0.5778	0.5778	YES	NO	NO
02370441	DILTIAZEM HCL	Teva-Diltiazem T 120mg SR Cap	TEV	0.2133	0.2133	YES	NO	NO
02370492	DILTIAZEM HCL	Teva-Diltiazem T 180mg SR Cap	TEV	0.2889	0.2889	YES	NO	NO
02370506	DILTIAZEM HCL	Teva-Diltiazem T 240mg SR Cap	TEV	0.3832	0.3832	YES	NO	NO
02231152	DILTIAZEM HCL	Tiazac 240mg SR Cap	VAL	2.1304	0.3832	YES	NO	NO
02231150	DILTIAZEM HCL	Tiazac 120mg SR Cap	VAL	1.2023	0.2133	YES	NO	NO
02231155	DILTIAZEM HCL	Tiazac 360mg SR Cap	VAL	3.2124	0.5778	YES	NO	NO
02231154	DILTIAZEM HCL	Tiazac 300mg SR Cap	VAL	2.6682	0.4720	YES	NO	NO
02231151	DILTIAZEM HCL	Tiazac 180mg SR Cap	VAL	1.6062	0.2889	YES	NO	NO
00771376	DILTIAZEM HCL	AA-Diltiaz 30mg Tab	AAP	0.2168	0.2168	YES	NO	NO
00771384	DILTIAZEM HCL	AA-Diltiaz 60mg Tab	AAP	0.3273	0.3273	YES	NO	NO
02097370	DILTIAZEM HCL	Cardizem (Not a Benefit) 30mg Tab	BIO	N/A	N/A	YES	NO	NO
02097389	DILTIAZEM HCL	Cardizem (Not a Benefit) 60mg Tab	BIO	N/A	N/A	YES	NO	NO
00862932	DILTIAZEM HCL	Teva-Diltiazem 60mg Tab	TEV	0.3273	0.3273	YES	NO	NO
00392537	DIMENHYDRINATE	Dimenhydrinate Inj 50mg USP 50mg/mL Inj Sol (with Preservative)	SDZ	1.3800	1.3800	NO	YES	NO
02373785	DIMETHICONE.	NYDA 50% w/w Top Sol-50mL Pk	GPB	22.4200	22.4200	NO	NO	NO
02495368	DIMETHYL FUMARATE	Ach-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap	ACH	18.3867	18.3867	YES	NO	NO
02495341	DIMETHYL FUMARATE	Ach-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap	ACH	9.1933	9.1933	YES	NO	NO
02505770	DIMETHYL FUMARATE	Apo-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap	APX	18.3867	18.3867	YES	NO	NO
02505762	DIMETHYL FUMARATE	Apo-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap	APX	9.1933	9.1933	YES	NO	NO
02540746	DIMETHYL FUMARATE	Auro-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap	AUR	4.4266	4.4266	YES	NO	NO
02540754	DIMETHYL FUMARATE	Auro-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap	AUR	8.6888	8.6888	YES	NO	NO
02494817	DIMETHYL FUMARATE	GLN-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap	GLP	18.3867	18.3867	YES	NO	NO
02494809	DIMETHYL FUMARATE	GLN-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap	GLP	9.1933	9.1933	YES	NO	NO
02516047	DIMETHYL FUMARATE	Jamp Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap	JPC	9.1933	9.1933	YES	NO	NO
02516055	DIMETHYL FUMARATE	Jamp Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap	JPC	18.3867	18.3867	YES	NO	NO
02502704	DIMETHYL FUMARATE	Mar-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap	MAR	18.3867	18.3867	YES	NO	NO
02502690	DIMETHYL FUMARATE	Mar-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap	MAR	9.1933	9.1933	YES	NO	NO
02497026	DIMETHYL FUMARATE	PMS-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap	PMS	9.1933	9.1933	YES	NO	NO
02497034	DIMETHYL FUMARATE	PMS-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap	PMS	18.3867	18.3867	YES	NO	NO
02513803	DIMETHYL FUMARATE	Sandoz Dimethyl Fumarate DR Capsules (Off-Formulary Interchangeable) 240mg DR Cap	SDZ	18.3867	18.3867	YES	NO	NO
02513781	DIMETHYL FUMARATE	Sandoz Dimethyl Fumarate DR Capsules (Off-Formulary Interchangeable) 120mg DR Cap	SDZ	9.1933	9.1933	YES	NO	NO
02420201	DIMETHYL FUMARATE	Tecfidera (Off-Formulary Interchangeable) 240mg DR Cap	BIG	36.7734	18.3867	YES	NO	NO
02404508	DIMETHYL FUMARATE	Tecfidera (Off-Formulary Interchangeable) 120mg DR Cap	BIG	18.3866	9.1933	YES	NO	NO
00036323	DIPHENOXYLATE HYDROCHLORIDE & ATROPINE SULFATE	Lomotil 2.5mg & 0.025mg Tab	PFI	0.5729	0.5729	NO	YES	NO
00895660	DIPYRIDAMOLE	Apo-Dipyridamole (Off-Formulary Interchangeable) 75mg Tab	APX	0.4963	N/A	YES	NO	NO
00895644	DIPYRIDAMOLE	Apo-Dipyridamole (Off-Formulary Interchangeable) 25mg Tab	APX	0.2633	N/A	YES	NO	NO
00895652	DIPYRIDAMOLE	Apo-Dipyridamole (Off-Formulary Interchangeable) 50mg Tab	APX	0.3685	0.3685	YES	NO	NO
00067393	DIPYRIDAMOLE	Persantine (Off-Formulary Interchangeable) 50mg Tab	BOE	N/A	N/A	YES	NO	NO
00067385	DIPYRIDAMOLE	Persantine (Off-Formulary Interchangeable) 25mg Tab	BOE	N/A	N/A	YES	NO	NO
00452092	DIPYRIDAMOLE	Persantine (Off-Formulary Interchangeable) 75mg Tab	BOE	N/A	N/A	YES	NO	NO
02242119	DIPYRIDAMOLE & ACETYLSALICYLIC ACID	Aggrenox (Not a Benefit) 200mg/25mg Cap	BOE	N/A	N/A	YES	NO	NO
02471051	DIPYRIDAMOLE & ACETYLSALICYLIC ACID	Taro-Dipyridamole/ASA 200mg/25mg Cap	TAR	0.6656	0.6656	YES	YES	NO
09858365	DISOPYRAMIDE	Disopyramide Phosphate USP (Temporary Benefit) 100mg Cap	DRR	1.4000	1.4000	NO	NO	NO
02030799	DISOPYRAMIDE	Norpace (Not a Benefit) 100mg Cap	RBT	N/A	N/A	YES	NO	NO
02224801	DISOPYRAMIDE	Rythmodan 100mg Cap	CHE	0.3390	0.3390	YES	NO	NO
02239699	DIVALPROEX SODIUM	Apo-Divalproex 250mg Ent Tab	APX	0.2767	0.2767	YES	NO	NO
02239700	DIVALPROEX SODIUM	Apo-Divalproex 500mg Ent Tab	APX	0.5537	0.5537	YES	NO	NO
02239698	DIVALPROEX SODIUM	Apo-Divalproex 125mg Ent Tab	APX	0.1539	0.1539	YES	NO	NO
00596426	DIVALPROEX SODIUM	Epival 250mg Ent Tab	BGP	0.6735	0.2767	YES	NO	NO
00596434	DIVALPROEX SODIUM	Epival 500mg Ent Tab	BGP	1.3476	0.5537	YES	NO	NO
00596418	DIVALPROEX SODIUM	Epival 125mg Ent Tab	BGP	0.3746	0.1539	YES	NO	NO
02459019	DIVALPROEX SODIUM	Mylan-Divalproex 500mg Ent Tab	MYL	0.5537	0.5537	YES	NO	NO
02458934	DIVALPROEX SODIUM	Mylan-Divalproex 250mg Ent Tab	MYL	0.2767	0.2767	YES	NO	NO
02458926	DIVALPROEX SODIUM	Mylan-Divalproex 125mg Ent Tab	MYL	0.1539	0.1539	YES	NO	NO
02106256	DOCUSATE SODIUM (DIOCTYL SODIUM SULFOSUCCINATE)	Colace 100mg Cap	WEL	0.1310	0.0328	YES	NO	NO
00716731	DOCUSATE SODIUM (DIOCTYL SODIUM SULFOSUCCINATE)	Docusate Sodium 100mg Cap	TAR	0.0328	0.0328	YES	NO	NO
02245946	DOCUSATE SODIUM (DIOCTYL SODIUM SULFOSUCCINATE)	Jamp-Docusate Sodium 100mg Cap	JPC	0.0328	0.0328	YES	NO	NO
01994344	DOCUSATE SODIUM (DIOCTYL SODIUM SULFOSUCCINATE)	Soflax 100mg Cap	PMS	0.0328	0.0328	YES	NO	NO
02090163	DOCUSATE SODIUM (DIOCTYL SODIUM SULFOSUCCINATE)	Colace 10mg/mL O/L	WEL	0.1770	0.1770	NO	NO	NO
02086018	DOCUSATE SODIUM (DIOCTYL SODIUM SULFOSUCCINATE)	Colace 4mg/mL O/L	WEL	0.0232	0.0232	NO	NO	NO
02414945	DOLUTEGRAVIR	Tivicay 50mg Tab	VIH	23.5367	23.5367	NO	NO	NO
02430932	DOLUTEGRAVIR & ABACAVIR & LAMIVUDINE	Triumeq 50mg & 600mg & 300mg Tab	VIH	52.1447	52.1447	NO	NO	NO
02475774	DOLUTEGRAVIR & RILPIVIRINE	Juluca 50mg & 25mg Tab	VIH	40.9343	40.9343	NO	NO	NO
02491753	DOLUTEGRAVIR SODIUM/LAMIVUDINE	Dovato 50mg & 300mg Tab	VIH	35.7367	35.7367	NO	NO	NO
02103613	DOMPERIDONE MALEATE	Apo-Domperidone 10mg Tab	APX	0.0428	0.0428	YES	NO	NO
02350440	DOMPERIDONE MALEATE	Domperidone 10mg Tab	SAI	0.0428	0.0428	YES	NO	NO
02238341	DOMPERIDONE MALEATE	Domperidone 10mg Tab	SIV	0.0428	0.0428	YES	NO	NO
02369206	DOMPERIDONE MALEATE	Jamp-Domperidone 10mg Tab	JPC	0.0428	0.0428	YES	NO	NO
02403870	DOMPERIDONE MALEATE	Mar-Domperidone 10mg Tab	MAR	0.0428	0.0428	YES	NO	NO
00855820	DOMPERIDONE MALEATE	Motilium (Not a Benefit) 10mg Tab	JAN	N/A	N/A	YES	NO	NO
02236466	DOMPERIDONE MALEATE	PMS-Domperidone 10mg Tab	PMS	0.0428	0.0428	YES	NO	NO
02462834	DOMPERIDONE MALEATE	PRZ-Domperidone 10mg Tab	PRZ	0.0428	0.0428	YES	NO	NO
02268078	DOMPERIDONE MALEATE	Ran-Domperidone 10mg Tab	RAN	0.0428	0.0428	YES	NO	NO
01912070	DOMPERIDONE MALEATE	Teva-Domperidone 10mg Tab	TEV	0.0428	0.0428	YES	NO	NO
02269465	DONEPEZIL HCL	Aricept RDT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	PFI	N/A	N/A	YES	NO	NO
02269457	DONEPEZIL HCL	Aricept RDT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	PFI	N/A	N/A	YES	NO	NO
02397625	DONEPEZIL HCL	Co Donepezil ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	COB	3.6176	N/A	YES	NO	NO
02397617	DONEPEZIL HCL	Co Donepezil ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	COB	3.6176	N/A	YES	NO	NO
02367688	DONEPEZIL HCL	Sandoz Donepezil ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	SDZ	3.6176	N/A	YES	NO	NO
02367696	DONEPEZIL HCL	Sandoz Donepezil ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	SDZ	3.6176	N/A	YES	NO	NO
02432684	DONEPEZIL HCL	AG-Donepezil 5mg Tab	ANG	0.4586	0.4586	YES	YES	NO
02432692	DONEPEZIL HCL	AG-Donepezil 10mg Tab	ANG	0.4586	0.4586	YES	YES	NO
02402645	DONEPEZIL HCL	Ach-Donepezil 5mg Tab	ACH	0.4586	0.4586	YES	YES	NO
02402653	DONEPEZIL HCL	Ach-Donepezil 10mg Tab	ACH	0.4586	0.4586	YES	YES	NO
02362260	DONEPEZIL HCL	Apo-Donepezil 5mg Tab	APX	0.4586	0.4586	YES	YES	NO
02362279	DONEPEZIL HCL	Apo-Donepezil 10mg Tab	APX	0.4586	0.4586	YES	YES	NO
02232043	DONEPEZIL HCL	Aricept 5mg Tab	PFI	5.1856	0.4586	YES	YES	NO
02232044	DONEPEZIL HCL	Aricept 10mg Tab	PFI	5.1856	0.4586	YES	YES	NO
02400561	DONEPEZIL HCL	Auro-Donepezil 5mg Tab	AUR	0.4586	0.4586	YES	YES	NO
02400588	DONEPEZIL HCL	Auro-Donepezil 10mg Tab	AUR	0.4586	0.4586	YES	YES	NO
02412853	DONEPEZIL HCL	Bio-Donepezil 5mg Tab	BMP	0.4586	0.4586	YES	YES	NO
02412861	DONEPEZIL HCL	Bio-Donepezil 10mg Tab	BMP	0.4586	0.4586	YES	YES	NO
02397609	DONEPEZIL HCL	Co Donepezil 10mg Tab	COB	0.4586	0.4586	YES	YES	NO
02397595	DONEPEZIL HCL	Co Donepezil 5mg Tab	COB	0.4586	0.4586	YES	YES	NO
02475286	DONEPEZIL HCL	Donepezil 10mg Tab	RIA	0.4586	0.4586	YES	YES	NO
02426854	DONEPEZIL HCL	Donepezil 10mg Tab	SAI	0.4586	0.4586	YES	YES	NO
02420600	DONEPEZIL HCL	Donepezil 10mg Tab	SIV	0.4586	0.4586	YES	YES	NO
02475278	DONEPEZIL HCL	Donepezil 5mg Tab	RIA	0.4586	0.4586	YES	YES	NO
02420597	DONEPEZIL HCL	Donepezil 5mg Tab	SIV	0.4586	0.4586	YES	YES	NO
02426846	DONEPEZIL HCL	Donepezil 5mg Tab	SAI	0.4586	0.4586	YES	YES	NO
02404419	DONEPEZIL HCL	Jamp-Donepezil 5mg Tab	JPC	0.4586	0.4586	YES	YES	NO
02404427	DONEPEZIL HCL	Jamp-Donepezil 10mg Tab	JPC	0.4586	0.4586	YES	YES	NO
02416948	DONEPEZIL HCL	Jamp-Donepezil Tablets 5mg Tab	JPC	0.4586	0.4586	YES	YES	NO
02416956	DONEPEZIL HCL	Jamp-Donepezil Tablets 10mg Tab	JPC	0.4586	0.4586	YES	YES	NO
02467461	DONEPEZIL HCL	M-Donepezil 10mg Tab	MAT	0.4586	0.4586	YES	YES	NO
02467453	DONEPEZIL HCL	M-Donepezil 5mg Tab	MAT	0.4586	0.4586	YES	YES	NO
02402092	DONEPEZIL HCL	Mar-Donepezil 5mg Tab	MAR	0.4586	0.4586	YES	YES	NO
02402106	DONEPEZIL HCL	Mar-Donepezil 10mg Tab	MAR	0.4586	0.4586	YES	YES	NO
02408619	DONEPEZIL HCL	Mint-Donepezil 10mg Tab	MIN	0.4586	0.4586	YES	YES	NO
02408600	DONEPEZIL HCL	Mint-Donepezil 5mg Tab	MIN	0.4586	0.4586	YES	YES	NO
02535394	DONEPEZIL HCL	NRA-Donepezil 10mg Tab	NRA	0.4586	0.4586	YES	YES	NO
02535386	DONEPEZIL HCL	NRA-Donepezil 5mg Tab	NRA	0.4586	0.4586	YES	YES	NO
02439557	DONEPEZIL HCL	Nat-Donepezil 5mg Tab	NAT	0.4586	0.4586	YES	YES	NO
02439565	DONEPEZIL HCL	Nat-Donepezil 10mg Tab	NAT	0.4586	0.4586	YES	YES	NO
02322331	DONEPEZIL HCL	PMS-Donepezil 5mg Tab	PMS	0.4586	0.4586	YES	YES	NO
02322358	DONEPEZIL HCL	PMS-Donepezil 10mg Tab	PMS	0.4586	0.4586	YES	YES	NO
02381516	DONEPEZIL HCL	Ran-Donepezil 10mg Tab	RAN	0.4586	0.4586	YES	YES	NO
02381508	DONEPEZIL HCL	Ran-Donepezil 5mg Tab	RAN	0.4586	0.4586	YES	YES	NO
02328666	DONEPEZIL HCL	Sandoz Donepezil 5mg Tab	SDZ	0.4586	0.4586	YES	YES	NO
02328682	DONEPEZIL HCL	Sandoz Donepezil 10mg Tab	SDZ	0.4586	0.4586	YES	YES	NO
02428482	DONEPEZIL HCL	Septa-Donepezil 5mg Tab	SET	0.4586	0.4586	YES	YES	NO
02428490	DONEPEZIL HCL	Septa-Donepezil 10mg Tab	SET	0.4586	0.4586	YES	YES	NO
02340615	DONEPEZIL HCL	Teva-Donepezil 10mg Tab	TEV	0.4586	0.4586	YES	YES	NO
02340607	DONEPEZIL HCL	Teva-Donepezil 5mg Tab	TEV	0.4586	0.4586	YES	YES	NO
02481545	DORAVIRINE	Pifeltro 100mg Tab	MEK	16.6500	16.6500	NO	NO	NO
02482592	DORAVIRINE/LAMIVUDINE/TENOFOVIR DISOPROXIL FUMARATE	Delstrigo 100mg & 300mg & 300mg Tab	MEK	28.7900	28.7900	NO	NO	NO
02522373	DORZOLAMIDE HCL	Dorzolamide 2% Oph Sol	JPC	1.4757	1.4757	YES	YES	NO
02453347	DORZOLAMIDE HCL	Jamp-Dorzolamide 2% Oph Sol	JPC	1.4757	1.4757	YES	YES	NO
02457210	DORZOLAMIDE HCL	Med-Dorzolamide 2% Oph Sol	GMP	1.4757	1.4757	YES	YES	NO
02316307	DORZOLAMIDE HCL	Sandoz Dorzolamide 2% Oph Sol	SDZ	1.4757	1.4757	YES	YES	NO
02216205	DORZOLAMIDE HCL	Trusopt 2% Oph Sol	ELV	6.1267	1.4757	YES	YES	NO
02299615	DORZOLAMIDE HCL & TIMOLOL MALEATE	Apo-Dorzo-Timop 2% & 0.5% Oph Sol	APX	2.0951	2.0951	YES	YES	NO
02404389	DORZOLAMIDE HCL & TIMOLOL MALEATE	Co Dorzotimolol 2% & 0.5% Oph Sol	COB	2.0951	2.0951	YES	YES	NO
02240113	DORZOLAMIDE HCL & TIMOLOL MALEATE	Cosopt 2% & 0.5% Oph Sol	ELV	9.6613	2.0951	YES	YES	NO
02489635	DORZOLAMIDE HCL & TIMOLOL MALEATE	Dorzolamide and Timolol Eye Drops BP 2% & 0.5% Oph Sol	TCI	2.0951	2.0951	YES	YES	NO
02522020	DORZOLAMIDE HCL & TIMOLOL MALEATE	Dorzolamide-Timolol 2% & 0.5% Oph Sol	JPC	2.0951	2.0951	YES	YES	NO
02457539	DORZOLAMIDE HCL & TIMOLOL MALEATE	Jamp Dorzolamide-Timolol 2% & 0.5% Oph Sol	JPC	2.0951	2.0951	YES	YES	NO
02537796	DORZOLAMIDE HCL & TIMOLOL MALEATE	M-Dorzolamide-Timolol 2% & 0.5% Oph Sol	MAT	2.0951	2.0951	YES	YES	NO
02437686	DORZOLAMIDE HCL & TIMOLOL MALEATE	Med-Dorzolamide-Timolol 2% & 0.5% Oph Sol	GMP	2.0951	2.0951	YES	YES	NO
02443090	DORZOLAMIDE HCL & TIMOLOL MALEATE	Mint-Dorzolamide/Timolol 2% & 0.5% Oph Sol	MIN	2.0951	2.0951	YES	YES	NO
02442426	DORZOLAMIDE HCL & TIMOLOL MALEATE	PMS-Dorzolamide-Timolol 2% & 0.5% Oph Sol	PMS	2.0951	2.0951	YES	YES	NO
02441659	DORZOLAMIDE HCL & TIMOLOL MALEATE	Riva-Dorzolamide/Timolol 2% & 0.5% Oph Sol	RIA	2.0951	2.0951	YES	YES	NO
02344351	DORZOLAMIDE HCL & TIMOLOL MALEATE	Sandoz Dorzolamide/Timolol 2% & 0.5% Oph Sol	SDZ	2.0951	2.0951	YES	YES	NO
02258692	DORZOLAMIDE HCL & TIMOLOL MALEATE	Cosopt Preservative free 2% & 0.5% Oph Sol-0.2mL Pk	ELV	0.8505	0.8505	NO	YES	NO
02240588	DOXAZOSIN MESYLATE	Apo-Doxazosin 1mg Tab	APX	0.1719	0.1719	YES	NO	NO
02240589	DOXAZOSIN MESYLATE	Apo-Doxazosin 2mg Tab	APX	0.2062	0.2062	YES	NO	NO
02240590	DOXAZOSIN MESYLATE	Apo-Doxazosin 4mg Tab	APX	0.2681	0.2681	YES	NO	NO
01958100	DOXAZOSIN MESYLATE	Cardura-1 (Not a Benefit) 1mg Tab	AZC	N/A	N/A	YES	NO	NO
01958097	DOXAZOSIN MESYLATE	Cardura-2 (Not a Benefit) 2mg Tab	AZC	N/A	N/A	YES	NO	NO
01958119	DOXAZOSIN MESYLATE	Cardura-4 (Not a Benefit) 4mg Tab	AZC	N/A	N/A	YES	NO	NO
02489945	DOXAZOSIN MESYLATE	Jamp-Doxazosin 2mg Tab	JPC	0.2062	0.2062	YES	NO	NO
02489953	DOXAZOSIN MESYLATE	Jamp-Doxazosin 4mg Tab	JPC	0.2681	0.2681	YES	NO	NO
02489937	DOXAZOSIN MESYLATE	Jamp-Doxazosin 1mg Tab	JPC	0.1719	0.1719	YES	NO	NO
02242729	DOXAZOSIN MESYLATE	Teva-Doxazosin 2mg Tab	TEV	0.2062	0.2062	YES	NO	NO
02242728	DOXAZOSIN MESYLATE	Teva-Doxazosin 1mg Tab	TEV	0.1719	0.1719	YES	NO	NO
02242730	DOXAZOSIN MESYLATE	Teva-Doxazosin 4mg Tab	TEV	0.2681	0.2681	YES	NO	NO
00024341	DOXEPIN HCL	Sinequan 50mg Cap	AAP	0.9274	0.9274	NO	NO	NO
00024325	DOXEPIN HCL	Sinequan 10mg Cap	AAP	0.4075	0.4075	NO	NO	NO
00024333	DOXEPIN HCL	Sinequan 25mg Cap	AAP	0.5000	0.5000	NO	NO	NO
02512645	DOXYCYCLINE	Apo-Doxycycline MR (Off-Formulary Interchangeable) 40mg MR Cap	APX	2.9150	N/A	YES	NO	NO
02375885	DOXYCYCLINE	Apprilon (Off-Formulary Interchangeable) 40mg MR Cap	GAC	N/A	N/A	YES	NO	NO
02528568	DOXYCYCLINE HYCLATE	Jamp Doxycycline (Off-Formulary Interchangeable) 20mg Cap	JPC	1.3538	N/A	YES	NO	NO
02247104	DOXYCYCLINE HYCLATE	Periostat (Off-Formulary Interchangeable) 20mg Cap	PEN	N/A	N/A	YES	NO	NO
00874256	DOXYCYCLINE HYCLATE	Apo-Doxy-Tabs 100mg Tab	APX	0.4560	0.4560	YES	NO	NO
02351242	DOXYCYCLINE HYCLATE	Doxycycline Tablets 100mg Tab	SAI	0.4560	0.4560	YES	NO	NO
02543478	DOXYCYCLINE HYCLATE	M-Doxycycline 100mg Tab	MAT	0.4560	0.4560	YES	NO	NO
02536250	DOXYCYCLINE HYCLATE	PRZ-Doxycycline 100mg Tab	PRZ	0.4560	0.4560	YES	NO	NO
02158574	DOXYCYCLINE HYCLATE	Teva-Doxycycline 100mg Tab	TEV	0.4560	0.4560	YES	NO	NO
00578452	DOXYCYCLINE HYCLATE	Vibra-Tabs (Not a Benefit) 100mg Tab	PFI	N/A	N/A	YES	NO	NO
02552574	DOXYLAMINE SUCCINATE AND PYRIDOXINE HCL	ALOG-Doxylamine/Pyridoxine 10mg & 10mg SR Tab	ANA	0.3201	0.3201	YES	NO	NO
02413248	DOXYLAMINE SUCCINATE AND PYRIDOXINE HCL	Apo-Doxylamine/B6 10mg & 10mg SR Tab	APX	0.3201	0.3201	YES	NO	NO
00609129	DOXYLAMINE SUCCINATE AND PYRIDOXINE HCL	Diclectin 10mg & 10mg SR Tab	DUI	1.2803	0.3201	YES	NO	NO
02406187	DOXYLAMINE SUCCINATE AND PYRIDOXINE HCL	PMS-Doxylamine-Pyridoxine 10mg & 10mg SR Tab	PMS	0.3201	0.3201	YES	NO	NO
02522802	DROSPIRENONE	Slynd 4mg Tab-28 Tab Pk	DUI	12.6600	12.6600	NO	NO	NO
02421437	DROSPIRENONE & ETHINYL ESTRADIOL	Drospirenone&Ethinyl Estradiol USP 21 3.0mg & 0.03mg Tab-21 Pk	GLP	6.2181	6.2181	YES	NO	NO
02261723	DROSPIRENONE & ETHINYL ESTRADIOL	Yasmin 21 3.0mg & 0.03mg Tab-21 Pk	BAH	12.4400	6.2181	YES	NO	NO
02410788	DROSPIRENONE & ETHINYL ESTRADIOL	Zamine 21 3.0mg & 0.03mg Tab-21 Pk	APX	6.2181	6.2181	YES	NO	NO
02462060	DROSPIRENONE & ETHINYL ESTRADIOL	Drospirenone&Ethinyl Estradiol USP 3.0mg & 0.02mg Tab-28 Pk	GLP	8.2600	8.2600	YES	NO	NO
02421445	DROSPIRENONE & ETHINYL ESTRADIOL	Drospirenone&Ethinyl Estradiol USP 28 3.0mg & 0.03mg Tab-28 Pk	GLP	6.2188	6.2188	YES	NO	NO
02415380	DROSPIRENONE & ETHINYL ESTRADIOL	MYA 3.0mg & 0.02mg Tab-28 Pk	APX	8.2600	8.2600	YES	NO	NO
02261731	DROSPIRENONE & ETHINYL ESTRADIOL	Yasmin 28 3.0mg & 0.03mg Tab-28 Pk	BAH	12.4400	6.2188	YES	NO	NO
02321157	DROSPIRENONE & ETHINYL ESTRADIOL	Yaz 3.0mg & 0.02mg Tab-28 Pk	BAH	16.5200	8.2600	YES	NO	NO
02410796	DROSPIRENONE & ETHINYL ESTRADIOL	Zamine 28 3.0mg & 0.03mg Tab-28 Pk	APX	6.2188	6.2188	YES	NO	NO
02475308	DULOXETINE	AG-Duloxetine 30mg DR Cap	ANG	0.4814	0.3611	YES	NO	NO
02475316	DULOXETINE	AG-Duloxetine 60mg DR Cap	ANG	0.9769	0.7327	YES	NO	NO
02522861	DULOXETINE	Accel-Duloxetine 30mg DR Cap	ACC	0.3611	0.3611	YES	NO	NO
02522888	DULOXETINE	Accel-Duloxetine 60mg DR Cap	ACC	0.7327	0.7327	YES	NO	NO
02440431	DULOXETINE	Apo-Duloxetine 60mg DR Cap	APX	0.9769	0.7327	YES	NO	NO
02440423	DULOXETINE	Apo-Duloxetine 30mg DR Cap	APX	0.4814	0.3611	YES	NO	NO
02436655	DULOXETINE	Auro-Duloxetine 60mg DR Cap	AUR	0.9769	0.7327	YES	NO	NO
02436647	DULOXETINE	Auro-Duloxetine 30mg DR Cap	AUR	0.4814	0.3611	YES	NO	NO
02301482	DULOXETINE	Cymbalta 30mg DR Cap	LIL	2.6004	0.3611	YES	NO	NO
02301490	DULOXETINE	Cymbalta 60mg DR Cap	LIL	5.2779	0.7327	YES	NO	NO
02453649	DULOXETINE	Duloxetine 60mg DR Cap	SIV	0.9769	0.7327	YES	NO	NO
02490897	DULOXETINE	Duloxetine 60mg DR Cap	SAI	0.9769	0.7327	YES	NO	NO
02453630	DULOXETINE	Duloxetine 30mg DR Cap	SIV	0.4814	0.3611	YES	NO	NO
02490889	DULOXETINE	Duloxetine 30mg DR Cap	SAI	0.4814	0.3611	YES	NO	NO
02437090	DULOXETINE	Duloxetine DR 60mg DR Cap	TEV	0.9769	0.7327	YES	NO	NO
02437082	DULOXETINE	Duloxetine DR 30mg DR Cap	TEV	0.4814	0.3611	YES	NO	NO
02512505	DULOXETINE	Jamp Duloxetine Capsules 30mg DR Cap	JPC	0.4814	0.3611	YES	NO	NO
02512513	DULOXETINE	Jamp Duloxetine Capsules 60mg DR Cap	JPC	0.9769	0.7327	YES	NO	NO
02451913	DULOXETINE	Jamp-Duloxetine 30mg DR Cap	JPC	0.4814	0.3611	YES	NO	NO
02451921	DULOXETINE	Jamp-Duloxetine 60mg DR Cap	JPC	0.9769	0.7327	YES	NO	NO
02473208	DULOXETINE	M-Duloxetine 30mg DR Cap	MAT	0.4814	0.3611	YES	NO	NO
02473216	DULOXETINE	M-Duloxetine 60mg DR Cap	MAT	0.9769	0.7327	YES	NO	NO
02446103	DULOXETINE	Mar-Duloxetine 60mg DR Cap	MAR	0.9769	0.7327	YES	NO	NO
02446081	DULOXETINE	Mar-Duloxetine 30mg DR Cap	MAR	0.4814	0.3611	YES	NO	NO
02438984	DULOXETINE	Mint-Duloxetine 30mg DR Cap	MIN	0.4814	0.3611	YES	NO	NO
02438992	DULOXETINE	Mint-Duloxetine 60mg DR Cap	MIN	0.9769	0.7327	YES	NO	NO
02482126	DULOXETINE	NRA-Duloxetine 30mg DR Cap	NRA	0.4814	0.3611	YES	NO	NO
02482134	DULOXETINE	NRA-Duloxetine 60mg DR Cap	NRA	0.9769	0.7327	YES	NO	NO
02429446	DULOXETINE	PMS-Duloxetine 30mg DR Cap	PMS	0.4814	0.3611	YES	NO	NO
02429454	DULOXETINE	PMS-Duloxetine 60mg DR Cap	PMS	0.9769	0.7327	YES	NO	NO
02438259	DULOXETINE	Ran-Duloxetine 30mg DR Cap	RAN	0.4814	0.3611	YES	NO	NO
02438267	DULOXETINE	Ran-Duloxetine 60mg DR Cap	RAN	0.9769	0.7327	YES	NO	NO
02439956	DULOXETINE	Sandoz Duloxetine 60mg DR Cap	SDZ	0.9769	0.7327	YES	NO	NO
02439948	DULOXETINE	Sandoz Duloxetine 30mg DR Cap	SDZ	0.4814	0.3611	YES	NO	NO
02456753	DULOXETINE	Teva-Duloxetine 30mg DR Cap	TEV	0.4814	0.3611	YES	NO	NO
02456761	DULOXETINE	Teva-Duloxetine 60mg DR Cap	TEV	0.9769	0.7327	YES	NO	NO
02404206	DUTASTERIDE	Apo-Dutasteride 0.5mg Cap	APX	0.2565	0.2565	YES	YES	NO
02469308	DUTASTERIDE	Auro-Dutasteride 0.5mg Cap	AUR	0.2565	0.2565	YES	YES	NO
02247813	DUTASTERIDE	Avodart 0.5mg Cap	GSK	2.2293	0.2565	YES	YES	NO
02429012	DUTASTERIDE	Dutasteride 0.5mg Cap	SIV	0.2565	0.2565	YES	YES	NO
02443058	DUTASTERIDE	Dutasteride 0.5mg Cap	SAI	0.2565	0.2565	YES	YES	NO
02484870	DUTASTERIDE	Jamp Dutasteride 0.5mg Cap	JPC	0.2565	0.2565	YES	YES	NO
02546167	DUTASTERIDE	Jamp Dutasteride Capsules 0.5mg Cap	JPC	0.2565	0.2565	YES	YES	NO
02416298	DUTASTERIDE	Med-Dutasteride 0.5mg Cap	GMP	0.2565	0.2565	YES	YES	NO
02428873	DUTASTERIDE	Mint-Dutasteride 0.5mg Cap	MIN	0.2565	0.2565	YES	YES	NO
02393220	DUTASTERIDE	PMS-Dutasteride 0.5mg Cap	PMS	0.2565	0.2565	YES	YES	NO
02490587	DUTASTERIDE	Priva-Dutasteride 0.5mg Cap	PHP	0.2565	0.2565	YES	YES	NO
02424444	DUTASTERIDE	Sandoz Dutasteride 0.5mg Cap	SDZ	0.2565	0.2565	YES	YES	NO
02408287	DUTASTERIDE	Teva-Dutasteride 0.5mg Cap	TEV	0.2565	0.2565	YES	YES	NO
02557290	EDOXABAN	Jamp Edoxaban 60mg Tab	JPC	0.7348	0.7348	YES	NO	NO
02557282	EDOXABAN	Jamp Edoxaban 30mg Tab	JPC	0.7348	0.7348	YES	NO	NO
02458640	EDOXABAN	Lixiana 15mg Tab	SEV	2.9393	1.4697	YES	NO	NO
02458659	EDOXABAN	Lixiana 30mg Tab	SEV	2.9393	0.7348	YES	NO	NO
02458667	EDOXABAN	Lixiana 60mg Tab	SEV	2.9393	0.7348	YES	NO	NO
02553414	EDOXABAN	Sandoz Edoxaban 15mg Tab	SDZ	1.4697	1.4697	YES	NO	NO
02553430	EDOXABAN	Sandoz Edoxaban 60mg Tab	SDZ	0.7348	0.7348	YES	NO	NO
02553422	EDOXABAN	Sandoz Edoxaban 30mg Tab	SDZ	0.7348	0.7348	YES	NO	NO
02554224	EDOXABAN	Teva-Edoxaban 60mg Tab	TEV	0.7348	0.7348	YES	NO	NO
02554208	EDOXABAN	Teva-Edoxaban 15mg Tab	TEV	1.4697	1.4697	YES	NO	NO
02554216	EDOXABAN	Teva-Edoxaban 30mg Tab	TEV	0.7348	0.7348	YES	NO	NO
02418428	EFAVIRENZ	Auro-Efavirenz 600mg Tab	AUR	3.8030	3.8030	YES	NO	NO
02458233	EFAVIRENZ	Jamp-Efavirenz 600mg Tab	JPC	3.8030	3.8030	YES	NO	NO
02381524	EFAVIRENZ	Mylan-Efavirenz 600mg Tab	MYL	3.8030	3.8030	YES	NO	NO
02246045	EFAVIRENZ	Sustiva (Not a Benefit) 600mg Tab	BQU	N/A	N/A	YES	NO	NO
02389762	EFAVIRENZ	Teva-Efavirenz 600mg Tab	TEV	3.8030	3.8030	YES	NO	NO
02468247	EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE	Apo-Efavirenz-Emtricitabine-Tenofovir 600mg/300mg/200mg Tab	APX	11.3300	11.3300	YES	NO	NO
02300699	EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE	Atripla 600mg/300mg/200mg Tab	BQU	45.3200	11.3300	YES	NO	NO
02478404	EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE	Auro-Efavirenz-Emtricitabine-Tenofovir 600mg/300mg/200mg Tab	AUR	11.3300	11.3300	YES	NO	NO
02519461	EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE	Jamp Efavirenz/Emtricitabine/Tenofovir 600mg/300mg/200mg Tab	JPC	11.3300	11.3300	YES	NO	NO
02461412	EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE	Mylan-Efavirenz/Emtricitabine/Tenofovir 600mg/300mg/200mg Tab	MYL	11.3300	11.3300	YES	NO	NO
02487284	EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE	PMS-Efavirenz-Emtricitabine-Tenofovir 600mg/300mg/200mg Tab	PMS	11.3300	11.3300	YES	NO	NO
02393549	EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE	Teva-Efavirenz/Emtricitabine/Tenofovir 600mg/300mg/200mg Tab	TEV	11.3300	11.3300	YES	NO	NO
80074173	ELECTROLYTE & DEXTROSE	Pedialyte Flavored O/L	ABB	0.0079	0.0079	YES	NO	NO
80072902	ELECTROLYTE & DEXTROSE	Pedialyte Regular O/L	ABB	0.0079	0.0079	YES	NO	NO
02386062	ELETRIPTAN	Apo-Eletriptan (Off-Formulary Interchangeable) 40mg Tab	APX	10.0850	N/A	YES	NO	NO
02386054	ELETRIPTAN	Apo-Eletriptan (Off-Formulary Interchangeable) 20mg Tab	APX	10.0850	N/A	YES	NO	NO
02518015	ELETRIPTAN	Apo-Eletriptan Tablets (Off-Formulary Interchangeable) 20mg Tab	APX	10.0850	N/A	YES	NO	NO
02518023	ELETRIPTAN	Apo-Eletriptan Tablets (Off-Formulary Interchangeable) 40mg Tab	APX	10.0850	N/A	YES	NO	NO
02479478	ELETRIPTAN	Auro-Eletriptan (Off-Formulary Interchangeable) 40mg Tab	AUR	10.0850	N/A	YES	NO	NO
02479451	ELETRIPTAN	Auro-Eletriptan (Off-Formulary Interchangeable) 20mg Tab	AUR	10.0850	N/A	YES	NO	NO
02511266	ELETRIPTAN	Eletriptan (Off-Formulary Interchangeable) 20mg Tab	SAI	10.0850	N/A	YES	NO	NO
02511274	ELETRIPTAN	Eletriptan (Off-Formulary Interchangeable) 40mg Tab	SAI	10.0850	N/A	YES	NO	NO
02342235	ELETRIPTAN	Gd-Eletriptan (Off-Formulary Interchangeable) 20mg Tab	UJC	10.0850	N/A	YES	NO	NO
02342243	ELETRIPTAN	Gd-Eletriptan (Off-Formulary Interchangeable) 40mg Tab	UJC	10.0850	N/A	YES	NO	NO
02493691	ELETRIPTAN	Jamp Eletriptan (Off-Formulary Interchangeable) 40mg Tab	JPC	10.0850	N/A	YES	NO	NO
02493683	ELETRIPTAN	Jamp Eletriptan (Off-Formulary Interchangeable) 20mg Tab	JPC	10.0850	N/A	YES	NO	NO
02434350	ELETRIPTAN	PMS-Eletriptan (Off-Formulary Interchangeable) 40mg Tab	PMS	10.0850	N/A	YES	NO	NO
02434342	ELETRIPTAN	PMS-Eletriptan (Off-Formulary Interchangeable) 20mg Tab	PMS	10.0850	N/A	YES	NO	NO
02256304	ELETRIPTAN	Relpax (Off-Formulary Interchangeable) 40mg Tab	UJC	N/A	N/A	YES	NO	NO
02256290	ELETRIPTAN	Relpax (Off-Formulary Interchangeable) 20mg Tab	UJC	N/A	N/A	YES	NO	NO
02382105	ELETRIPTAN	Teva-Eletriptan (Off-Formulary Interchangeable) 40mg Tab	TEV	10.0850	N/A	YES	NO	NO
02382091	ELETRIPTAN	Teva-Eletriptan (Off-Formulary Interchangeable) 20mg Tab	TEV	10.0850	N/A	YES	NO	NO
02506742	ELTROMBOPAG OLAMINE	Apo-Eltrombopag (Off-Formulary Interchangeable) 25mg Tab	APX	55.2500	55.2500	YES	NO	NO
02506769	ELTROMBOPAG OLAMINE	Apo-Eltrombopag (Off-Formulary Interchangeable) 50mg Tab	APX	110.5000	110.5000	YES	NO	NO
02361825	ELTROMBOPAG OLAMINE	Revolade (Off-Formulary Interchangeable) 25mg Tab	GSK	65.0000	55.2500	YES	NO	NO
02361833	ELTROMBOPAG OLAMINE	Revolade (Off-Formulary Interchangeable) 50mg Tab	GSK	130.0000	110.5000	YES	NO	NO
02449498	ELVITEGRAVIR & COBICISTAT & EMTRICITABINE & TENOFOVIR ALAFENAMIDE	Genvoya 150mg & 150mg & 200mg & 10mg Tab	GIL	45.1440	45.1440	NO	NO	NO
02443937	EMPAGLIFLOZIN	Jardiance 10mg Tab	BOE	2.7671	2.7671	NO	NO	YES
02443945	EMPAGLIFLOZIN	Jardiance 25mg Tab	BOE	2.7671	2.7671	NO	NO	YES
02456591	EMPAGLIFLOZIN & METFORMIN	Synjardy 5mg & 1000mg Tab	BOE	1.3932	1.3932	NO	NO	YES
02456621	EMPAGLIFLOZIN & METFORMIN	Synjardy 12.5mg & 1000mg Tab	BOE	1.3932	1.3932	NO	NO	YES
02456583	EMPAGLIFLOZIN & METFORMIN	Synjardy 5mg & 850mg Tab	BOE	1.3932	1.3932	NO	NO	YES
02456613	EMPAGLIFLOZIN & METFORMIN	Synjardy 12.5mg & 850mg Tab	BOE	1.3932	1.3932	NO	NO	YES
02456605	EMPAGLIFLOZIN & METFORMIN	Synjardy 12.5mg & 500mg Tab	BOE	1.3932	1.3932	NO	NO	YES
02456575	EMPAGLIFLOZIN & METFORMIN	Synjardy 5mg & 500mg Tab	BOE	1.3932	1.3932	NO	NO	YES
02461463	EMTRICITABINE & RILPIVIRINE HCL & TENOFOVIR ALAFENAMIDE HEMIFUMARATE	Odefsey 200mg & 25mg & 25mg Tab	GIL	42.3670	42.3670	NO	NO	NO
02374129	EMTRICITABINE & RILPIVIRINE HCL & TENOFOVIR DISOPROXIL	Complera 200mg & 25mg & 300mg Tab	GIL	44.8643	44.8643	NO	NO	NO
02496356	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	AG-Emtricitabine & Tenofovir Disoproxil 200mg & 300mg Tab	ANG	7.3035	7.3035	YES	NO	NO
02452006	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	Apo-Emtricitabine-Tenofovir 200mg & 300mg Tab	APX	7.3035	7.3035	YES	NO	NO
02490684	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	Auro-Emtricitabine-Tenofovir 200mg & 300mg Tab	AUR	7.3035	7.3035	YES	NO	NO
02487012	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	Jamp-Emtricitabine/Tenofovir Disoproxil 200mg & 300mg Tab	JPC	7.3035	7.3035	YES	NO	NO
02521547	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	Mint-Emtricitabine/Tenofovir 200mg & 300mg Tab	MIN	7.3035	7.3035	YES	NO	NO
02443902	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	Mylan-Emtricitabine/Tenofovir Disoproxil 200mg & 300mg Tab	MYL	7.3035	7.3035	YES	NO	NO
02461110	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	PMS-Emtricitabine/Tenofovir 200mg & 300mg Tab	PMS	7.3035	7.3035	YES	NO	NO
02399059	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	Teva-Emtricitabine/Tenofovir 200mg & 300mg Tab	TEV	7.3035	7.3035	YES	NO	NO
02274906	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	Truvada 200mg & 300mg Tab	GIL	29.2140	7.3035	YES	NO	NO
02019892	ENALAPRIL MALEATE	Apo-Enalapril 10mg Tab	APX	0.2647	0.2647	YES	NO	NO
02019906	ENALAPRIL MALEATE	Apo-Enalapril 20mg Tab	APX	0.3195	0.3195	YES	NO	NO
02019884	ENALAPRIL MALEATE	Apo-Enalapril 5mg Tab	APX	0.2203	0.2203	YES	NO	NO
02020025	ENALAPRIL MALEATE	Apo-Enalapril 2.5mg Tab	APX	0.1863	0.1863	YES	NO	NO
02291894	ENALAPRIL MALEATE	Co Enalapril 10mg Tab	COB	0.2647	0.2647	YES	NO	YES
02291886	ENALAPRIL MALEATE	Co Enalapril 5mg Tab	COB	0.2203	0.2203	YES	NO	YES
02291908	ENALAPRIL MALEATE	Co Enalapril 20mg Tab	COB	0.3195	0.3195	YES	NO	YES
02291878	ENALAPRIL MALEATE	Co Enalapril 2.5mg Tab	COB	0.1863	0.1863	YES	NO	YES
02400650	ENALAPRIL MALEATE	Enalapril 2.5mg Tab	SAI	0.1863	0.1863	YES	NO	NO
02442973	ENALAPRIL MALEATE	Enalapril 10mg Tab	SIV	0.2647	0.2647	YES	NO	NO
02400677	ENALAPRIL MALEATE	Enalapril 10mg Tab	SAI	0.2647	0.2647	YES	NO	NO
02442965	ENALAPRIL MALEATE	Enalapril 5mg Tab	SIV	0.2203	0.2203	YES	NO	NO
02400669	ENALAPRIL MALEATE	Enalapril 5mg Tab	SAI	0.2203	0.2203	YES	NO	NO
02442957	ENALAPRIL MALEATE	Enalapril 2.5mg Tab	SIV	0.1863	0.1863	YES	NO	NO
02442981	ENALAPRIL MALEATE	Enalapril 20mg Tab	SIV	0.3195	0.3195	YES	NO	NO
02400685	ENALAPRIL MALEATE	Enalapril 20mg Tab	SAI	0.3195	0.3195	YES	NO	NO
02474786	ENALAPRIL MALEATE	Jamp-Enalapril 2.5mg Tab	JPC	0.1863	0.1863	YES	NO	NO
02474794	ENALAPRIL MALEATE	Jamp-Enalapril 5mg Tab	JPC	0.2203	0.2203	YES	NO	NO
02474808	ENALAPRIL MALEATE	Jamp-Enalapril 10mg Tab	JPC	0.2647	0.2647	YES	NO	NO
02474816	ENALAPRIL MALEATE	Jamp-Enalapril 20mg Tab	JPC	0.3195	0.3195	YES	NO	NO
02459469	ENALAPRIL MALEATE	Mar-Enalapril 5mg Tab	MAR	0.2203	0.2203	YES	NO	NO
02444771	ENALAPRIL MALEATE	Mar-Enalapril 10mg Tab	MAR	0.2647	0.2647	YES	NO	NO
02444798	ENALAPRIL MALEATE	Mar-Enalapril 20mg Tab	MAR	0.3195	0.3195	YES	NO	NO
02459450	ENALAPRIL MALEATE	Mar-Enalapril 2.5mg Tab	MAR	0.1863	0.1863	YES	NO	NO
02300060	ENALAPRIL MALEATE	Mylan-Enalapril 20mg Tab	MYL	0.3195	0.3195	YES	NO	YES
02300036	ENALAPRIL MALEATE	Mylan-Enalapril 2.5mg Tab	MYL	0.1863	0.1863	YES	NO	YES
02300052	ENALAPRIL MALEATE	Mylan-Enalapril 10mg Tab	MYL	0.2647	0.2647	YES	NO	YES
02300044	ENALAPRIL MALEATE	Mylan-Enalapril 5mg Tab	MYL	0.2203	0.2203	YES	NO	YES
02300680	ENALAPRIL MALEATE	Novo-Enalapril 2.5mg Tab	NOP	0.1863	0.1863	YES	NO	YES
02352265	ENALAPRIL MALEATE	Ran-Enalapril 20mg Tab	RAN	0.3195	0.3195	YES	NO	NO
02352249	ENALAPRIL MALEATE	Ran-Enalapril 5mg Tab	RAN	0.2203	0.2203	YES	NO	NO
02352230	ENALAPRIL MALEATE	Ran-Enalapril 2.5mg Tab	RAN	0.1863	0.1863	YES	NO	NO
02352257	ENALAPRIL MALEATE	Ran-Enalapril 10mg Tab	RAN	0.2647	0.2647	YES	NO	NO
02299984	ENALAPRIL MALEATE	Ratio-Enalapril 2.5mg Tab	RPH	0.1863	0.1863	YES	NO	YES
02300028	ENALAPRIL MALEATE	Ratio-Enalapril 20mg Tab	RPH	0.3195	0.3195	YES	NO	YES
02300001	ENALAPRIL MALEATE	Ratio-Enalapril 10mg Tab	RPH	0.2647	0.2647	YES	NO	YES
02299992	ENALAPRIL MALEATE	Ratio-Enalapril 5mg Tab	RPH	0.2203	0.2203	YES	NO	YES
02299976	ENALAPRIL MALEATE	Sandoz Enalapril 20mg Tab	SDZ	0.3195	0.3195	YES	NO	YES
02299933	ENALAPRIL MALEATE	Sandoz Enalapril 2.5mg Tab	SDZ	0.1863	0.1863	YES	NO	YES
02299941	ENALAPRIL MALEATE	Sandoz Enalapril 5mg Tab	SDZ	0.2203	0.2203	YES	NO	YES
02299968	ENALAPRIL MALEATE	Sandoz Enalapril 10mg Tab	SDZ	0.2647	0.2647	YES	NO	YES
02300125	ENALAPRIL MALEATE	Taro-Enalapril 5mg Tab	TAR	0.2203	0.2203	YES	NO	YES
02300117	ENALAPRIL MALEATE	Taro-Enalapril 2.5mg Tab	TAR	0.1863	0.1863	YES	NO	YES
02300141	ENALAPRIL MALEATE	Taro-Enalapril 20mg Tab	TAR	0.3195	0.3195	YES	NO	YES
02300133	ENALAPRIL MALEATE	Taro-Enalapril 10mg Tab	TAR	0.2647	0.2647	YES	NO	YES
02233006	ENALAPRIL MALEATE	Teva-Enalapril 10mg Tab	TEV	0.2647	0.2647	YES	NO	YES
02233005	ENALAPRIL MALEATE	Teva-Enalapril 5mg Tab	TEV	0.2203	0.2203	YES	NO	YES
02233007	ENALAPRIL MALEATE	Teva-Enalapril 20mg Tab	TEV	0.3195	0.3195	YES	NO	YES
00670928	ENALAPRIL MALEATE	Vasotec 20mg Tab	OCI	1.7665	0.3195	YES	NO	YES
00851795	ENALAPRIL MALEATE	Vasotec (Not a Benefit) 2.5mg Tab	MFC	N/A	N/A	YES	NO	YES
00670901	ENALAPRIL MALEATE	Vasotec 10mg Tab	OCI	1.4638	0.2647	YES	NO	YES
00708879	ENALAPRIL MALEATE	Vasotec 5mg Tab	OCI	1.2182	0.2203	YES	NO	YES
02352923	ENALAPRIL MALEATE & HYDROCHLOROTHIAZIDE	Enalapril Maleate/HCTZ (Off-Formulary Interchangeable) 5mg & 12.5mg Tab	AAP	0.8762	N/A	YES	NO	NO
02352931	ENALAPRIL MALEATE & HYDROCHLOROTHIAZIDE	Enalapril Maleate/HCTZ (Off-Formulary Interchangeable) 10mg & 25mg Tab	AAP	1.2284	N/A	YES	NO	NO
02242826	ENALAPRIL MALEATE & HYDROCHLOROTHIAZIDE	Vaseretic (Off-Formulary Interchangeable) 5mg & 12.5mg Tab	MFC	N/A	N/A	YES	NO	NO
00657298	ENALAPRIL MALEATE & HYDROCHLOROTHIAZIDE	Vaseretic (Off-Formulary Interchangeable) 10mg & 25mg Tab	OCI	N/A	N/A	YES	NO	NO
02506440	ENOXAPARIN	Noromby 20mg/0.2mL Inj Sol-0.2mL Pref Syr (Preservative-Free)	JUN	3.5280	3.5280	NO	NO	NO
02539977	ENOXAPARIN	Axberi 30mg/0.3mL Inj Sol-0.3mL Pref Syr (Preservative-Free)	BAX	4.9124	4.9124	NO	NO	NO
02532247	ENOXAPARIN	Elonox 30mg/0.3mL Inj Sol-0.3mL Pref Syr (Preservative-Free)	FKC	4.9124	4.9124	NO	NO	NO
02507501	ENOXAPARIN	Inclunox 30mg/0.3mL Inj Sol-0.3mL Pref Syr (Preservative-Free)	SDZ	4.9620	4.9620	NO	NO	NO
02506459	ENOXAPARIN	Noromby 30mg/0.3mL Inj Sol-0.3mL Pref Syr (Preservative-Free)	JUN	4.9124	4.9124	NO	NO	NO
02509075	ENOXAPARIN	Redesca 30mg/0.3mL Inj Sol-0.3mL Pref Syr (Preservative-Free)	SHE	4.9620	4.9620	NO	NO	NO
02539985	ENOXAPARIN	Axberi 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	BAX	6.5498	6.5498	NO	NO	NO
02532255	ENOXAPARIN	Elonox 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	FKC	6.5498	6.5498	NO	NO	NO
02507528	ENOXAPARIN	Inclunox 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	SDZ	6.6160	6.6160	NO	NO	NO
02506467	ENOXAPARIN	Noromby 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	JUN	6.5498	6.5498	NO	NO	NO
02509083	ENOXAPARIN	Redesca 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	SHE	6.6160	6.6160	NO	NO	NO
02540002	ENOXAPARIN	Axberi 60mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)	BAX	9.8248	9.8248	NO	NO	NO
02532263	ENOXAPARIN	Elonox 60mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)	FKC	9.8248	9.8248	NO	NO	NO
02507536	ENOXAPARIN	Inclunox 60mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)	SDZ	9.9240	9.9240	NO	NO	NO
02506475	ENOXAPARIN	Noromby 60mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)	JUN	9.8248	9.8248	NO	NO	NO
02509091	ENOXAPARIN	Redesca 60mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)	SHE	9.9240	9.9240	NO	NO	NO
02540010	ENOXAPARIN	Axberi 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	BAX	13.0997	13.0997	NO	NO	NO
02540029	ENOXAPARIN	Axberi HP 120mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	BAX	19.6495	19.6495	NO	NO	NO
02532271	ENOXAPARIN	Elonox 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	FKC	13.0997	13.0997	NO	NO	NO
02532301	ENOXAPARIN	Elonox HP 120mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	FKC	19.6495	19.6495	NO	NO	NO
02507544	ENOXAPARIN	Inclunox 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	SDZ	13.2320	13.2320	NO	NO	NO
02507560	ENOXAPARIN	Inclunox HP 120mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	SDZ	19.8480	19.8480	NO	NO	NO
02506483	ENOXAPARIN	Noromby 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	JUN	13.0997	13.0997	NO	NO	NO
02506505	ENOXAPARIN	Noromby HP 120mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	JUN	19.6495	19.6495	NO	NO	NO
02509105	ENOXAPARIN	Redesca 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	SHE	13.2320	13.2320	NO	NO	NO
02509148	ENOXAPARIN	Redesca HP 120mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	SHE	19.8480	19.8480	NO	NO	NO
02540045	ENOXAPARIN	Axberi 100mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	BAX	16.3746	16.3746	NO	NO	NO
02540037	ENOXAPARIN	Axberi HP 150mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	BAX	24.5619	24.5619	NO	NO	NO
02532298	ENOXAPARIN	Elonox 100mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	FKC	16.3746	16.3746	NO	NO	NO
02532328	ENOXAPARIN	Elonox HP 150mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	FKC	24.5619	24.5619	NO	NO	NO
02507552	ENOXAPARIN	Inclunox 100mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	SDZ	16.5400	16.5400	NO	NO	NO
02507579	ENOXAPARIN	Inclunox HP 150mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	SDZ	24.8100	24.8100	NO	NO	NO
02506491	ENOXAPARIN	Noromby 100mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	JUN	16.3746	16.3746	NO	NO	NO
02506513	ENOXAPARIN	Noromby HP 150mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	JUN	24.5619	24.5619	NO	NO	NO
02509113	ENOXAPARIN	Redesca 100mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	SHE	16.5400	16.5400	NO	NO	NO
02509156	ENOXAPARIN	Redesca HP 150mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	SHE	24.8100	24.8100	NO	NO	NO
02236564	ENOXAPARIN	Lovenox 100mg/mL Inj Sol-3mL Vial Pk	SAV	68.7500	68.7500	NO	YES	NO
02509121	ENOXAPARIN	Redesca 300mg/3mL Inj Sol-3mL Vial Pk (With Preservative)	SHE	49.6200	49.6200	NO	NO	NO
02012472	ENOXAPARIN	Lovenox 30mg/0.3mL Pref Syr-0.3mL Pk	SAV	6.8750	6.8750	NO	YES	NO
02236883	ENOXAPARIN	Lovenox 40mg/0.4mL Pref Syr-0.4mL Pk	SAV	9.1660	9.1660	NO	YES	NO
02378426	ENOXAPARIN	Lovenox 60mg/0.6mL Pref Syr-0.6mL Pk	SAV	13.7490	13.7490	NO	YES	NO
02378434	ENOXAPARIN	Lovenox 80mg/0.8mL Pref Syr-0.8mL Pk	SAV	18.3330	18.3330	NO	YES	NO
02242692	ENOXAPARIN	Lovenox HP 120mg/0.8mL Pref Syr-0.8mL Pk	SAV	27.4990	27.4990	NO	YES	NO
02378442	ENOXAPARIN	Lovenox 100mg/mL Pref Syr-1mL Pk	SAV	22.9160	22.9160	NO	YES	NO
02378469	ENOXAPARIN	Lovenox HP 150mg/mL Pref Syr-1mL Pk	SAV	34.3750	34.3750	NO	YES	NO
02243763	ENTACAPONE	Comtan 200mg Tab	SDZ	1.6837	0.4010	YES	YES	NO
02535939	ENTACAPONE	Mint-Entacapone 200mg Tab	MIN	0.4010	0.4010	YES	YES	NO
02380005	ENTACAPONE	Sandoz Entacapone 200mg Tab	SDZ	0.4010	0.4010	YES	YES	NO
02375559	ENTACAPONE	Teva-Entacapone 200mg Tab	TEV	0.4010	0.4010	YES	YES	NO
02479907	ENTECAVIR	Accel-Entecavir 0.5mg Tab	ACC	4.4000	4.4000	YES	YES	NO
02396955	ENTECAVIR	Apo-Entecavir 0.5mg Tab	APX	5.5000	4.4000	YES	YES	NO
02448777	ENTECAVIR	Auro-Entecavir 0.5mg Tab	AUR	5.5000	4.4000	YES	YES	NO
02282224	ENTECAVIR	Baraclude 0.5mg Tab	BQU	22.6600	4.4000	YES	YES	NO
02527154	ENTECAVIR	Entecavir 0.5mg Tab	SAI	5.5000	4.4000	YES	YES	NO
02467232	ENTECAVIR	Jamp-Entecavir 0.5mg Tab	JPC	5.5000	4.4000	YES	YES	NO
02485907	ENTECAVIR	Mint-Entecavir 0.5mg Tab	MIN	5.5000	4.4000	YES	YES	NO
02430576	ENTECAVIR	PMS-Entecavir 0.5mg Tab	PMS	5.5000	4.4000	YES	YES	NO
00155357	EPINEPHRINE HCL	Adrenalin 30mg/30mL Inj Sol-30mL Pk	SLP	22.2300	22.2300	NO	NO	NO
02323052	EPLERENONE	Inspra 25mg Tab	UJC	3.2850	1.3730	YES	YES	NO
02323060	EPLERENONE	Inspra 50mg Tab	UJC	3.2850	1.3730	YES	YES	NO
02543397	EPLERENONE	Jamp Eplerenone 50mg Tab	JPC	1.3730	1.3730	YES	YES	NO
02543389	EPLERENONE	Jamp Eplerenone 25mg Tab	JPC	1.3730	1.3730	YES	YES	NO
02471442	EPLERENONE	Mint-Eplerenone 25mg Tab	MIN	1.3730	1.3730	YES	YES	NO
02471450	EPLERENONE	Mint-Eplerenone 50mg Tab	MIN	1.3730	1.3730	YES	YES	NO
02240722	EPOETIN ALFA	Eprex 40,000IU/mL Pref Syr - 1mL Pk	JAN	486.7900	486.7900	NO	YES	NO
02231587	EPOETIN ALFA	Eprex 10,000IU/mL Pref Syr - 1mL Pk	JAN	142.5000	142.5000	NO	YES	NO
02243239	EPOETIN ALFA	Eprex 20,000IU/0.5mL Pref Syr-0.5mL Pk	JAN	325.0900	325.0900	NO	YES	NO
02243942	EPROSARTAN MESYLATE	Teveten 600mg Tab	SPH	1.1910	1.1910	NO	NO	NO
02240432	EPROSARTAN MESYLATE	Teveten 400mg Tab	SPH	0.7790	0.7790	NO	NO	NO
02253631	EPROSARTAN MESYLATE & HYDROCHLOROTHIAZIDE	Teveten Plus 600mg & 12.5mg Tab	SPH	1.1910	1.1910	NO	NO	NO
02405083	EPTIFIBATIDE	Eptifibatide Injection (Off-Formulary Interchangeable) 0.75mg/mL 100mL Vial Pk	TEV	94.5600	N/A	YES	NO	NO
02240351	EPTIFIBATIDE	Integrilin (Off-Formulary Interchangeable) 0.75mg/mL 100mL Vial Pk	MEK	N/A	N/A	YES	NO	NO
02367858	EPTIFIBATIDE	Eptifibatide Injection (Off-Formulary Interchangeable) 2mg/mL 10mL Vial Pk	TEV	32.3000	N/A	YES	NO	NO
02240352	EPTIFIBATIDE	Integrilin (Off-Formulary Interchangeable) 2mg/mL 10mL Vial Pk	MEK	N/A	N/A	YES	NO	NO
02017598	ERGOCALCIFEROL	Drisdol (Not a Benefit) 8288IU/mL O/L	SAV	N/A	N/A	YES	NO	NO
80003615	ERGOCALCIFEROL	Erdol 8288IU/mL O/L	ODN	0.5767	0.5767	YES	NO	NO
02461862	ERLOTINIB	Apo-Erlotinib (Off-Formulary Interchangeable) 25mg Tab	APX	11.8667	11.8667	YES	NO	NO
02461889	ERLOTINIB	Apo-Erlotinib (Off-Formulary Interchangeable) 150mg Tab	APX	71.2000	71.2000	YES	NO	NO
02461870	ERLOTINIB	Apo-Erlotinib (Off-Formulary Interchangeable) 100mg Tab	APX	47.4667	47.4667	YES	NO	NO
02483939	ERLOTINIB	Nat-Erlotinib (Off-Formulary Interchangeable) 150mg Tab	NAT	71.2000	71.2000	YES	NO	NO
02483912	ERLOTINIB	Nat-Erlotinib (Off-Formulary Interchangeable) 25mg Tab	NAT	11.8667	11.8667	YES	NO	NO
02483920	ERLOTINIB	Nat-Erlotinib (Off-Formulary Interchangeable) 100mg Tab	NAT	47.4667	47.4667	YES	NO	NO
02454386	ERLOTINIB	PMS-Erlotinib (Off-Formulary Interchangeable) 100mg Tab	PMS	47.4667	47.4667	YES	NO	NO
02454394	ERLOTINIB	PMS-Erlotinib (Off-Formulary Interchangeable) 150mg Tab	PMS	71.2000	71.2000	YES	NO	NO
02269015	ERLOTINIB	Tarceva (Off-Formulary Interchangeable) 100mg Tab	HLR	N/A	N/A	YES	NO	NO
02269007	ERLOTINIB	Tarceva (Off-Formulary Interchangeable) 25mg Tab	HLR	N/A	N/A	YES	NO	NO
02269023	ERLOTINIB	Tarceva (Off-Formulary Interchangeable) 150mg Tab	HLR	N/A	N/A	YES	NO	NO
02377705	ERLOTINIB	Teva-Erlotinib (Off-Formulary Interchangeable) 100mg Tab	TEV	47.4666	47.4666	YES	NO	NO
02377713	ERLOTINIB	Teva-Erlotinib (Off-Formulary Interchangeable) 150mg Tab	TEV	71.2000	71.2000	YES	NO	NO
02377691	ERLOTINIB	Teva-Erlotinib (Off-Formulary Interchangeable) 25mg Tab	TEV	11.8666	11.8666	YES	NO	NO
02511150	ERTAPENEM	Ertapenem for Injection (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	DRR	52.2650	52.2650	YES	NO	NO
02492148	ERTAPENEM	Ertapenem for Injection (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	AUR	52.2650	52.2650	YES	NO	NO
02490773	ERTAPENEM	Ertapenem for Injection (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	JUN	52.2650	52.2650	YES	NO	NO
02247437	ERTAPENEM	Invanz (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	MFC	N/A	N/A	YES	NO	NO
00682020	ERYTHROMYCIN BASE	Erythro-Base 250mg Tab	AAP	0.1865	0.1865	YES	NO	YES
00244635	ERYTHROMYCIN BASE	Erythromid (Not a Benefit) 250mg Tab	ABB	N/A	N/A	YES	NO	YES
00210641	ERYTHROMYCIN ESTOLATE	Ilosone (Not a Benefit) 50mg/mL O/L	LIL	N/A	N/A	YES	NO	YES
00262595	ERYTHROMYCIN ESTOLATE	Novo-Rythro Estolate 50mg/mL O/L	NOP	0.0713	0.0713	YES	NO	YES
00000299	ERYTHROMYCIN ETHYLSUCCINATE	EES-200 (Not a Benefit) 40mg/mL O/L	ABB	N/A	N/A	YES	NO	YES
00453617	ERYTHROMYCIN ETHYLSUCCINATE	EES-400 (Not a Benefit) 80mg/mL O/L	ABB	N/A	N/A	YES	NO	YES
00605859	ERYTHROMYCIN ETHYLSUCCINATE	Novo-Rythro Ethyl Succinate 40mg/mL O/L	NOP	0.0669	0.0669	YES	NO	YES
00652318	ERYTHROMYCIN ETHYLSUCCINATE	Novo-Rythro Ethyl Succinate 80mg/mL O/L	NOP	0.1013	0.1013	YES	NO	YES
02454297	ESCITALOPRAM	Act Escitalopram ODT 10mg Orally Disintegrating Tab	ACV	1.3199	1.3199	YES	NO	NO
02391449	ESCITALOPRAM	Cipralex MELTZ (Not a Benefit) 10mg Orally Disintegrating Tab	VLH	N/A	N/A	YES	NO	NO
02454300	ESCITALOPRAM	Act Escitalopram ODT 20mg Orally Disintegrating Tablet	ACV	1.4052	1.4052	YES	NO	NO
02391457	ESCITALOPRAM	Cipralex MELTZ (Not a Benefit) 20mg Orally Disintegrating Tablet	VLH	N/A	N/A	YES	NO	NO
02434660	ESCITALOPRAM	Ach-Escitalopram 20mg Tab	ACH	0.3310	0.3310	YES	NO	NO
02434652	ESCITALOPRAM	Ach-Escitalopram 10mg Tab	ACH	0.3109	0.3109	YES	NO	NO
02295016	ESCITALOPRAM	Apo-Escitalopram 10mg Tab	APX	0.3109	0.3109	YES	NO	NO
02295024	ESCITALOPRAM	Apo-Escitalopram 20mg Tab	APX	0.3310	0.3310	YES	NO	NO
02397358	ESCITALOPRAM	Auro-Escitalopram 10mg Tab	AUR	0.3109	0.3109	YES	NO	NO
02397374	ESCITALOPRAM	Auro-Escitalopram 20mg Tab	AUR	0.3310	0.3310	YES	NO	NO
02263254	ESCITALOPRAM	Cipralex 20mg Tab	VLH	2.4939	0.3310	YES	NO	NO
02263238	ESCITALOPRAM	Cipralex 10mg Tab	VLH	2.3358	0.3109	YES	NO	NO
02430118	ESCITALOPRAM	Escitalopram 10mg Tab	SAI	0.3109	0.3109	YES	NO	NO
02429047	ESCITALOPRAM	Escitalopram 20mg Tab	SIV	0.3310	0.3310	YES	NO	NO
02430126	ESCITALOPRAM	Escitalopram 20mg Tab	SAI	0.3310	0.3310	YES	NO	NO
02429039	ESCITALOPRAM	Escitalopram 10mg Tab	SIV	0.3109	0.3109	YES	NO	NO
02508907	ESCITALOPRAM	Jamp Escitalopram 20mg Tab	JPC	0.3310	0.3310	YES	NO	NO
02508893	ESCITALOPRAM	Jamp Escitalopram 10mg Tab	JPC	0.3109	0.3109	YES	NO	NO
02429780	ESCITALOPRAM	Jamp-Escitalopram 10mg Tab	JPC	0.3109	0.3109	YES	NO	NO
02429799	ESCITALOPRAM	Jamp-Escitalopram 20mg Tab	JPC	0.3310	0.3310	YES	NO	NO
02471418	ESCITALOPRAM	M-Escitalopram 10mg Tab	MAT	0.3109	0.3109	YES	NO	NO
02471426	ESCITALOPRAM	M-Escitalopram 20mg Tab	MAT	0.3310	0.3310	YES	NO	NO
02423480	ESCITALOPRAM	Mar-Escitalopram 10mg Tab	MAR	0.3109	0.3109	YES	NO	NO
02423502	ESCITALOPRAM	Mar-Escitalopram 20mg Tab	MAR	0.3310	0.3310	YES	NO	NO
02407418	ESCITALOPRAM	Mint-Escitalopram 10mg Tab	MIN	0.3109	0.3109	YES	NO	NO
02407434	ESCITALOPRAM	Mint-Escitalopram 20mg Tab	MIN	0.3310	0.3310	YES	NO	NO
02309475	ESCITALOPRAM	Mylan-Escitalopram 20mg Tab	MYL	0.3310	0.3310	YES	NO	NO
02309467	ESCITALOPRAM	Mylan-Escitalopram 10mg Tab	MYL	0.3109	0.3109	YES	NO	NO
02476878	ESCITALOPRAM	NRA-Escitalopram 20mg Tab	NRA	0.3310	0.3310	YES	NO	NO
02476851	ESCITALOPRAM	NRA-Escitalopram 10mg Tab	NRA	0.3109	0.3109	YES	NO	NO
02440318	ESCITALOPRAM	Nat-Escitalopram 20mg Tab	NAT	0.3310	0.3310	YES	NO	NO
02440296	ESCITALOPRAM	Nat-Escitalopram 10mg Tab	NAT	0.3109	0.3109	YES	NO	NO
02469251	ESCITALOPRAM	PMS-Escitalopram 20mg Tab	PMS	0.3310	0.3310	YES	NO	NO
02469243	ESCITALOPRAM	PMS-Escitalopram 10mg Tab	PMS	0.3109	0.3109	YES	NO	NO
02385503	ESCITALOPRAM	Ran-Escitalopram 20mg Tab	RAN	0.3310	0.3310	YES	NO	NO
02385481	ESCITALOPRAM	Ran-Escitalopram 10mg Tab	RAN	0.3109	0.3109	YES	NO	NO
02364085	ESCITALOPRAM	Sandoz Escitalopram 20mg Tab	SDZ	0.3310	0.3310	YES	NO	NO
02364077	ESCITALOPRAM	Sandoz Escitalopram 10mg Tab	SDZ	0.3109	0.3109	YES	NO	NO
02318180	ESCITALOPRAM	Teva-Escitalopram 10mg Tab	TEV	0.3109	0.3109	YES	NO	NO
02318202	ESCITALOPRAM	Teva-Escitalopram 20mg Tab	TEV	0.3310	0.3310	YES	NO	NO
02537931	ESLICARBAZEPINE ACETATE	Apo-Eslicarbazepine 200mg Tab	APX	4.9350	4.9350	YES	YES	NO
02537958	ESLICARBAZEPINE ACETATE	Apo-Eslicarbazepine 400mg Tab	APX	4.9350	4.9350	YES	YES	NO
02537974	ESLICARBAZEPINE ACETATE	Apo-Eslicarbazepine 800mg Tab	APX	4.9350	4.9350	YES	YES	NO
02537966	ESLICARBAZEPINE ACETATE	Apo-Eslicarbazepine 600mg Tab	APX	4.9350	4.9350	YES	YES	NO
02426862	ESLICARBAZEPINE ACETATE	Aptiom 200mg Tab	SUO	9.8700	4.9350	YES	YES	NO
02426870	ESLICARBAZEPINE ACETATE	Aptiom 400mg Tab	SUO	9.8700	4.9350	YES	YES	NO
02426897	ESLICARBAZEPINE ACETATE	Aptiom 800mg Tab	SUO	9.8700	4.9350	YES	YES	NO
02426889	ESLICARBAZEPINE ACETATE	Aptiom 600mg Tab	SUO	9.8700	4.9350	YES	YES	NO
02527464	ESLICARBAZEPINE ACETATE	Auro-Eslicarbazepine 800mg Tab	AUR	4.9350	4.9350	YES	YES	NO
02527456	ESLICARBAZEPINE ACETATE	Auro-Eslicarbazepine 600mg Tab	AUR	4.9350	4.9350	YES	YES	NO
02527448	ESLICARBAZEPINE ACETATE	Auro-Eslicarbazepine 400mg Tab	AUR	4.9350	4.9350	YES	YES	NO
02527421	ESLICARBAZEPINE ACETATE	Auro-Eslicarbazepine 200mg Tab	AUR	4.9350	4.9350	YES	YES	NO
02339102	ESOMEPRAZOLE	Apo-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	APX	1.8690	N/A	YES	NO	NO
02520702	ESOMEPRAZOLE	Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	JPC	1.8690	N/A	YES	NO	NO
02431173	ESOMEPRAZOLE	Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	SAI	1.8690	N/A	YES	NO	NO
02442507	ESOMEPRAZOLE	Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	SIV	1.8690	N/A	YES	NO	NO
02520117	ESOMEPRAZOLE	M-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	MAT	1.8690	N/A	YES	NO	NO
02479427	ESOMEPRAZOLE	Myl-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	MYL	1.8690	N/A	YES	NO	NO
02244522	ESOMEPRAZOLE	Nexium DR Tab (Off-Formulary Interchangeable) 40mg	AZC	N/A	N/A	YES	NO	NO
02528487	ESOMEPRAZOLE	PMSC-Esomeprazole DR (Off-Formulary Interchangeable) 40mg	PMS	1.8690	N/A	YES	NO	NO
02423987	ESOMEPRAZOLE	Ran-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	RAN	1.8690	N/A	YES	NO	NO
02460939	ESOMEPRAZOLE	Sandoz Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	SDZ	1.8690	N/A	YES	NO	NO
02423863	ESOMEPRAZOLE	Teva-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	TEV	1.8690	N/A	YES	NO	NO
02339099	ESOMEPRAZOLE	Apo-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	APX	1.8690	N/A	YES	NO	NO
02535335	ESOMEPRAZOLE	Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	SAI	1.8690	N/A	YES	NO	NO
02442493	ESOMEPRAZOLE	Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	SIV	1.8690	N/A	YES	NO	NO
02520699	ESOMEPRAZOLE	Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	JPC	1.8690	N/A	YES	NO	NO
02520109	ESOMEPRAZOLE	M-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	MAT	1.8690	N/A	YES	NO	NO
02479419	ESOMEPRAZOLE	Myl-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	MYL	1.8690	N/A	YES	NO	NO
02244521	ESOMEPRAZOLE	Nexium (Off-Formulary Interchangeable) 20mg DR Tab	AZC	N/A	N/A	YES	NO	NO
02528479	ESOMEPRAZOLE	PMSC-Esomeprazole DR (Off-Formulary Interchangeable) 20mg DR Tab	PMS	1.8690	N/A	YES	NO	NO
02423979	ESOMEPRAZOLE	Ran-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	RAN	1.8690	N/A	YES	NO	NO
02460920	ESOMEPRAZOLE	Sandoz Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	SDZ	1.8690	N/A	YES	NO	NO
02423855	ESOMEPRAZOLE	Teva-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	TEV	1.8690	N/A	YES	NO	NO
02148595	ESTRADIOL	Estrace (Not a Benefit) 2mg Tab	APC	N/A	N/A	YES	NO	NO
02225190	ESTRADIOL	Estrace (Not a Benefit) 0.5mg Tab	APC	N/A	N/A	YES	NO	NO
02148587	ESTRADIOL	Estrace (Not a Benefit) 1mg Tab	APC	N/A	N/A	YES	NO	NO
02449064	ESTRADIOL	Lupin-Estradiol 2mg Tab	LUP	0.4083	0.4083	YES	NO	NO
02449056	ESTRADIOL	Lupin-Estradiol 1mg Tab	LUP	0.2313	0.2313	YES	NO	NO
02449048	ESTRADIOL	Lupin-Estradiol 0.5mg Tab	LUP	0.1199	0.1199	YES	NO	NO
02168898	ESTRADIOL	Estring 2mg Vag Ring	PFI	104.4500	104.4500	NO	NO	NO
02325462	ESTRADIOL 17-B	Vagifem 10 10mcg Vag Tab with Applicator	NOO	4.8056	4.8056	NO	NO	NO
02503689	ESTRADIOL HEMIHYDRATE	Imvexxy 4mcg Vag Insert	KNT	3.6288	3.6288	NO	NO	NO
02503697	ESTRADIOL HEMIHYDRATE	Imvexxy 10mcg Vag Insert	KNT	3.6288	3.6288	NO	NO	NO
02505223	ESTRADIOL HEMIHYDRATE & PROGESTERONE	Bijuva 1mg & 100mg Cap	KNT	0.8962	0.8962	NO	NO	NO
02453215	ESZOPICLONE	Lunesta (Off-Formulary Interchangeable) 2mg Tab	SMT	N/A	N/A	YES	NO	NO
02453207	ESZOPICLONE	Lunesta (Off-Formulary Interchangeable) 1mg Tab	SMT	N/A	N/A	YES	NO	NO
02453223	ESZOPICLONE	Lunesta (Off-Formulary Interchangeable) 3mg Tab	SMT	N/A	N/A	YES	NO	NO
02549468	ESZOPICLONE	Mar-Eszopiclone (Off-Formulary Interchangeable) 3mg Tab	MAR	1.4365	N/A	YES	NO	NO
02549433	ESZOPICLONE	Mar-Eszopiclone (Off-Formulary Interchangeable) 1mg Tab	MAR	1.4365	N/A	YES	NO	NO
02549441	ESZOPICLONE	Mar-Eszopiclone (Off-Formulary Interchangeable) 2mg Tab	MAR	1.4365	N/A	YES	NO	NO
02462877	ETANERCEPT	Erelzi 25mg/0.5mL Inj Sol-0.5mL Pref Syr Pk	SDZ	120.5000	120.5000	NO	YES	NO
02462869	ETANERCEPT	Erelzi 50mg/mL Inj Sol-1mL Pref Syr Pk	SDZ	241.0000	241.0000	NO	YES	NO
02462850	ETANERCEPT	Erelzi 50mg/mL Inj Sol-1mL Prefilled SensoReady Pen Pk	SDZ	241.0000	241.0000	NO	YES	NO
02530309	ETANERCEPT	Rymti 50mg/mL Inj Sol-Pref Autoinj Pen	LUP	236.1800	236.1800	NO	YES	NO
02455323	ETANERCEPT	Brenzys 50mg/mL Inj Sol-Pref Syr	SAM	241.0000	241.0000	NO	YES	NO
02530295	ETANERCEPT	Rymti 50mg/mL Inj Sol-Pref Syr	LUP	236.1800	236.1800	NO	YES	NO
02455331	ETANERCEPT	Brenzys 50mg/mL Sol- Pref AutoInj	SAM	241.0000	241.0000	NO	YES	NO
00247979	ETHAMBUTOL HCL	Etibi 400mg Tab	VAL	0.8355	0.8355	YES	NO	NO
00247960	ETHAMBUTOL HCL	Etibi 100mg Tab	VAL	0.2784	0.2784	YES	NO	NO
02170078	ETHAMBUTOL HCL	Myambutol (Not a Benefit) 400mg Tab	WAY	N/A	N/A	YES	NO	NO
00127957	ETHAMBUTOL HCL	Myambutol (Not a Benefit) 100mg Tab	LED	N/A	N/A	YES	NO	NO
02520028	ETHINYL ESTRADIOL & ETONOGESTREL	Haloette (Off-Formulary Interchangeable) 0.120mg & 0.015mg/24 hr Slow Release Vag Ring	SLP	14.2120	N/A	YES	NO	NO
02253186	ETHINYL ESTRADIOL & ETONOGESTREL	Nuvaring (Off-Formulary Interchangeable) 0.120mg & 0.015mg/24 hr Slow Release Vag Ring	OCI	N/A	N/A	YES	NO	NO
02236974	ETHINYL ESTRADIOL & LEVONORGESTREL	Alesse 21 20mcg & 100mcg Tab-21 Pk	PFI	15.7700	3.9425	YES	NO	NO
02387875	ETHINYL ESTRADIOL & LEVONORGESTREL	Alysena 21 20mcg & 100mcg Tab-21 Pk	APX	3.9425	3.9425	YES	NO	NO
02532174	ETHINYL ESTRADIOL & LEVONORGESTREL	Audrina 21 20mcg & 100mcg Tab-21 Pk	JPC	3.9425	3.9425	YES	NO	NO
02298538	ETHINYL ESTRADIOL & LEVONORGESTREL	Aviane 21 20mcg & 100mcg Tab-21 Pk	TEV	3.9425	3.9425	YES	NO	NO
02042320	ETHINYL ESTRADIOL & LEVONORGESTREL	Min-Ovral 21 0.03mg & 0.15mg Tab-21 Pk	PFI	19.2900	7.2800	YES	NO	NO
02387085	ETHINYL ESTRADIOL & LEVONORGESTREL	Ovima 21 0.03mg & 0.15mg Tab-21 Pk	APX	7.2800	7.2800	YES	NO	NO
02295946	ETHINYL ESTRADIOL & LEVONORGESTREL	Portia 21 0.03mg & 0.15mg Tab-21 Pk	BAR	10.6600	7.2800	YES	NO	NO
00707600	ETHINYL ESTRADIOL & LEVONORGESTREL	Triquilar 21 3 Phase Tab-21 Pk	BAY	15.7500	15.7500	NO	NO	NO
02236975	ETHINYL ESTRADIOL & LEVONORGESTREL	Alesse 28 20mcg & 100mcg Tab-28 Pk	PFI	15.7700	3.9425	YES	NO	NO
02387883	ETHINYL ESTRADIOL & LEVONORGESTREL	Alysena 28 20mcg & 100mcg Tab-28 Pk	APX	3.9425	3.9425	YES	NO	NO
02532182	ETHINYL ESTRADIOL & LEVONORGESTREL	Audrina 28 20mcg & 100mcg Tab-28 Pk	JPC	3.9425	3.9425	YES	NO	NO
02298546	ETHINYL ESTRADIOL & LEVONORGESTREL	Aviane 28 20mcg & 100mcg Tab-28 Pk	TEV	3.9425	3.9425	YES	NO	NO
02042339	ETHINYL ESTRADIOL & LEVONORGESTREL	Min-Ovral 28 0.03mg & 0.15mg Tab-28 Pk	PFI	19.2900	7.2800	YES	NO	NO
02387093	ETHINYL ESTRADIOL & LEVONORGESTREL	Ovima 28 0.03mg & 0.15mg Tab-28 Pk	APX	7.2800	7.2800	YES	NO	NO
02295954	ETHINYL ESTRADIOL & LEVONORGESTREL	Portia 28 0.03mg & 0.15mg Tab-28 Pk	BAR	10.6600	7.2800	YES	NO	NO
00707503	ETHINYL ESTRADIOL & LEVONORGESTREL	Triquilar 28 3 Phase Tab-28 Pk	BAY	15.7500	15.7500	NO	NO	NO
02398869	ETHINYL ESTRADIOL & LEVONORGESTREL	Indayo (Off-Formulary Interchangeable) 0.03mg & 0.15mg Tab-91 Pk	MYL	45.9550	N/A	YES	NO	NO
02296659	ETHINYL ESTRADIOL & LEVONORGESTREL	Seasonale (Off-Formulary Interchangeable) 0.03mg & 0.15mg Tab-91 Pk	TEW	N/A	N/A	YES	NO	NO
02187086	ETHINYL ESTRADIOL & NORETHINDRONE	Brevicon 0.035mg & 0.5mg Tab-21 Pk	PFI	16.4500	16.4500	NO	NO	NO
02189054	ETHINYL ESTRADIOL & NORETHINDRONE	Brevicon 1/35 0.035mg & 1mg Tab-21 Pk	PFI	16.4500	16.4500	NO	NO	NO
02187108	ETHINYL ESTRADIOL & NORETHINDRONE	Synphasic 3 Phase Tab-21 Pk	PFI	13.6400	13.6400	NO	NO	NO
02187094	ETHINYL ESTRADIOL & NORETHINDRONE	Brevicon 0.035mg & 0.5mg Tab-28 Pk	PFI	16.4500	16.4500	NO	NO	NO
02189062	ETHINYL ESTRADIOL & NORETHINDRONE	Brevicon 1/35 0.035mg & 1mg Tab-28 Pk	PFI	16.4500	16.4500	NO	NO	NO
02187116	ETHINYL ESTRADIOL & NORETHINDRONE	Synphasic 3 Phase Tab-28 Pk	PFI	13.6400	13.6400	NO	NO	NO
00297143	ETHINYL ESTRADIOL & NORETHINDRONE ACETATE	Loestrin 1.5/30 0.03mg & 1.5mg Tab-21 Pk	WAR	16.9915	16.9915	NO	NO	NO
00315966	ETHINYL ESTRADIOL & NORETHINDRONE ACETATE	Minestrin 1/20 0.02mg & 1mg Tab-21 Pk	WAR	16.9915	16.9915	NO	NO	NO
00353027	ETHINYL ESTRADIOL & NORETHINDRONE ACETATE	Loestrin 1.5/30 0.03mg & 1.5mg Tab-28 Pk	WAR	16.9915	16.9915	NO	NO	NO
00343838	ETHINYL ESTRADIOL & NORETHINDRONE ACETATE	Minestrin 1/20 0.02mg & 1mg Tab-28 Pk	WAR	16.9915	16.9915	NO	NO	NO
01927744	ETHOPROPAZINE HCL	Parsitan 50mg Tab	SLP	0.3153	0.3153	NO	NO	NO
02545772	ETHOSUXIMIDE	Mar-Ethosuximide 250mg Cap	MAR	0.2628	0.2628	YES	NO	NO
02547171	ETHOSUXIMIDE	Odan-Ethosuximide 250mg Cap	ODN	0.2628	0.2628	YES	NO	NO
00022799	ETHOSUXIMIDE	Zarontin 250mg Cap	SLP	0.5255	0.2628	YES	NO	NO
00023485	ETHOSUXIMIDE	Zarontin 50mg/mL O/L	SLP	0.0740	0.0740	NO	NO	NO
02248686	ETIDRONATE DISODIUM	Co Etidronate 200mg Tab	COB	0.3569	0.3569	YES	YES	NO
01997629	ETIDRONATE DISODIUM	Didronel (Not a Benefit) 200mg Tab	PGP	N/A	N/A	YES	NO	NO
02499509	ETONOGESTREL	Nexplanon 68mg/Implant ER Subdermal Implant	OCI	314.2100	314.2100	NO	NO	NO
00616192	ETOPOSIDE	Vepesid 50mg Cap	CHE	47.8010	47.8010	NO	NO	NO
02375931	ETRAVIRINE	Intelence 200mg Tab	JAN	12.6195	12.6195	NO	NO	NO
02306778	ETRAVIRINE	Intelence 100mg Tab	JAN	6.5710	6.5710	NO	NO	NO
02339528	EVEROLIMUS	Afinitor (Off-Formulary Interchangeable) 10mg Tab	NOV	202.6540	172.2559	YES	NO	NO
02339501	EVEROLIMUS	Afinitor (Off-Formulary Interchangeable) 5mg Tab	NOV	202.6540	172.2559	YES	NO	NO
02369257	EVEROLIMUS	Afinitor (Off-Formulary Interchangeable) 2.5mg Tab	NOV	202.6540	172.2559	YES	NO	NO
02530120	EVEROLIMUS	Nat-Everolimus (Off-Formulary Interchangeable) 10mg Tab	NAT	172.2559	172.2559	YES	NO	NO
02530090	EVEROLIMUS	Nat-Everolimus (Off-Formulary Interchangeable) 2.5mg Tab	NAT	172.2559	172.2559	YES	NO	NO
02530104	EVEROLIMUS	Nat-Everolimus (Off-Formulary Interchangeable) 5mg Tab	NAT	172.2559	172.2559	YES	NO	NO
02504693	EVEROLIMUS	PMS-Everolimus (Off-Formulary Interchangeable) 10mg Tab	PMS	172.2559	172.2559	YES	NO	NO
02504685	EVEROLIMUS	PMS-Everolimus (Off-Formulary Interchangeable) 5mg Tab	PMS	172.2559	172.2559	YES	NO	NO
02504677	EVEROLIMUS	PMS-Everolimus (Off-Formulary Interchangeable) 2.5mg Tab	PMS	172.2559	172.2559	YES	NO	NO
02532417	EVEROLIMUS	Reddy-Everolimus (Off-Formulary Interchangeable) 5mg Tab	DRR	172.2559	172.2559	YES	NO	NO
02532409	EVEROLIMUS	Reddy-Everolimus (Off-Formulary Interchangeable) 2.5mg Tab	DRR	172.2559	172.2559	YES	NO	NO
02532433	EVEROLIMUS	Reddy-Everolimus (Off-Formulary Interchangeable) 10mg Tab	DRR	172.2559	172.2559	YES	NO	NO
02492938	EVEROLIMUS	Sandoz Everolimus (Off-Formulary Interchangeable) 5mg Tab	SDZ	172.2559	172.2559	YES	NO	NO
02492946	EVEROLIMUS	Sandoz Everolimus (Off-Formulary Interchangeable) 10mg Tab	SDZ	172.2559	172.2559	YES	NO	NO
02492911	EVEROLIMUS	Sandoz Everolimus (Off-Formulary Interchangeable) 2.5mg Tab	SDZ	172.2559	172.2559	YES	NO	NO
02463253	EVEROLIMUS	Teva-Everolimus (Off-Formulary Interchangeable) 10mg Tab	TEV	172.2559	172.2559	YES	NO	NO
02463229	EVEROLIMUS	Teva-Everolimus (Off-Formulary Interchangeable) 2.5mg Tab	TEV	172.2559	172.2559	YES	NO	NO
02463237	EVEROLIMUS	Teva-Everolimus (Off-Formulary Interchangeable) 5mg Tab	TEV	172.2559	172.2559	YES	NO	NO
02446057	EVOLOCUMAB	Repatha 140mg/mL Inj Sol-Pref Syr Autoinj	AMG	291.6650	291.6650	NO	YES	NO
02419726	EXEMESTANE	Apo-Exemestane 25mg Tab	APX	1.3263	1.3263	YES	NO	NO
02242705	EXEMESTANE	Aromasin 25mg Tab	PFI	6.2463	1.3263	YES	NO	NO
02390183	EXEMESTANE	Co Exemestane 25mg Tab	COB	1.3263	1.3263	YES	NO	NO
02407841	EXEMESTANE	Med-Exemestane 25mg Tab	GMP	1.3263	1.3263	YES	NO	NO
02408473	EXEMESTANE	Teva-Exemestane 25mg Tab	TEV	1.3263	1.3263	YES	NO	NO
02475898	EZETIMIBE	AG-Ezetimibe 10mg Tab	ANG	0.1811	0.1811	YES	YES	NO
02425610	EZETIMIBE	Ach-Ezetimibe 10mg Tab	ACH	0.1811	0.1811	YES	YES	NO
02414716	EZETIMIBE	Act Ezetimibe 10mg Tab	ACV	0.1811	0.1811	YES	YES	NO
02427826	EZETIMIBE	Apo-Ezetimibe 10mg Tab	APX	0.1811	0.1811	YES	YES	NO
02469286	EZETIMIBE	Auro-Ezetimibe 10mg Tab	AUR	0.1811	0.1811	YES	YES	NO
02431300	EZETIMIBE	Ezetimibe 10mg Tab	SAI	0.1811	0.1811	YES	YES	NO
02429659	EZETIMIBE	Ezetimibe 10mg Tab	SIV	0.1811	0.1811	YES	YES	NO
02247521	EZETIMIBE	Ezetrol 10mg Tab	OCI	2.1436	0.1811	YES	YES	NO
02460750	EZETIMIBE	GLN-Ezetimibe 10mg Tab	GLP	0.1811	0.1811	YES	YES	NO
02423235	EZETIMIBE	Jamp-Ezetimibe 10mg Tab	JPC	0.1811	0.1811	YES	YES	NO
02467437	EZETIMIBE	M-Ezetimibe 10mg Tab	MAT	0.1811	0.1811	YES	YES	NO
02422662	EZETIMIBE	Mar-Ezetimibe 10mg Tab	MAR	0.1811	0.1811	YES	YES	NO
02423243	EZETIMIBE	Mint-Ezetimibe 10mg Tab	MIN	0.1811	0.1811	YES	YES	NO
02481669	EZETIMIBE	NRA-Ezetimibe 10mg Tab	NRA	0.1811	0.1811	YES	YES	NO
02536420	EZETIMIBE	NRA-Ezetimibe Tablets 10mg Tab	NRA	0.1811	0.1811	YES	YES	NO
02416409	EZETIMIBE	PMS-Ezetimibe 10mg Tab	PMS	0.1811	0.1811	YES	YES	NO
02419548	EZETIMIBE	Ran-Ezetimibe 10mg Tab	RAN	0.1811	0.1811	YES	YES	NO
02416778	EZETIMIBE	Sandoz Ezetimibe 10mg Tab	SDZ	0.1811	0.1811	YES	YES	NO
02354101	EZETIMIBE	Teva-Ezetimibe 10mg Tab	TEV	0.1811	0.1811	YES	YES	NO
09857453	FAD GLUCOSE DEHYDROGENASE (ASPERGILLUS SP.)	Contour Next Blood Glucose Test Strips Strip	ADC	N/A	0.7290	NO	NO	NO
09857563	FAD-GLUCOSE DEHYDROGENASE (FAD-GDH)	Accu-Chek Guide Test Strips Strip	RCH	N/A	0.7154	NO	NO	NO
09857525	FAD-GLUCOSE DEHYDROGENASE (FAD-GDH)	GE200 Blood Glucose Test Strips Strip	BIN	N/A	0.5508	NO	NO	NO
09857593	FAD-GLUCOSE DEHYDROGENASE (FAD-GDH)	GlucoDr. Auto Test Strip Strip	AMC	N/A	0.7290	NO	NO	NO
09857549	FAD-GLUCOSE DEHYDROGENASE (FAD-GDH)	Fora Test N' Go Test Strip Test Strip	TAI	N/A	0.7244	NO	NO	NO
02292025	FAMCICLOVIR	Apo-Famciclovir (Off-Formulary Interchangeable) 125mg Tab	APX	2.0240	2.0240	YES	NO	NO
02292041	FAMCICLOVIR	Apo-Famciclovir (Off-Formulary Interchangeable) 250mg Tab	APX	2.7200	2.7200	YES	NO	NO
02292068	FAMCICLOVIR	Apo-Famciclovir 500mg Tab	APX	3.8719	3.8719	YES	YES	NO
02305704	FAMCICLOVIR	Co Famciclovir 500mg Tab	COB	3.8719	3.8719	YES	YES	NO
02305682	FAMCICLOVIR	Co Famciclovir (Off-Formulary Interchangeable) 125mg Tab	COB	2.0240	2.0240	YES	NO	NO
02305690	FAMCICLOVIR	Co Famciclovir (Off-Formulary Interchangeable) 250mg Tab	COB	2.7200	2.7200	YES	NO	NO
02177102	FAMCICLOVIR	Famvir 500mg Tab	APU	7.7438	3.8719	YES	YES	NO
02229129	FAMCICLOVIR	Famvir (Off-Formulary Interchangeable) 250mg Tab	APU	N/A	N/A	YES	NO	NO
02229110	FAMCICLOVIR	Famvir (Off-Formulary Interchangeable) 125mg Tab	APU	N/A	N/A	YES	NO	NO
02509989	FAMOTIDINE	AG-Famotidine 40mg Tab	ANG	0.4834	0.4834	YES	NO	YES
02509970	FAMOTIDINE	AG-Famotidine 20mg Tab	ANG	0.2658	0.2658	YES	NO	YES
01953834	FAMOTIDINE	Apo-Famotidine 40mg Tab	APX	0.4834	0.4834	YES	NO	YES
01953842	FAMOTIDINE	Apo-Famotidine 20mg Tab	APX	0.2658	0.2658	YES	NO	YES
02351110	FAMOTIDINE	Famotidine 40mg Tab	SAI	0.4834	0.4834	YES	NO	YES
02549115	FAMOTIDINE	Famotidine 40mg Tab	SIV	0.4834	0.4834	YES	NO	YES
02549107	FAMOTIDINE	Famotidine 20mg Tab	SIV	0.2658	0.2658	YES	NO	YES
02351102	FAMOTIDINE	Famotidine 20mg Tab	SAI	0.2658	0.2658	YES	NO	YES
02507757	FAMOTIDINE	Jamp Famotidine 40mg Tab	JPC	0.4834	0.4834	YES	NO	YES
02507749	FAMOTIDINE	Jamp Famotidine 20mg Tab	JPC	0.2658	0.2658	YES	NO	YES
02538628	FAMOTIDINE	Mint-Famotidine 20mg Tab	MIN	0.2658	0.2658	YES	NO	YES
02538636	FAMOTIDINE	Mint-Famotidine 40mg Tab	MIN	0.4834	0.4834	YES	NO	YES
00710113	FAMOTIDINE	Pepcid (Not a Benefit) 40mg Tab	MFC	N/A	N/A	YES	NO	YES
00710121	FAMOTIDINE	Pepcid (Not a Benefit) 20mg Tab	MFC	N/A	N/A	YES	NO	YES
02022133	FAMOTIDINE	Teva-Famotidine 20mg Tab	TEV	0.2658	0.2658	YES	NO	YES
02022141	FAMOTIDINE	Teva-Famotidine 40mg Tab	TEV	0.4834	0.4834	YES	NO	YES
02379910	FAMPRIDINE	Fampyra (Off-Formulary Interchangeable) 10mg ER Tab	BIG	N/A	N/A	YES	NO	NO
02496216	FAMPRIDINE	PMS-Fampridine (Off-Formulary Interchangeable) 10mg ER Tab	PMS	8.4730	N/A	YES	NO	NO
02482398	FAMPRIDINE	Taro-Fampridine (Off-Formulary Interchangeable) 10mg ER Tab	TAR	8.4730	N/A	YES	NO	NO
02527618	FARICIMAB	Vabysmo 6mg/0.05mL Inj Sol-0.24mL Vial Pk (Preservative-Free)	HLR	1350.0000	1350.0000	NO	YES	NO
02533243	FEBUXOSTAT	Auro-Febuxostat (Off-Formulary Interchangeable) 80mg Tab	AUR	1.3515	1.3515	YES	NO	NO
02539837	FEBUXOSTAT	Febuxostat (Off-Formulary Interchangeable) 80mg Tab	SAI	1.3515	1.3515	YES	NO	NO
02490870	FEBUXOSTAT	Jamp-Febuxostat (Off-Formulary Interchangeable) 80mg Tab	JPC	1.3515	1.3515	YES	NO	NO
02473607	FEBUXOSTAT	Mar-Febuxostat (Off-Formulary Interchangeable) 80mg Tab	MAR	1.3515	1.3515	YES	NO	NO
02466198	FEBUXOSTAT	Teva-Febuxostat (Off-Formulary Interchangeable) 80mg Tab	TEV	1.3515	1.3515	YES	NO	NO
02357380	FEBUXOSTAT	Uloric (Off-Formulary Interchangeable) 80mg Tab	TAK	N/A	N/A	YES	NO	NO
02452383	FELODIPINE	Apo-Felodipine 10mg ER Tab	APX	0.5350	0.5350	YES	NO	YES
02452367	FELODIPINE	Apo-Felodipine 2.5mg ER Tab	APX	0.4050	0.4050	YES	NO	YES
02452375	FELODIPINE	Apo-Felodipine 5mg ER Tab	APX	0.3565	0.3565	YES	NO	YES
00851779	FELODIPINE	Plendil 5mg ER Tab	GPE	0.8020	0.3565	YES	NO	YES
02057778	FELODIPINE	Plendil 2.5mg ER Tab	GPE	0.6063	0.4050	YES	NO	YES
00851787	FELODIPINE	Plendil 10mg ER Tab	GPE	1.2027	0.5350	YES	NO	YES
02280264	FELODIPINE	Sandoz Felodipine 5mg ER Tab	SDZ	0.3565	0.3565	YES	NO	YES
02280272	FELODIPINE	Sandoz Felodipine 10mg ER Tab	SDZ	0.5350	0.5350	YES	NO	YES
02221993	FELODIPINE	Renedil (Not a Benefit) 5mg SR Tab	SAV	N/A	N/A	YES	NO	YES
02222000	FELODIPINE	Renedil (Not a Benefit) 10mg SR Tab	SAV	N/A	N/A	YES	NO	YES
09857204	FELODIPINE	Sandoz Felodipine 10mg SR Tab	SDZ	0.8390	0.8390	YES	NO	YES
09857203	FELODIPINE	Sandoz Felodipine 5mg SR Tab	SDZ	0.5592	0.5592	YES	NO	YES
02239864	FENOFIBRATE	AA-Feno-Micro 200mg Cap	AAP	0.9257	0.9257	YES	NO	NO
02243180	FENOFIBRATE	AA-Feno-Micro (Off-Formulary Interchangeable) 67mg Cap	AAP	0.6025	N/A	YES	NO	NO
02225980	FENOFIBRATE	Apo-Fenofibrate 100mg Cap	APX	0.6105	0.6105	YES	NO	NO
00885827	FENOFIBRATE	Lipidil (Not a Benefit) 100mg Cap	JOU	N/A	N/A	YES	NO	NO
02146959	FENOFIBRATE	Lipidil Micro (Not a Benefit) 200mg Cap	SPH	N/A	N/A	YES	NO	NO
02230283	FENOFIBRATE	Lipidil Micro (Off-Formulary Interchangeable) 67mg Cap	FOU	N/A	N/A	YES	NO	NO
02246859	FENOFIBRATE	AA-Feno-Super (Off-Formulary Interchangeable) 100mg Tab	AAP	0.9883	N/A	YES	NO	NO
02246860	FENOFIBRATE	AA-Feno-Super 160mg Tab	AAP	1.0022	1.0022	YES	NO	NO
02269074	FENOFIBRATE	Lipidil EZ 48mg Tab	FOU	0.4986	0.3560	YES	NO	NO
02269082	FENOFIBRATE	Lipidil EZ 145mg Tab	FOU	1.2768	0.5489	YES	NO	NO
02241601	FENOFIBRATE	Lipidil Supra (Off-Formulary Interchangeable) 100mg Tab	LAF	N/A	N/A	YES	NO	NO
02241602	FENOFIBRATE	Lipidil Supra 160mg Tab	BGP	1.4513	1.0022	YES	NO	NO
02390701	FENOFIBRATE	Sandoz Fenofibrate E 145mg Tab	SDZ	0.5489	0.5489	YES	NO	NO
02390698	FENOFIBRATE	Sandoz Fenofibrate E 48mg Tab	SDZ	0.3560	0.3560	YES	NO	NO
02288044	FENOFIBRATE	Sandoz Fenofibrate S (Off-Formulary Interchangeable) 100mg Tab	SDZ	0.7874	N/A	YES	NO	NO
02454696	FENOFIBRATE	Taro-Fenofibrate E 145mg Tab	SPC	0.5489	0.5489	YES	NO	NO
02275848	FENTANYL TRANSDERMAL SYSTEM	Duragesic (Off-Formulary Interchangeable) 75mcg/hr Trans Patch	JAN	N/A	N/A	YES	NO	YES
02275856	FENTANYL TRANSDERMAL SYSTEM	Duragesic (Off-Formulary Interchangeable) 100mcg/hr Trans Patch	JAN	N/A	N/A	YES	NO	YES
02275813	FENTANYL TRANSDERMAL SYSTEM	Duragesic (Not a Benefit) 25mcg/hr Trans Patch	JAN	N/A	N/A	YES	NO	YES
02275821	FENTANYL TRANSDERMAL SYSTEM	Duragesic (Not a Benefit) 50mcg/hr Trans Patch	JAN	N/A	N/A	YES	NO	YES
01937413	FENTANYL TRANSDERMAL SYSTEM	Duragesic 100 (Off-Formulary Interchangeable) 100mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
09858350	FENTANYL TRANSDERMAL SYSTEM	Duragesic 12 (Not a Benefit) 12mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
02280345	FENTANYL TRANSDERMAL SYSTEM	Duragesic 12 (Not a Benefit) 12mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
01937383	FENTANYL TRANSDERMAL SYSTEM	Duragesic 25 (Not a Benefit) 25mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
01937391	FENTANYL TRANSDERMAL SYSTEM	Duragesic 50 (Not a Benefit) 50mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
01937405	FENTANYL TRANSDERMAL SYSTEM	Duragesic 75 (Off-Formulary Interchangeable) 75mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
02327120	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch 25mcg/hr Trans Patch	SDZ	8.5600	8.5600	YES	YES	YES
02327163	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch (Off-Formulary Interchangeable) 100mcg/hr Trans Patch	SDZ	28.1950	N/A	YES	NO	YES
09858348	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch 12mcg/hr Trans Patch	SDZ	3.3200	3.3200	YES	YES	YES
02327147	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch 50mcg/hr Trans Patch	SDZ	16.1100	16.1100	YES	YES	YES
02327112	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch 12mcg/hr Trans Patch	SDZ	3.3200	3.3200	YES	YES	YES
02327155	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch (Off-Formulary Interchangeable) 75mcg/hr Trans Patch	SDZ	22.6500	N/A	YES	NO	YES
02282984	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl (Off-Formulary Interchangeable) 100mcg/hr Trans Patch	TEV	28.1950	N/A	YES	NO	YES
02282976	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl (Off-Formulary Interchangeable) 75mcg/hr Trans Patch	TEV	22.6500	N/A	YES	NO	YES
02282968	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl 50mcg/hr Trans Patch	TEV	16.1100	16.1100	YES	YES	YES
02282941	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl 25mcg/hr Trans Patch	TEV	8.5600	8.5600	YES	YES	YES
09858349	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl 12mcg/hr Trans Patch	TEV	3.3200	3.3200	YES	YES	YES
02311925	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl 12mcg/hr Trans Patch	TEV	3.3200	3.3200	YES	YES	YES
02477777	FERRIC DERISOMALTOSE	Monoferric 100mg elemental iron/mL Inj Sol (Preservative-Free)	PHC	45.0000	45.0000	NO	YES	NO
02237556	FERROUS FUMARATE	Euro-Fer 300mg Cap	SDZ	0.1057	0.1057	YES	NO	NO
80024232	FERROUS FUMARATE	Jamp-Fer 300mg Cap	JPC	0.1057	0.1057	YES	NO	NO
01923420	FERROUS FUMARATE	Palafer (Not a Benefit) 300mg Cap	GSK	N/A	N/A	YES	NO	NO
01923439	FERROUS FUMARATE	Palafer 60mg/mL O/L	GSK	0.0981	0.0981	NO	NO	NO
00031097	FERROUS GLUCONATE	Ferrous Gluconate (Not a Benefit) 300mg Tab	JPC	N/A	N/A	YES	NO	NO
00545031	FERROUS GLUCONATE	Ferrous Gluconate 300mg 300mg Tab	AAP	0.0424	0.0424	YES	NO	NO
00762954	FERROUS SULFATE	Fer-In-Sol 75mg/mL O/L	MJS	0.2436	0.2436	NO	NO	NO
02521776	FESOTERODINE FUMARATE	Sandoz Fesoterodine Fumarate 8mg Tab	SDZ	1.1250	1.1250	YES	YES	NO
02521768	FESOTERODINE FUMARATE	Sandoz Fesoterodine Fumarate 4mg Tab	SDZ	1.1250	1.1250	YES	YES	NO
02380048	FESOTERODINE FUMARATE	Toviaz 8mg Tab	PFI	1.5500	1.1250	YES	YES	NO
02380021	FESOTERODINE FUMARATE	Toviaz 4mg Tab	PFI	1.5500	1.1250	YES	YES	NO
09853464	FILGRASTIM	Neupogen 480mcg/1.6mL 1.6mL Vial	AMG	281.8120	281.8120	NO	YES	NO
01968017	FILGRASTIM	Neupogen 300mcg/mL 1mL Vial	AMG	176.1330	176.1330	NO	YES	NO
02485575	FILGRASTIM	Nivestym 300mcg/0.5mL Inj Sol-0.5mL Pref Syr	PFI	138.5376	138.5376	NO	NO	NO
02556537	FILGRASTIM	Filra 300mcg/0.5mL Inj Sol-0.5mL Pref Syr (Preservative-Free)	JPC	105.6798	105.6798	NO	NO	NO
02520990	FILGRASTIM	Nypozi 300mcg/0.5mL Inj Sol-0.5mL Pref Syr (Preservative-Free)	TAV	138.5376	138.5376	NO	NO	NO
02485583	FILGRASTIM	Nivestym 480mcg/0.8mL Inj Sol-0.8mL Pref Syr	PFI	221.6640	221.6640	NO	NO	NO
02556545	FILGRASTIM	Filra 480mcg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	JPC	169.0872	169.0872	NO	NO	NO
02521008	FILGRASTIM	Nypozi 480mcg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	TAV	221.6640	221.6640	NO	NO	NO
02485656	FILGRASTIM	Nivestym 480mcg/1.6mL Inj Sol-1.6mL Vial Pk	PFI	221.6640	221.6640	NO	NO	NO
02485591	FILGRASTIM	Nivestym 300mcg/mL Inj Sol-1mL Vial Pk	PFI	138.5376	138.5376	NO	NO	NO
02441489	FILGRASTIM	Grastofil 300mcg/0.5mL Pref Syr-0.5mL Pk	APX	138.5380	138.5380	NO	NO	NO
02454548	FILGRASTIM	Grastofil 480mcg/0.8mL Pref Syr-0.8mL Pk	APX	221.6600	221.6600	NO	NO	NO
02365383	FINASTERIDE	Apo-Finasteride 5mg Tab	APX	0.3506	0.3506	YES	YES	NO
02405814	FINASTERIDE	Auro-Finasteride 5mg Tab	AUR	0.3506	0.3506	YES	YES	NO
02428148	FINASTERIDE	Auro-Finasteride 1mg (Off-Formulary Interchangeable) 1mg Tab	AUR	1.1455	N/A	YES	NO	NO
02447568	FINASTERIDE	Finasteride (Off-Formulary Interchangeable) 1mg Tab	SIV	1.1455	N/A	YES	NO	NO
02447541	FINASTERIDE	Finasteride 5mg Tab	SIV	0.3506	0.3506	YES	YES	NO
02445085	FINASTERIDE	Finasteride (Off-Formulary Interchangeable) 1mg Tab	SAI	1.1453	N/A	YES	NO	NO
02445077	FINASTERIDE	Finasteride 5mg Tab	SAI	0.3506	0.3506	YES	YES	NO
02355043	FINASTERIDE	Finasteride Tablets USP 5mg Tab	ACH	0.3506	0.3506	YES	YES	NO
02357224	FINASTERIDE	Jamp-Finasteride 5mg Tab	JPC	0.3506	0.3506	YES	YES	NO
02522489	FINASTERIDE	M-Finasteride 5mg Tab	MAT	0.3506	0.3506	YES	YES	NO
02389878	FINASTERIDE	Mint-Finasteride 5mg Tab	MIN	0.3506	0.3506	YES	YES	NO
02537427	FINASTERIDE	Mint-Finasteride (Off-Formulary Interchangeable) 1mg Tab	MIN	1.1453	N/A	YES	NO	NO
02348500	FINASTERIDE	Novo-Finasteride 5mg Tab	TEV	0.3506	0.3506	YES	YES	NO
02320169	FINASTERIDE	PMS-Finasteride (Off-Formulary Interchangeable) 1mg Tab	PMS	1.1453	N/A	YES	NO	NO
02310112	FINASTERIDE	PMS-Finasteride 5mg Tab	PMS	0.3506	0.3506	YES	YES	NO
02238213	FINASTERIDE	Propecia (Off-Formulary Interchangeable) 1mg Tab	OCI	N/A	N/A	YES	NO	NO
02010909	FINASTERIDE	Proscar 5mg Tab	OCI	2.5610	0.3506	YES	YES	NO
02306905	FINASTERIDE	Ratio-Finasteride 5mg Tab	RPH	0.3506	0.3506	YES	YES	NO
02455013	FINASTERIDE	Riva-Finasteride 5mg Tab	RIA	0.3506	0.3506	YES	YES	NO
02322579	FINASTERIDE	Sandoz Finasteride 5mg Tab	SDZ	0.3506	0.3506	YES	YES	NO
02339471	FINASTERIDE	Sandoz Finasteride A (Off-Formulary Interchangeable) 1mg Tab	SDZ	1.1453	N/A	YES	NO	NO
02531917	FINERENONE	Kerendia 10mg Tab	BAH	3.2565	3.2565	NO	YES	NO
02531925	FINERENONE	Kerendia 20mg Tab	BAH	3.2565	3.2565	NO	YES	NO
02475669	FINGOLIMOD	Ach-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	ACH	73.9100	73.9100	YES	NO	NO
02469936	FINGOLIMOD	Apo-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	APX	73.9096	73.9096	YES	NO	NO
02365480	FINGOLIMOD	Gilenya (Off-Formulary Interchangeable) 0.5mg Cap	NOV	86.9525	73.9100	YES	NO	NO
02487772	FINGOLIMOD	Jamp Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	JPC	73.9096	73.9096	YES	NO	NO
02474743	FINGOLIMOD	Mar-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	MAR	73.9096	73.9096	YES	NO	NO
02469715	FINGOLIMOD	Mylan-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	MYL	73.9096	73.9096	YES	NO	NO
02469782	FINGOLIMOD	PMS-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	PMS	73.9096	73.9096	YES	NO	NO
02482606	FINGOLIMOD	Sandoz Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	SDZ	73.9096	73.9096	YES	NO	NO
02469618	FINGOLIMOD	Taro-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	TAR	73.9096	73.9096	YES	NO	NO
02469561	FINGOLIMOD	Teva-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	TEV	73.9096	73.9096	YES	NO	NO
02244842	FLAVOXATE HCL	Apo-Flavoxate (Not a Benefit) 200mg Tab	APX	N/A	N/A	YES	NO	NO
00728179	FLAVOXATE HCL	Urispas (Not a Benefit) 200mg Tab	PAL	N/A	N/A	YES	NO	NO
02275546	FLECAINIDE ACETATE	Apo-Flecainide 100mg Tab	APX	0.2779	0.2779	YES	NO	NO
02275538	FLECAINIDE ACETATE	Apo-Flecainide 50mg Tab	APX	0.1389	0.1389	YES	NO	NO
02459965	FLECAINIDE ACETATE	Auro-Flecainide 100mg Tab	AUR	0.2779	0.2779	YES	NO	NO
02459957	FLECAINIDE ACETATE	Auro-Flecainide 50mg Tab	AUR	0.1389	0.1389	YES	NO	NO
02534800	FLECAINIDE ACETATE	Flecainide 50mg Tab	SAI	0.1389	0.1389	YES	NO	NO
02534819	FLECAINIDE ACETATE	Flecainide 100mg Tab	SAI	0.2779	0.2779	YES	NO	NO
02493705	FLECAINIDE ACETATE	Jamp Flecainide 50mg Tab	JPC	0.1389	0.1389	YES	NO	NO
02493713	FLECAINIDE ACETATE	Jamp Flecainide 100mg Tab	JPC	0.2779	0.2779	YES	NO	NO
02476185	FLECAINIDE ACETATE	Mar-Flecainide 100mg Tab	MAR	0.2779	0.2779	YES	NO	NO
02476177	FLECAINIDE ACETATE	Mar-Flecainide 50mg Tab	MAR	0.1389	0.1389	YES	NO	NO
02530066	FLECAINIDE ACETATE	NRA-Flecainide 50mg Tab	NRA	0.1389	0.1389	YES	NO	NO
02530074	FLECAINIDE ACETATE	NRA-Flecainide 100mg Tab	NRA	0.2779	0.2779	YES	NO	NO
01966197	FLECAINIDE ACETATE	Tambocor (Not a Benefit) 50mg Tab	GRA	N/A	N/A	YES	NO	NO
01966200	FLECAINIDE ACETATE	Tambocor (Not a Benefit) 100mg Tab	GRA	N/A	N/A	YES	NO	NO
02241895	FLUCONAZOLE	Apo-Fluconazole-150 150mg Cap	APX	3.9424	3.9424	YES	YES	YES
02141442	FLUCONAZOLE	Diflucan-150 150mg Cap	PFI	15.7697	3.9424	YES	YES	YES
02521229	FLUCONAZOLE	Fluconazole-150 150mg Cap	SAI	3.9424	3.9424	YES	YES	YES
02547864	FLUCONAZOLE	Jamp Fluconazole 150mg 150mg Cap	JPC	3.9424	3.9424	YES	YES	YES
02432471	FLUCONAZOLE	Jamp-Fluconazole 150mg Cap	JPC	3.9424	3.9424	YES	YES	YES
02428792	FLUCONAZOLE	Mar-Fluconazole-150 150mg Cap	MAR	3.9424	3.9424	YES	YES	YES
02433702	FLUCONAZOLE	Priva-Fluconazole 150mg Cap	PHP	3.9424	3.9424	YES	YES	YES
02255510	FLUCONAZOLE	Riva-Fluconazole 150mg Cap	RIA	3.9424	3.9424	YES	YES	YES
02024152	FLUCONAZOLE	Diflucan P.O.S. 10mg/mL O/L	PFI	1.3654	1.3654	NO	YES	NO
02281279	FLUCONAZOLE	Act Fluconazole 100mg Tab	ACV	2.2891	2.2891	YES	NO	NO
02281260	FLUCONAZOLE	Act Fluconazole 50mg Tab	ACV	1.2904	1.2904	YES	NO	NO
02237371	FLUCONAZOLE	Apo-Fluconazole 100mg Tab	APX	2.2891	2.2891	YES	NO	NO
02237370	FLUCONAZOLE	Apo-Fluconazole 50mg Tab	APX	1.2904	1.2904	YES	NO	NO
00891819	FLUCONAZOLE	Diflucan (Not a Benefit) 100mg Tab	PFI	N/A	N/A	YES	NO	NO
00891800	FLUCONAZOLE	Diflucan (Not a Benefit) 50mg Tab	PFI	N/A	N/A	YES	NO	NO
02517418	FLUCONAZOLE	Fluconazole 100mg Tab	SAI	2.2891	2.2891	YES	NO	NO
02534886	FLUCONAZOLE	Fluconazole 50mg Tab	SIV	1.2904	1.2904	YES	NO	NO
02534894	FLUCONAZOLE	Fluconazole 100mg Tab	SIV	2.2891	2.2891	YES	NO	NO
02517396	FLUCONAZOLE	Fluconazole 50mg Tab	SAI	1.2904	1.2904	YES	NO	NO
02245292	FLUCONAZOLE	Mylan-Fluconazole 50mg Tab	MYL	1.2904	1.2904	YES	NO	NO
02245293	FLUCONAZOLE	Mylan-Fluconazole 100mg Tab	MYL	2.2891	2.2891	YES	NO	NO
02245644	FLUCONAZOLE	PMS-Fluconazole 100mg Tab	PMS	2.2891	2.2891	YES	NO	NO
02245643	FLUCONAZOLE	PMS-Fluconazole 50mg Tab	PMS	1.2904	1.2904	YES	NO	NO
02236978	FLUCONAZOLE	Teva-Fluconazole 50mg Tab	TEV	1.2904	1.2904	YES	NO	NO
02236979	FLUCONAZOLE	Teva-Fluconazole 100mg Tab	TEV	2.2891	2.2891	YES	NO	NO
02246226	FLUDARABINE PHOSPHATE	Fludara 10mg Tab	GZM	41.8940	41.8940	NO	YES	NO
02086026	FLUDROCORTISONE ACETATE	Florinef 0.1mg Tab	PPI	0.5692	0.4269	YES	NO	NO
02552248	FLUDROCORTISONE ACETATE	Jamp Fludrocortisone 0.1mg Tab	JPC	0.4269	0.4269	YES	NO	NO
00074454	FLUMETHASONE PIVALATE & IODOCHLORHYDROXYQUIN	Locacorten Vioform Eardrops 0.02% & 1% Ot Sol	PPI	2.5782	2.5782	NO	NO	YES
02246082	FLUNARIZINE HCL	Flunarizine 5mg Cap	AAP	0.8320	0.8320	YES	YES	NO
00846341	FLUNARIZINE HCL	Sibelium (Not a Benefit) 5mg Cap	PMS	N/A	N/A	YES	NO	NO
02161923	FLUOCINONIDE	Lidex (Not a Benefit) 0.05% Cr	VAE	N/A	N/A	YES	NO	NO
00716863	FLUOCINONIDE	Lyderm 0.05% Cr	TAR	0.2550	0.2550	YES	NO	NO
02163152	FLUOCINONIDE	Lidemol (Not a Benefit) 0.05% Emol Cr	VAE	N/A	N/A	YES	NO	NO
00598933	FLUOCINONIDE	Tiamol 0.05% Emol Cr	TAR	0.1980	0.1980	YES	NO	NO
02161974	FLUOCINONIDE	Lidex (Not a Benefit) 0.05% Gel	VAE	N/A	N/A	YES	NO	NO
02236997	FLUOCINONIDE	Lyderm 0.05% Gel	TAR	0.3517	0.3517	YES	NO	NO
02161966	FLUOCINONIDE	Lidex (Not a Benefit) 0.05% Oint	VAE	N/A	N/A	YES	NO	NO
02236996	FLUOCINONIDE	Lyderm 0.05% Oint	TAR	0.3370	0.3370	YES	NO	NO
00247855	FLUOROMETHOLONE	FML 0.1% Oph Susp	ALL	3.5440	3.5440	NO	NO	YES
00756784	FLUOROMETHOLONE ACETATE	Flarex 0.1% Oph Susp	NOV	2.0240	2.0240	NO	NO	YES
00330582	FLUOROURACIL	Efudex 5% Cr	VAL	1.1341	1.1341	NO	NO	NO
02428946	FLUOROURACIL & SALICYLIC ACID	Actikerall 0.5% w/w & 10% w/w Top Sol	CIP	2.0878	2.0878	NO	NO	NO
02485060	FLUOXETINE HCL	AG-Fluoxetine 20mg Cap	ANG	0.3311	0.3311	YES	NO	YES
02485052	FLUOXETINE HCL	AG-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	ANG	1.1773	N/A	YES	NO	YES
02393441	FLUOXETINE HCL	Ach-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	ACH	1.1773	N/A	YES	NO	YES
02383241	FLUOXETINE HCL	Ach-Fluoxetine 20mg Cap	ACH	0.3311	0.3311	YES	NO	YES
02216361	FLUOXETINE HCL	Apo-Fluoxetine 20mg Cap	APX	0.3311	0.3311	YES	NO	YES
02216353	FLUOXETINE HCL	Apo-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	APX	1.1773	N/A	YES	NO	YES
02385635	FLUOXETINE HCL	Auro-Fluoxetine 20mg Cap	AUR	0.3311	0.3311	YES	NO	YES
02385627	FLUOXETINE HCL	Auro-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	AUR	1.1773	N/A	YES	NO	YES
02448424	FLUOXETINE HCL	Bio-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	BMP	1.1773	N/A	YES	NO	YES
02448432	FLUOXETINE HCL	Bio-Fluoxetine 20mg Cap	BMP	0.3311	0.3311	YES	NO	YES
02242177	FLUOXETINE HCL	Co Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	COB	1.1773	N/A	YES	NO	YES
02242178	FLUOXETINE HCL	Co Fluoxetine 20mg Cap	COB	0.3311	0.3311	YES	NO	YES
02374447	FLUOXETINE HCL	Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	SIV	1.1773	N/A	YES	NO	YES
02374455	FLUOXETINE HCL	Fluoxetine 20mg Cap	SIV	0.3311	0.3311	YES	NO	YES
02286076	FLUOXETINE HCL	Fluoxetine 20mg Cap	SAI	0.3311	0.3311	YES	NO	YES
02286068	FLUOXETINE HCL	Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	SAI	1.1773	N/A	YES	NO	YES
02386402	FLUOXETINE HCL	Jamp-Fluoxetine 20mg Cap	JPC	0.3311	0.3311	YES	NO	YES
02401894	FLUOXETINE HCL	Jamp-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	JPC	1.1773	N/A	YES	NO	YES
02529440	FLUOXETINE HCL	M-Fluoxetine 20mg Cap	MAT	0.3311	0.3311	YES	NO	YES
02529432	FLUOXETINE HCL	M-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	MAT	1.1773	N/A	YES	NO	YES
02392917	FLUOXETINE HCL	Mar-Fluoxetine 20mg Cap	MAR	0.3311	0.3311	YES	NO	YES
02392909	FLUOXETINE HCL	Mar-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	MAR	1.1773	N/A	YES	NO	YES
02380579	FLUOXETINE HCL	Mint-Fluoxetine 20mg Cap	MIN	0.3311	0.3311	YES	NO	YES
02380560	FLUOXETINE HCL	Mint-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	MIN	1.1773	N/A	YES	NO	YES
02503883	FLUOXETINE HCL	NRA-Fluoxetine 20mg Cap	NRA	0.3311	0.3311	YES	NO	YES
02503875	FLUOXETINE HCL	NRA-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	NRA	1.1773	N/A	YES	NO	YES
02464640	FLUOXETINE HCL	PMS-Fluoxetine 40mg Cap	PMS	0.6622	0.6622	NO	NO	YES
02177579	FLUOXETINE HCL	PMS-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	PMS	1.1773	N/A	YES	NO	YES
02177587	FLUOXETINE HCL	PMS-Fluoxetine 20mg Cap	PMS	0.3311	0.3311	YES	NO	YES
02464659	FLUOXETINE HCL	PMS-Fluoxetine 60mg Cap	PMS	0.9933	0.9933	NO	NO	YES
00636622	FLUOXETINE HCL	Prozac 20mg Cap	LIL	2.4865	0.3311	YES	NO	YES
02018985	FLUOXETINE HCL	Prozac (Off-Formulary Interchangeable) 10mg Cap	LIL	N/A	N/A	YES	NO	YES
02405709	FLUOXETINE HCL	Ran-Fluoxetine 20mg Cap	RAN	0.3311	0.3311	YES	NO	YES
02479494	FLUOXETINE HCL	Sandoz Fluoxetine 20mg Cap	SDZ	0.3311	0.3311	YES	NO	YES
02479486	FLUOXETINE HCL	Sandoz Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	SDZ	1.1773	N/A	YES	NO	YES
02216582	FLUOXETINE HCL	Teva-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	TEV	1.1773	N/A	YES	NO	YES
02216590	FLUOXETINE HCL	Teva-Fluoxetine 20mg Cap	TEV	0.3311	0.3311	YES	NO	YES
02231328	FLUOXETINE HCL	Apo-Fluoxetine 20mg/5mL Oral Sol	APX	0.2158	0.2158	YES	NO	YES
02546752	FLUOXETINE HCL	Jamp Fluoxetine Solution 20mg/5mL Oral Sol	JPC	0.2158	0.2158	YES	NO	YES
02459361	FLUOXETINE HCL	Odan-Fluoxetine 20mg/5mL Oral Sol	ODN	0.2158	0.2158	YES	NO	YES
01917021	FLUOXETINE HCL	Prozac (Not a Benefit) 20mg/5mL Oral Sol	LIL	N/A	N/A	YES	NO	YES
02156032	FLUPENTIXOL DECANOATE	Fluanxol Depot 20mg/mL Inj Sol-1mL Amp Pk	VLH	10.2708	10.2708	NO	NO	NO
02156040	FLUPENTIXOL DECANOATE	Fluanxol Depot 100mg/mL Inj Sol-1mL Amp Pk	VLH	51.3536	51.3536	NO	NO	NO
02156008	FLUPENTIXOL DIHYDROCHLORIDE	Fluanxol 0.5mg Tab	VLH	0.3548	0.3548	NO	NO	NO
02156016	FLUPENTIXOL DIHYDROCHLORIDE	Fluanxol 3mg Tab	VLH	0.7663	0.7663	NO	NO	NO
00405361	FLUPHENAZINE HCL	Fluphenazine 5mg Tab	AAP	0.1720	0.1720	YES	NO	NO
00405345	FLUPHENAZINE HCL	Fluphenazine 1mg Tab	AAP	0.1739	0.1739	YES	NO	NO
00410632	FLUPHENAZINE HCL	Fluphenazine 2mg Tab	AAP	0.2252	0.2252	YES	NO	NO
00029408	FLUPHENAZINE HCL	Moditen HCL (Not a Benefit) 5mg Tab	BQU	N/A	N/A	YES	NO	NO
00029378	FLUPHENAZINE HCL	Moditen HCL (Not a Benefit) 1mg Tab	BQU	N/A	N/A	YES	NO	NO
00029386	FLUPHENAZINE HCL	Moditen HCL (Not a Benefit) 2mg Tab	BQU	N/A	N/A	YES	NO	NO
00012718	FLURAZEPAM	Dalmane (Not a Benefit) 30mg Cap	VAL	N/A	N/A	YES	NO	NO
00012696	FLURAZEPAM	Dalmane (Not a Benefit) 15mg Cap	VAL	N/A	N/A	YES	NO	NO
00521698	FLURAZEPAM	Flurazepam 15mg Cap	AAP	0.1166	0.1166	YES	NO	NO
00521701	FLURAZEPAM	Flurazepam 30mg Cap	AAP	0.1364	0.1364	YES	NO	NO
00647942	FLURBIPROFEN	Ansaid (Not a Benefit) 50mg Tab	PFI	N/A	N/A	YES	NO	YES
00600792	FLURBIPROFEN	Ansaid (Not a Benefit) 100mg Tab	PFI	N/A	N/A	YES	NO	YES
01912046	FLURBIPROFEN	Flurbiprofen 50mg Tab	AAP	0.4530	0.4530	YES	NO	YES
01912038	FLURBIPROFEN	Flurbiprofen 100mg Tab	AAP	0.5930	0.5930	YES	NO	YES
00637726	FLUTAMIDE	Euflex (Not a Benefit) 250mg Tab	SCH	N/A	N/A	YES	NO	NO
02238560	FLUTAMIDE	Flutamide 250mg Tab	AAP	1.8255	1.8255	YES	NO	NO
02446561	FLUTICASONE FUROATE	Arnuity Ellipta 100mcg Blister Pd Inh-30 Dose Pk	GSK	50.8100	50.8100	NO	NO	NO
02446588	FLUTICASONE FUROATE	Arnuity Ellipta 200mcg Blister Pd Inh-30 Dose Pk	GSK	101.5900	101.5900	NO	NO	NO
02474522	FLUTICASONE FUROATE & UMECLIDINIUM BROMIDE & VILANTEROL TRIFENATATE	Trelegy Ellipta 100mcg & 62.5mcg & 25mcg Pd Inh-30 Dose Pk	GSK	137.6700	137.6700	NO	YES	YES
02444186	FLUTICASONE FUROATE & VILANTEROL	Breo Ellipta 200mcg & 25mcg Blister Pd Inh-30 Dose Pk	GSK	171.8900	171.8900	NO	YES	NO
02408872	FLUTICASONE FUROATE & VILANTEROL	Breo Ellipta 100mcg & 25mcg Blister Pd Inh-30 Dose Pk	GSK	110.5000	110.5000	NO	YES	NO
02510987	FLUTICASONE PROPIONATE	Apo-Fluticasone HFA 250mcg/Metered Dose Inh-120 Dose Pk	APX	45.0200	45.0200	YES	NO	NO
02528428	FLUTICASONE PROPIONATE	Apo-Fluticasone HFA 50mcg/Metered Dose Inh-120 Dose Pk	APX	14.2080	14.2080	YES	NO	NO
02526557	FLUTICASONE PROPIONATE	Apo-Fluticasone HFA 125mcg/Metered Dose Inh-120 Dose Pk	APX	23.4100	23.4100	YES	NO	NO
02244293	FLUTICASONE PROPIONATE	Flovent HFA 250mcg/Metered Dose Inh-120 Dose Pk	GSK	116.4200	45.0200	YES	NO	NO
02244292	FLUTICASONE PROPIONATE	Flovent HFA 125mcg/Metered Dose Inh-120 Dose Pk	GSK	58.2100	23.4100	YES	NO	NO
02244291	FLUTICASONE PROPIONATE	Flovent HFA 50mcg/Metered Dose Inh-120 Dose Pk	GSK	33.7500	14.2080	YES	NO	NO
02503131	FLUTICASONE PROPIONATE	PMS-Fluticasone 250mcg/Metered Dose Inh-120 Dose Pk	PMS	45.0200	45.0200	YES	NO	NO
02503115	FLUTICASONE PROPIONATE	PMS-Fluticasone HFA 50mcg/Metered Dose Inh-120 Dose Pk	PMS	14.2080	14.2080	YES	NO	NO
02503123	FLUTICASONE PROPIONATE	PMS-Fluticasone HFA 125mcg/Metered Dose Inh-120 Dose Pk	PMS	23.4100	23.4100	YES	NO	NO
02294745	FLUTICASONE PROPIONATE	Apo-Fluticasone (Off-Formulary Interchangeable) 50mcg/Actuation Nas Sp-120 Dose Pk	APX	21.9700	N/A	YES	NO	YES
02213672	FLUTICASONE PROPIONATE	Flonase (Off-Formulary Interchangeable) 50mcg/Actuation Nas Sp-120 Dose Pk	GSK	N/A	N/A	YES	NO	YES
02296071	FLUTICASONE PROPIONATE	Ratio-Fluticasone (Off-Formulary Interchangeable) 50mcg/Actuation Nas Sp-120 Dose Pk	RPH	21.9700	N/A	YES	NO	YES
02453738	FLUTICASONE PROPIONATE	Teva-Fluticasone (Off-Formulary Interchangeable) 50mcg/Actuation Nas Sp-120 Dose Pk	TEV	21.9700	N/A	YES	NO	YES
02467895	FLUTICASONE PROPIONATE	Aermony Respiclick 55mcg/Actuation Pd Inh-60 Dose Pk	TEV	16.9560	16.9560	NO	NO	NO
02467909	FLUTICASONE PROPIONATE	Aermony Respiclick 113mcg/Actuation Pd Inh-60 Dose Pk	TEV	30.9619	30.9619	NO	NO	NO
02467917	FLUTICASONE PROPIONATE	Aermony Respiclick 232mcg/Actuation Pd Inh-60 Dose Pk	TEV	48.1524	48.1524	NO	NO	NO
02237246	FLUTICASONE PROPIONATE	Flovent Diskus 250mcg/Blister Pd Inh-60 Dose Pk	GSK	58.2100	58.2100	NO	NO	NO
02237247	FLUTICASONE PROPIONATE	Flovent Diskus 500mcg/Blister Pd Inh-60 Dose Pk	GSK	90.5500	90.5500	NO	NO	NO
02061562	FLUVASTATIN SODIUM	Lescol (Not a Benefit) 20mg Cap	NOV	N/A	N/A	YES	NO	NO
02061570	FLUVASTATIN SODIUM	Lescol (Not a Benefit) 40mg Cap	NOV	N/A	N/A	YES	NO	NO
02299224	FLUVASTATIN SODIUM	Teva-Fluvastatin 20mg Cap	TEV	0.6882	0.6882	YES	NO	NO
02299232	FLUVASTATIN SODIUM	Teva-Fluvastatin 40mg Cap	TEV	0.9671	0.9671	YES	NO	NO
02250527	FLUVASTATIN SODIUM	Lescol XL 80mg ER Tab	NOV	1.6225	1.6225	NO	NO	NO
02231330	FLUVOXAMINE MALEATE	Apo-Fluvoxamine 100mg Tab	APX	0.9728	0.9728	YES	NO	YES
02231329	FLUVOXAMINE MALEATE	Apo-Fluvoxamine 50mg Tab	APX	0.5410	0.5410	YES	NO	YES
01919342	FLUVOXAMINE MALEATE	Luvox 50mg Tab	BGP	1.1241	0.5410	YES	NO	YES
01919369	FLUVOXAMINE MALEATE	Luvox 100mg Tab	BGP	2.0214	0.9728	YES	NO	YES
02255537	FLUVOXAMINE MALEATE	Teva-Fluvoxamine 100mg Tab	TEV	0.9728	0.9728	YES	NO	YES
02255529	FLUVOXAMINE MALEATE	Teva-Fluvoxamine 50mg Tab	TEV	0.5410	0.5410	YES	NO	YES
00426849	FOLIC ACID	Folic Acid 5mg Tab	AAP	0.0404	0.0404	YES	NO	NO
00014966	FOLIC ACID	Folvite (Not a Benefit) 5mg Tab	LED	N/A	N/A	YES	NO	NO
02245531	FONDAPARINUX SODIUM	Arixtra 2.5mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk (Preservative Free)	ASN	12.8230	11.1944	YES	YES	NO
02406853	FONDAPARINUX SODIUM	Fondaparinux Sodium Injection 2.5mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk (Preservative Free)	DRR	11.1944	11.1944	YES	YES	NO
02258056	FONDAPARINUX SODIUM	Arixtra (Off-Formulary Interchangeable) 7.5mg/0.6mL Inj Sol-Pref Syr 0.6mL Pk (Preservative Free)	ASN	N/A	N/A	YES	NO	NO
02406896	FONDAPARINUX SODIUM	Fondaparinux Sodium Injection (Off-Formulary Interchangeable) 7.5mg/0.6mL Inj Sol-Pref Syr 0.6mL Pk (Preservative Free)	DRR	18.1356	18.1356	YES	NO	NO
02230898	FORMOTEROL FUMARATE	Foradil 12mcg/Cap Inh Pd-Device Pk	NOV	55.7700	55.7700	NO	YES	NO
02237224	FORMOTEROL FUMARATE DIHYDRATE	Oxeze Turbuhaler 12mcg/Metered Dose Pd Inh-60 Dose Pk	AZC	51.0245	51.0245	NO	YES	NO
02237225	FORMOTEROL FUMARATE DIHYDRATE	Oxeze Turbuhaler 6mcg/Metered Dose Pd Inh-60 Dose Pk	AZC	38.3350	38.3350	NO	YES	NO
02261553	FOSAMPRENAVIR CALCIUM	Telzir 50mg/mL Oral Susp	VIH	0.6535	0.6535	NO	NO	NO
02261545	FOSAMPRENAVIR CALCIUM	Telzir 700mg Tab	VIH	9.4389	9.4389	NO	NO	NO
02473801	FOSFOMYCIN TROMETHAMINE	Jamp-Fosfomycin Sachet-3g Pk	JPC	14.0250	14.0250	YES	NO	YES
02240335	FOSFOMYCIN TROMETHAMINE	Monurol Sachet-3g Pk	PAL	21.6700	14.0250	YES	NO	YES
02266016	FOSINOPRIL SODIUM	Apo-Fosinopril 20mg Tab	APX	0.2619	0.2619	YES	NO	NO
02266008	FOSINOPRIL SODIUM	Apo-Fosinopril 10mg Tab	APX	0.2178	0.2178	YES	NO	NO
02459396	FOSINOPRIL SODIUM	Fosinopril 20mg Tab	SAI	0.2619	0.2619	YES	NO	NO
02459388	FOSINOPRIL SODIUM	Fosinopril 10mg Tab	SAI	0.2178	0.2178	YES	NO	NO
02331012	FOSINOPRIL SODIUM	Jamp-Fosinopril 20mg Tab	JPC	0.2619	0.2619	YES	NO	NO
02331004	FOSINOPRIL SODIUM	Jamp-Fosinopril 10mg Tab	JPC	0.2178	0.2178	YES	NO	NO
01907107	FOSINOPRIL SODIUM	Monopril (Not a Benefit) 10mg Tab	BQU	N/A	N/A	YES	NO	NO
01907115	FOSINOPRIL SODIUM	Monopril (Not a Benefit) 20mg Tab	BQU	N/A	N/A	YES	NO	NO
02294532	FOSINOPRIL SODIUM	Ran-Fosinopril 20mg Tab	RAN	0.2619	0.2619	YES	NO	NO
02294524	FOSINOPRIL SODIUM	Ran-Fosinopril 10mg Tab	RAN	0.2178	0.2178	YES	NO	NO
02247802	FOSINOPRIL SODIUM	Teva-Fosinopril 10mg Tab	TEV	0.2178	0.2178	YES	NO	NO
02247803	FOSINOPRIL SODIUM	Teva-Fosinopril 20mg Tab	TEV	0.2619	0.2619	YES	NO	NO
02224895	FRAMYCETIN SULFATE	Soframycin 0.5% Oph Oint-5g Pk	SLP	19.6100	19.6100	NO	NO	NO
02224887	FRAMYCETIN SULFATE	Soframycin 0.5% Oph Sol	SLP	1.3663	1.3663	NO	NO	NO
02224623	FRAMYCETIN SULFATE & GRAMICIDIN & DEXAMETHASONE	Sofracort 5mg & 50mcg & 0.5mg/mL Oph/Ot Sol	SAV	2.1263	2.1263	NO	NO	YES
02426471	FROVATRIPTAN SUCCINATE	Apo-Frovatriptan (Off-Formulary Interchangeable) 2.5mg Tab	APX	12.5033	N/A	YES	NO	NO
02257084	FROVATRIPTAN SUCCINATE	Frova (Off-Formulary Interchangeable) 2.5mg Tab	EDO	N/A	N/A	YES	NO	NO
02535475	FROVATRIPTAN SUCCINATE	Frovatriptan (Off-Formulary Interchangeable) 2.5mg Tab	SAI	12.5033	N/A	YES	NO	NO
02497131	FROVATRIPTAN SUCCINATE	Jamp Frovatriptan (Off-Formulary Interchangeable) 2.5mg Tab	JPC	12.5033	N/A	YES	NO	NO
02509687	FROVATRIPTAN SUCCINATE	Mint-Frovatriptan (Off-Formulary Interchangeable) 2.5mg Tab	MIN	12.5033	N/A	YES	NO	NO
02415844	FROVATRIPTAN SUCCINATE	Teva-Frovatriptan (Off-Formulary Interchangeable) 2.5mg Tab	EDO	12.5033	N/A	YES	NO	NO
02248624	FULVESTRANT	Faslodex 50mg/mL Inj Sol	AZC	132.8093	40.8027	YES	NO	NO
02530635	FULVESTRANT	Fulvestrant Injectable 50mg/mL Inj Sol	JPC	40.8027	40.8027	YES	NO	NO
02483610	FULVESTRANT	Fulvestrant Injection 50mg/mL Inj Sol	SDZ	40.8027	40.8027	YES	NO	NO
02536293	FULVESTRANT	Fulvestrant Injection 50mg/mL Inj Sol	FOM	40.8027	40.8027	YES	NO	NO
02460130	FULVESTRANT	Teva-Fulvestrant Injection 50mg/mL Inj Sol	TEV	40.8027	40.8027	YES	NO	NO
00527033	FUROSEMIDE	Furosemide Injection USP 10mg/mL Inj Sol (Preservative Free)	SDZ	0.6055	0.6055	YES	YES	NO
02527502	FUROSEMIDE	Furosemide Injection USP 10mg/mL Inj Sol (Preservative Free)	JPC	0.6055	0.6055	YES	YES	NO
02224720	FUROSEMIDE	Lasix 10mg/mL O/L	SAV	0.3465	0.3465	NO	NO	NO
00362166	FUROSEMIDE	Apo-Furosemide 40mg Tab	APX	0.0327	0.0327	YES	NO	NO
00396788	FUROSEMIDE	Apo-Furosemide 20mg Tab	APX	0.0219	0.0218	YES	NO	NO
02351420	FUROSEMIDE	Furosemide 20mg Tab	SAI	0.0218	0.0218	YES	NO	NO
02351439	FUROSEMIDE	Furosemide 40mg Tab	SAI	0.0327	0.0327	YES	NO	NO
02224704	FUROSEMIDE	Lasix (Not a Benefit) 40mg Tab	SAV	N/A	N/A	YES	NO	NO
02224690	FUROSEMIDE	Lasix (Not a Benefit) 20mg Tab	SAV	N/A	N/A	YES	NO	NO
02224755	FUROSEMIDE	Lasix Special 500mg Tab	SAV	3.5700	3.5700	NO	YES	NO
02466759	FUROSEMIDE	Mint-Furosemide 20mg Tab	MIN	0.0219	0.0218	YES	NO	NO
02466767	FUROSEMIDE	Mint-Furosemide 40mg Tab	MIN	0.0327	0.0327	YES	NO	NO
00337730	FUROSEMIDE	Teva-Furosemide 20mg Tab	TEV	0.0219	0.0218	YES	NO	NO
00337749	FUROSEMIDE	Teva-Furosemide 40mg Tab	TEV	0.0327	0.0327	YES	NO	NO
00586668	FUSIDIC ACID	Fucidin 2% Cr	LEO	1.0950	0.5676	YES	NO	NO
02528096	FUSIDIC ACID	Taro-Fusidic Acid 2% Cr	TAR	0.5676	0.5676	YES	NO	NO
02477920	GABAPENTIN	AG-Gabapentin 300mg Cap	ANG	0.1012	0.1012	YES	NO	NO
02477939	GABAPENTIN	AG-Gabapentin 400mg Cap	ANG	0.1206	0.1206	YES	NO	NO
02477912	GABAPENTIN	AG-Gabapentin 100mg Cap	ANG	0.0416	0.0416	YES	NO	NO
02244305	GABAPENTIN	Apo-Gabapentin 300mg Cap	APX	0.1012	0.1012	YES	NO	NO
02244304	GABAPENTIN	Apo-Gabapentin 100mg Cap	APX	0.0416	0.0416	YES	NO	NO
02244306	GABAPENTIN	Apo-Gabapentin 400mg Cap	APX	0.1206	0.1206	YES	NO	NO
02321203	GABAPENTIN	Auro-Gabapentin 100mg Cap	AUR	0.0416	0.0416	YES	NO	NO
02321238	GABAPENTIN	Auro-Gabapentin 400mg Cap	AUR	0.1206	0.1206	YES	NO	NO
02321211	GABAPENTIN	Auro-Gabapentin 300mg Cap	AUR	0.1012	0.1012	YES	NO	NO
02256150	GABAPENTIN	Co Gabapentin 300mg Cap	COB	0.1012	0.1012	YES	NO	NO
02256169	GABAPENTIN	Co Gabapentin 400mg Cap	COB	0.1206	0.1206	YES	NO	NO
02256142	GABAPENTIN	Co Gabapentin 100mg Cap	COB	0.0416	0.0416	YES	NO	NO
02246315	GABAPENTIN	Gabapentin 300mg Cap	SIV	0.1012	0.1012	YES	NO	NO
02353245	GABAPENTIN	Gabapentin 100mg Cap	SAI	0.0416	0.0416	YES	NO	NO
02246314	GABAPENTIN	Gabapentin 100mg Cap	SIV	0.0416	0.0416	YES	NO	NO
02353261	GABAPENTIN	Gabapentin 400mg Cap	SAI	0.1206	0.1206	YES	NO	NO
02246316	GABAPENTIN	Gabapentin 400mg Cap	SIV	0.1206	0.1206	YES	NO	NO
02353253	GABAPENTIN	Gabapentin 300mg Cap	SAI	0.1012	0.1012	YES	NO	NO
02416840	GABAPENTIN	Gabapentin Capsules USP 100mg Cap	ACH	0.0416	0.0416	YES	NO	NO
02416867	GABAPENTIN	Gabapentin Capsules USP 400mg Cap	ACH	0.1206	0.1206	YES	NO	NO
02416859	GABAPENTIN	Gabapentin Capsules USP 300mg Cap	ACH	0.1012	0.1012	YES	NO	NO
02535246	GABAPENTIN	Jamp Gabapentin Capsules 100mg Cap	JPC	0.0416	0.0416	YES	NO	NO
02535262	GABAPENTIN	Jamp Gabapentin Capsules 400mg Cap	JPC	0.1206	0.1206	YES	NO	NO
02535254	GABAPENTIN	Jamp Gabapentin Capsules 300mg Cap	JPC	0.1012	0.1012	YES	NO	NO
02361469	GABAPENTIN	Jamp-Gabapentin 100mg Cap	JPC	0.0416	0.0416	YES	NO	NO
02361485	GABAPENTIN	Jamp-Gabapentin 300mg Cap	JPC	0.1012	0.1012	YES	NO	NO
02361493	GABAPENTIN	Jamp-Gabapentin 400mg Cap	JPC	0.1206	0.1206	YES	NO	NO
02391481	GABAPENTIN	Mar-Gabapentin 300mg Cap	MAR	0.1012	0.1012	YES	NO	NO
02391473	GABAPENTIN	Mar-Gabapentin 100mg Cap	MAR	0.0416	0.0416	YES	NO	NO
02391503	GABAPENTIN	Mar-Gabapentin 400mg Cap	MAR	0.1206	0.1206	YES	NO	NO
02408880	GABAPENTIN	Mint-Gabapentin 100mg Cap	MIN	0.0416	0.0416	YES	NO	NO
02408902	GABAPENTIN	Mint-Gabapentin 400mg Cap	MIN	0.1206	0.1206	YES	NO	NO
02408899	GABAPENTIN	Mint-Gabapentin 300mg Cap	MIN	0.1012	0.1012	YES	NO	NO
02550032	GABAPENTIN	NRA-Gabapentin 400mg Cap	NRA	0.1206	0.1206	YES	NO	NO
02550024	GABAPENTIN	NRA-Gabapentin 300mg Cap	NRA	0.1012	0.1012	YES	NO	NO
02550016	GABAPENTIN	NRA-Gabapentin 100mg Cap	NRA	0.0416	0.0416	YES	NO	NO
02084260	GABAPENTIN	Neurontin 100mg Cap	UJC	0.5494	0.0416	YES	NO	NO
02084287	GABAPENTIN	Neurontin 400mg Cap	UJC	1.5660	0.1206	YES	NO	NO
02084279	GABAPENTIN	Neurontin 300mg Cap	UJC	1.3141	0.1012	YES	NO	NO
02243447	GABAPENTIN	PMS-Gabapentin 300mg Cap	PMS	0.1012	0.1012	YES	NO	NO
02243446	GABAPENTIN	PMS-Gabapentin 100mg Cap	PMS	0.0416	0.0416	YES	NO	NO
02243448	GABAPENTIN	PMS-Gabapentin 400mg Cap	PMS	0.1206	0.1206	YES	NO	NO
02319063	GABAPENTIN	Ran-Gabapentin 300mg Cap	RAN	0.1012	0.1012	YES	NO	NO
02319055	GABAPENTIN	Ran-Gabapentin 100mg Cap	RAN	0.0416	0.0416	YES	NO	NO
02319071	GABAPENTIN	Ran-Gabapentin 400mg Cap	RAN	0.1206	0.1206	YES	NO	NO
02260905	GABAPENTIN	Ratio-Gabapentin 400mg Cap	RPH	0.1206	0.1206	YES	NO	NO
02244514	GABAPENTIN	Teva-Gabapentin 300mg Cap	TEV	0.1012	0.1012	YES	NO	NO
02244515	GABAPENTIN	Teva-Gabapentin 400mg Cap	TEV	0.1206	0.1206	YES	NO	NO
02244513	GABAPENTIN	Teva-Gabapentin 100mg Cap	TEV	0.0416	0.0416	YES	NO	NO
02293366	GABAPENTIN	Apo-Gabapentin (Off-Formulary Interchangeable) 800mg Tab	APX	1.7393	N/A	YES	NO	NO
02293358	GABAPENTIN	Apo-Gabapentin (Off-Formulary Interchangeable) 600mg Tab	APX	1.3045	N/A	YES	NO	NO
02428342	GABAPENTIN	Auro-Gabapentin Tablets (Off-Formulary Interchangeable) 800mg Tab	AUR	1.7393	N/A	YES	NO	NO
02428334	GABAPENTIN	Auro-Gabapentin Tablets (Off-Formulary Interchangeable) 600mg Tab	AUR	1.3045	N/A	YES	NO	NO
02411008	GABAPENTIN	GLN-Gabapentin (Off-Formulary Interchangeable) 800mg Tab	GLP	1.7393	N/A	YES	NO	NO
02410990	GABAPENTIN	GLN-Gabapentin (Off-Formulary Interchangeable) 600mg Tab	GLP	1.3045	N/A	YES	NO	NO
02388219	GABAPENTIN	Gabapentin (Off-Formulary Interchangeable) 800mg Tab	SIV	1.7393	N/A	YES	NO	NO
02432072	GABAPENTIN	Gabapentin (Off-Formulary Interchangeable) 600mg Tab	JPC	1.3045	N/A	YES	NO	NO
02431289	GABAPENTIN	Gabapentin (Off-Formulary Interchangeable) 600mg Tab	SAI	1.3045	N/A	YES	NO	NO
02432080	GABAPENTIN	Gabapentin (Off-Formulary Interchangeable) 800mg Tab	JPC	1.7393	N/A	YES	NO	NO
02388200	GABAPENTIN	Gabapentin (Off-Formulary Interchangeable) 600mg Tab	SIV	1.3045	N/A	YES	NO	NO
02431297	GABAPENTIN	Gabapentin (Off-Formulary Interchangeable) 800mg Tab	SAI	1.7393	N/A	YES	NO	NO
02392526	GABAPENTIN	Gabapentin Tablets USP (Off-Formulary Interchangeable) 600mg Tab	ACH	1.3045	N/A	YES	NO	NO
02392534	GABAPENTIN	Gabapentin Tablets USP (Off-Formulary Interchangeable) 800mg Tab	ACH	1.7393	N/A	YES	NO	NO
02402289	GABAPENTIN	Jamp-Gabapentin Tablets (Off-Formulary Interchangeable) 600mg Tab	JPC	1.3045	N/A	YES	NO	NO
02402297	GABAPENTIN	Jamp-Gabapentin Tablets (Off-Formulary Interchangeable) 800mg Tab	JPC	1.7393	N/A	YES	NO	NO
02239718	GABAPENTIN	Neurontin (Off-Formulary Interchangeable) 800mg Tab	UJC	N/A	N/A	YES	NO	NO
02239717	GABAPENTIN	Neurontin (Off-Formulary Interchangeable) 600mg Tab	UJC	N/A	N/A	YES	NO	NO
02255901	GABAPENTIN	PMS-Gabapentin (Off-Formulary Interchangeable) 800mg Tab	PMS	1.7393	N/A	YES	NO	NO
02255898	GABAPENTIN	PMS-Gabapentin (Off-Formulary Interchangeable) 600mg Tab	PMS	1.3045	N/A	YES	NO	NO
02248457	GABAPENTIN	Teva-Gabapentin (Off-Formulary Interchangeable) 600mg Tab	TEV	1.3045	N/A	YES	NO	NO
02247346	GABAPENTIN	Teva-Gabapentin (Off-Formulary Interchangeable) 800mg Tab	TEV	1.7393	N/A	YES	NO	NO
02425173	GALANTAMINE HYDROBROMIDE	Auro-Galantamine ER 24mg ER Cap	AUR	1.2465	1.2465	YES	YES	NO
02425165	GALANTAMINE HYDROBROMIDE	Auro-Galantamine ER 16mg ER Cap	AUR	1.2465	1.2465	YES	YES	NO
02425157	GALANTAMINE HYDROBROMIDE	Auro-Galantamine ER 8mg ER Cap	AUR	1.2465	1.2465	YES	YES	NO
02443015	GALANTAMINE HYDROBROMIDE	Galantamine ER 8mg ER Cap	SAI	1.2465	1.2465	YES	YES	NO
02443031	GALANTAMINE HYDROBROMIDE	Galantamine ER 24mg ER Cap	SAI	1.2465	1.2465	YES	YES	NO
02443023	GALANTAMINE HYDROBROMIDE	Galantamine ER 16mg ER Cap	SAI	1.2465	1.2465	YES	YES	NO
02339439	GALANTAMINE HYDROBROMIDE	Mylan-Galantamine ER 8mg ER Cap	MYL	1.2465	1.2465	YES	YES	NO
02339455	GALANTAMINE HYDROBROMIDE	Mylan-Galantamine ER 24mg ER Cap	MYL	1.2465	1.2465	YES	YES	NO
02339447	GALANTAMINE HYDROBROMIDE	Mylan-Galantamine ER 16mg ER Cap	MYL	1.2465	1.2465	YES	YES	NO
02398389	GALANTAMINE HYDROBROMIDE	PMS-Galantamine ER 16mg ER Cap	PMS	1.2465	1.2465	YES	YES	NO
02398370	GALANTAMINE HYDROBROMIDE	PMS-Galantamine ER 8mg ER Cap	PMS	1.2465	1.2465	YES	YES	NO
02398397	GALANTAMINE HYDROBROMIDE	PMS-Galantamine ER 24mg ER Cap	PMS	1.2465	1.2465	YES	YES	NO
02316943	GALANTAMINE HYDROBROMIDE	Pat-Galantamine ER 8mg ER Cap	PAR	1.2465	1.2465	YES	YES	NO
02316951	GALANTAMINE HYDROBROMIDE	Pat-Galantamine ER 16mg ER Cap	PAR	1.2465	1.2465	YES	YES	NO
02316978	GALANTAMINE HYDROBROMIDE	Pat-Galantamine ER 24mg ER Cap	PAR	1.2465	1.2465	YES	YES	NO
02266717	GALANTAMINE HYDROBROMIDE	Reminyl ER (Not a Benefit) 8mg ER Cap	JAN	N/A	N/A	YES	NO	NO
02266725	GALANTAMINE HYDROBROMIDE	Reminyl ER (Not a Benefit) 16mg ER Cap	JAN	N/A	N/A	YES	NO	NO
02266733	GALANTAMINE HYDROBROMIDE	Reminyl ER (Not a Benefit) 24mg ER Cap	JAN	N/A	N/A	YES	NO	NO
02162695	GANCICLOVIR SODIUM	Cytovene 500mg/Vial Pd Inj-10mL Pk	CHE	51.2041	51.2041	NO	NO	NO
02404761	GANCICLOVIR SODIUM	Ganciclovir for Injection (Temporary Benefit) 500mg/Vial Pd for Sol-10mL Vial Pk	FKC	44.5480	44.5480	NO	NO	NO
02537168	GANCICLOVIR SODIUM	Ganciclovir for Injection (Temporary Benefit) 500mg/Vial Pd for Sol-10mL Vial Pk	FOM	44.5480	44.5480	NO	NO	NO
02475391	GANCICLOVIR SODIUM	Ganciclovir for Injection USP (Temporary Benefit) 500mg/Vial Pd for Sol-10mL Vial Pk	STE	44.5480	44.5480	NO	NO	NO
02327260	GATIFLOXACIN	Apo-Gatifloxacin (with preservative) (Off-Formulary Interchangeable) 0.3% w/v Oph Sol	APX	2.0320	N/A	YES	NO	NO
02533235	GATIFLOXACIN	Jamp Gatifloxacin (Off-Formulary Interchangeable) 0.3% w/v Oph Sol	JPC	2.0320	N/A	YES	NO	NO
02257270	GATIFLOXACIN	Zymar (with preservative) (Off-Formulary Interchangeable) 0.3% w/v Oph Sol	ALL	N/A	N/A	YES	NO	NO
09857297	GDH-FAD ENZYME	Freestyle Lite Strip	ABB	N/A	0.7290	NO	NO	NO
09857392	GDH-FAD GLUCOSE DEHYDROGENASE	One Touch Verio Strip	LIF	N/A	0.7290	NO	NO	NO
02468050	GEFITINIB	Apo-Gefitinib (Off-Formulary Interchangeable) 250mg Tab	APX	62.3050	62.3050	YES	NO	NO
02248676	GEFITINIB	Iressa (Off-Formulary Interchangeable) 250mg Tab	AZC	74.1063	62.3050	YES	NO	NO
02500663	GEFITINIB	Jamp-Gefitinib (Off-Formulary Interchangeable) 250mg Tab	JPC	62.3050	62.3050	YES	NO	NO
02491796	GEFITINIB	Nat-Gefitinib (Off-Formulary Interchangeable) 250mg Tab	NAT	62.3050	62.3050	YES	NO	NO
02487748	GEFITINIB	Sandoz Gefitinib (Off-Formulary Interchangeable) 250mg Tab	SDZ	62.3050	62.3050	YES	NO	NO
01979574	GEMFIBROZIL	Apo-Gemfibrozil 300mg Cap	APX	0.1340	0.1340	YES	NO	NO
00599026	GEMFIBROZIL	Lopid (Not a Benefit) 300mg Cap	PFI	N/A	N/A	YES	NO	NO
02241704	GEMFIBROZIL	Teva-Gemfibrozil 300mg Cap	TEV	0.1340	0.1340	YES	NO	NO
01979582	GEMFIBROZIL	Apo-Gemfibrozil (Off-Formulary Interchangeable) 600mg Tab	APX	0.7520	N/A	YES	NO	NO
00659606	GEMFIBROZIL	Lopid (Off-Formulary Interchangeable) 600mg Tab	PFI	N/A	N/A	YES	NO	NO
02142074	GEMFIBROZIL	Teva-Gemfibrozil (Off-Formulary Interchangeable) 600mg Tab	TEV	1.3982	N/A	YES	NO	NO
00682217	GENTAMICIN & BETAMETHASONE SODIUM PHOSPHATE	Garasone 3mg & 1mg/mL Oph/Ot Drops	SCH	1.2813	1.2813	NO	NO	YES
00028339	GENTAMICIN SULFATE	Garamycin 0.3% Oph Oint-3.5g Pk	SCH	4.0000	4.0000	NO	NO	NO
02245619	GLATIRAMER ACETATE	Copaxone 20mg/mL Inj Sol Pref Syr-1mL Pk	TEI	50.6522	27.8587	YES	YES	NO
02541440	GLATIRAMER ACETATE	Glatiramer Acetate Injection 20mg/mL Inj Sol Pref Syr-1mL Pk	MYL	27.8587	27.8587	YES	YES	NO
02460661	GLATIRAMER ACETATE	Glatect 20mg/mL Inj Sol-Pref Syr 1mL Pk	PMS	35.0000	35.0000	NO	YES	NO
02467550	GLECAPREVIR & PIBRENTASVIR	Maviret 100mg & 40mg Tab	ABV	238.0952	238.0952	NO	YES	NO
02407124	GLICLAZIDE	Apo-Gliclazide MR 60mg ER Tab	APX	0.0632	0.0632	YES	NO	NO
02356422	GLICLAZIDE	Diamicron MR 60mg ER Tab	SEV	0.2932	0.0632	YES	NO	NO
02524864	GLICLAZIDE	Gliclazide MR 60mg ER Tab	SAI	0.0632	0.0632	YES	NO	NO
02429772	GLICLAZIDE	Jamp Gliclazide-MR 60mg ER Tab	JPC	0.0632	0.0632	YES	NO	NO
02423294	GLICLAZIDE	Mint-Gliclazide MR 60mg ER Tab	MIN	0.0632	0.0632	YES	NO	NO
02461331	GLICLAZIDE	Sandoz Gliclazide MR 60mg ER Tab	SDZ	0.0632	0.0632	YES	NO	NO
02439328	GLICLAZIDE	Taro-Gliclazide MR 60mg ER Tab	SPC	0.0632	0.0632	YES	NO	NO
02297795	GLICLAZIDE	Apo-Gliclazide MR 30mg SR Tab	APX	0.0931	0.0931	YES	NO	NO
02242987	GLICLAZIDE	Diamicron MR 30mg SR Tab	SEV	0.1628	0.0931	YES	NO	NO
02524856	GLICLAZIDE	Gliclazide MR 30mg SR Tab	SAI	0.0931	0.0931	YES	NO	NO
02429764	GLICLAZIDE	Jamp Gliclazide MR 30mg SR Tab	JPC	0.0931	0.0931	YES	NO	NO
02423286	GLICLAZIDE	Mint-Gliclazide MR 30mg SR Tab	MIN	0.0931	0.0931	YES	NO	NO
02438658	GLICLAZIDE	Mylan-Gliclazide MR 30mg SR Tab	MYL	0.0931	0.0931	YES	NO	NO
02461323	GLICLAZIDE	Sandoz Gliclazide MR 30mg SR Tab	SDZ	0.0931	0.0931	YES	NO	NO
02463571	GLICLAZIDE	Taro-Gliclazide MR 30mg SR Tab	SPC	0.0931	0.0931	YES	NO	NO
02245247	GLICLAZIDE	Apo-Gliclazide 80mg Tab	APX	0.0931	0.0931	YES	NO	NO
00765996	GLICLAZIDE	Diamicron (Not a Benefit) 80mg Tab	SEV	N/A	N/A	YES	NO	NO
02287072	GLICLAZIDE	Gliclazide 80mg Tab	SAI	0.0931	0.0931	YES	NO	NO
02238103	GLICLAZIDE	Teva-Gliclazide 80mg Tab	TEV	0.0931	0.0931	YES	NO	NO
02245274	GLIMEPIRIDE	Amaryl (Off-Formulary Interchangeable) 4mg Tab	SAV	N/A	N/A	YES	NO	NO
02245273	GLIMEPIRIDE	Amaryl (Off-Formulary Interchangeable) 2mg Tab	SAV	N/A	N/A	YES	NO	NO
02245272	GLIMEPIRIDE	Amaryl (Off-Formulary Interchangeable) 1mg Tab	SAV	N/A	N/A	YES	NO	NO
02269619	GLIMEPIRIDE	Sandoz Glimepiride (Off-Formulary Interchangeable) 4mg Tab	SDZ	1.0487	N/A	YES	NO	NO
02269589	GLIMEPIRIDE	Sandoz Glimepiride (Off-Formulary Interchangeable) 1mg Tab	SDZ	0.8187	N/A	YES	NO	NO
02269597	GLIMEPIRIDE	Sandoz Glimepiride (Off-Formulary Interchangeable) 2mg Tab	SDZ	0.9800	N/A	YES	NO	NO
09858279	GLUCAGON	Glucagon Injection Kit (Temporary Benefit) 1mg/Vial Inj Pd-1mL Vial Pk (Kit)	AMP	280.0000	280.0000	NO	NO	NO
02492415	GLUCAGON	Baqsimi 3mg Nas Pd Device	AMP	154.0500	154.0500	NO	YES	NO
02333627	GLUCAGON RDNA ORIGIN	GlucaGen HypoKit 1mg/Vial Inj Pd-Syr Pk	NOO	112.6700	112.6700	NO	NO	NO
02333619	GLUCAGON RDNA ORIGIN	GlucaGen 1mg/Vial Inj Pd-Vial Pk	NOO	108.3300	108.3300	NO	NO	NO
09857127	GLUCOSE DEHYDROGENASE	Contour Blood Glucose Test Strips Strip	ADC	N/A	0.7290	NO	NO	NO
09857502	GLUCOSE DEHYDROGENASE	FreeStyle Precision Test Strips Strip	ABD	N/A	0.7290	NO	NO	NO
09858361	GLUCOSE MONITORING SYSTEM	Dexcom G7 Receiver Continuous Glucose Monitoring System-Receiver Kit	DEX	N/A	60.0000	NO	NO	NO
09858362	GLUCOSE MONITORING SYSTEM	Dexcom G7 Sensor Continuous Glucose Monitoring System-Sensor Kit	DEX	N/A	75.0000	NO	NO	NO
09857452	GLUCOSE OXI-REDUCTASE	Accu-Chek Mobile Strip	RCH	N/A	0.7481	NO	NO	NO
09857547	GLUCOSE OXIDASE	Spirit Blood Glucose Test Strip Strip	ARA	N/A	0.6912	NO	NO	NO
09857526	GLUCOSE OXIDASE	CareSens N Blood Glucose Test Strip Strip	ISE	N/A	0.6912	NO	NO	NO
09857538	GLUCOSE OXIDASE	Ideal Life Glucose Test Strip Strip	IDL	N/A	0.6800	NO	NO	NO
09857522	GLUCOSE OXIDASE	Suretest Blood Glucose Test Strips Strip	SKY	N/A	0.7290	NO	NO	NO
09858179	GLUCOSE OXIDASE A. NIGER	Tykess Blood Glucose Test Strips Strip	TAI	N/A	1.0798	NO	NO	NO
09853626	GLUCOSE OXIDASE REAGENT	Accu-Chek Advantage Strip	ROD	N/A	0.7481	NO	NO	NO
09857178	GLUCOSE OXIDASE REAGENT	Accu-Chek Aviva Strip	RCH	N/A	0.7481	NO	NO	NO
09854282	GLUCOSE OXIDASE REAGENT	Accu-Chek Compact Strip	RCH	N/A	0.7481	NO	NO	NO
09853162	GLUCOSE OXIDASE REAGENT	Accutrend Strip	ROD	N/A	0.7679	NO	NO	NO
09854002	GLUCOSE OXIDASE REAGENT	Advantage Comfort Strip	ROD	N/A	0.7481	NO	NO	NO
09857132	GLUCOSE OXIDASE REAGENT	BD Strip	BED	N/A	0.7655	NO	NO	NO
09857293	GLUCOSE OXIDASE REAGENT	Breeze 2 Blood Glucose Test Strip Strip	ADC	N/A	0.7290	NO	NO	NO
09857357	GLUCOSE OXIDASE REAGENT	EZ Health Oracle Strip	TRE	N/A	0.7290	NO	NO	NO
09857141	GLUCOSE OXIDASE REAGENT	Freestyle Strip	TER	N/A	0.7290	NO	NO	NO
09857432	GLUCOSE OXIDASE REAGENT	MediSure Blood Glucose Strip Strip	MEH	N/A	0.6900	NO	NO	NO
09857454	GLUCOSE OXIDASE REAGENT	MyGlucoHealth Strip	EHS	N/A	0.6851	NO	NO	NO
09857313	GLUCOSE OXIDASE REAGENT	Nova Max Strip	NOB	N/A	0.7290	NO	NO	NO
09857340	GLUCOSE OXIDASE REAGENT	On Call Plus Strip	ACO	N/A	0.4500	NO	NO	NO
09854290	GLUCOSE OXIDASE REAGENT	One Touch Ultra Strip	LIF	N/A	0.7290	NO	NO	NO
09854070	GLUCOSE OXIDASE REAGENT	Precision Xtra Strip	ABB	N/A	0.7290	NO	NO	NO
09857283	GLUCOSE OXIDASE REAGENT	TrueTrack Smart System Strip	HOM	N/A	0.4000	NO	NO	NO
01913662	GLYBURIDE	Apo-Glyburide 5mg Tab	APX	0.0574	0.0573	YES	NO	NO
01913654	GLYBURIDE	Apo-Glyburide 2.5mg Tab	APX	0.0321	0.0321	YES	NO	NO
02224569	GLYBURIDE	Diabeta (Not a Benefit) 5mg Tab	SAV	N/A	N/A	YES	NO	NO
02224550	GLYBURIDE	Diabeta (Not a Benefit) 2.5mg Tab	SAV	N/A	N/A	YES	NO	NO
02350467	GLYBURIDE	Glyburide 5mg Tab	SAI	0.0573	0.0573	YES	NO	NO
02350459	GLYBURIDE	Glyburide 2.5mg Tab	SAI	0.0321	0.0321	YES	NO	NO
02236734	GLYBURIDE	PMS-Glyburide 5mg Tab	PMS	0.0574	0.0573	YES	NO	NO
02248008	GLYBURIDE	Sandoz Glyburide 2.5mg Tab	SDZ	0.0321	0.0321	YES	NO	NO
01913689	GLYBURIDE	Teva-Glyburide 5mg Tab	TEV	0.0574	0.0573	YES	NO	NO
01913670	GLYBURIDE	Teva-Glyburide 2.5mg Tab	TEV	0.0321	0.0321	YES	NO	NO
02382857	GLYCOPYRROLATE	Glycopyrrolate Injection 0.2mg/mL Inj Sol	OMG	2.7825	2.7825	YES	YES	NO
02473879	GLYCOPYRROLATE	Glycopyrrolate Injection USP 0.2mg/mL Inj Sol	STE	2.7825	2.7825	YES	YES	NO
02043610	GLYCOPYRROLATE	Robinul (Not a Benefit) 0.2mg/mL Inj Sol	WYA	N/A	N/A	YES	NO	NO
02039508	GLYCOPYRROLATE	Sandoz Glycopyrrolate 0.2mg/mL Inj Sol	SDZ	2.7825	2.7825	YES	YES	NO
02513749	GLYCOPYRROLATE	Glycopyrrolate Injection USP 0.4mg/2mL Inj Sol (Preservative Free)	JPC	2.7825	2.7825	YES	YES	NO
02473895	GLYCOPYRROLATE	Glycopyrrolate Injection USP 0.4mg/2mL Inj Sol (Preservative Free)	STE	2.7825	2.7825	YES	YES	NO
09858163	GLYCOPYRROLATE	Robinul (Not a Benefit) 0.4mg/2mL Inj Sol (Preservative Free)	WYA	N/A	N/A	YES	NO	NO
02532379	GLYCOPYRROLATE	Glycopyrrolate Injection USP 4mg/20mL Inj Sol (With Preservative)	JPC	2.7825	2.7825	YES	YES	NO
02473887	GLYCOPYRROLATE	Glycopyrrolate Injection USP 4mg/20mL Inj Sol (With Preservative)	STE	2.7825	2.7825	YES	YES	NO
09858164	GLYCOPYRROLATE	Robinul (Not a Benefit) 4mg/20mL Inj Sol (With Preservative)	WYA	N/A	N/A	YES	NO	NO
02394936	GLYCOPYRRONIUM BROMIDE	Seebri Breezhaler 50mcg Inh Pd-Cap	NOV	1.8302	1.8302	NO	NO	YES
02049325	GOSERELIN ACETATE	Zoladex 3.6mg Depot Inj	TRS	422.6778	422.6778	NO	NO	NO
02225905	GOSERELIN ACETATE	Zoladex LA 10.8mg Depot Inj	TRS	1204.7322	1204.7322	NO	NO	NO
00779768	GRAIN & CITRUS FIBRE	Fibyrax (Not a Benefit) Tab	LED	N/A	N/A	YES	NO	NO
00595829	GRAIN & CITRUS FIBRE	Novo-Fibre Tab	NOP	0.0706	0.0706	YES	NO	NO
02308894	GRANISETRON HCL	Apo-Granisetron 1mg Tab	APX	4.5000	4.5000	YES	YES	NO
02472686	GRANISETRON HCL	Jamp Granisetron 1mg Tab	JPC	4.5000	4.5000	YES	YES	NO
02185881	GRANISETRON HCL	Kytril (Not a Benefit) 1mg Tab	HLR	N/A	N/A	YES	NO	NO
02452359	GRANISETRON HCL	Nat-Granisetron 1mg Tab	NAT	4.5000	4.5000	YES	YES	NO
02381885	GRASS POLLEN ALLERGEN EXTRACT	Oralair 100IR SL Tab	STL	1.3892	1.3892	NO	YES	NO
02381893	GRASS POLLEN ALLERGEN EXTRACT	Oralair 300IR SL Tab	STL	4.1895	4.1895	NO	YES	NO
00026794	GUAIFENESIN	Guaifenesin (Not a Benefit) 20mg/mL O/L	ROG	N/A	N/A	YES	NO	NO
00990930	GUAIFENESIN	Guaifenesin Sugar Free (Not a Benefit) 20mg/mL O/L	ROG	N/A	N/A	YES	NO	NO
00026468	GUAIFENESIN	Robitussin (Not a Benefit) 20mg/mL O/L	WHB	N/A	N/A	YES	NO	NO
02523728	GUANFACINE	Apo-Guanfacine XR 1mg ER Tab	APX	1.5375	1.5375	YES	YES	NO
02523744	GUANFACINE	Apo-Guanfacine XR 3mg ER Tab	APX	2.2038	2.2038	YES	YES	NO
02523752	GUANFACINE	Apo-Guanfacine XR 4mg ER Tab	APX	2.5369	2.5369	YES	YES	NO
02523736	GUANFACINE	Apo-Guanfacine XR 2mg ER Tab	APX	1.8707	1.8707	YES	YES	NO
02409100	GUANFACINE	Intuniv XR 1mg ER Tab	TAK	3.0750	1.5375	YES	YES	NO
02409127	GUANFACINE	Intuniv XR 3mg ER Tab	TAK	4.4075	2.2038	YES	YES	NO
02409135	GUANFACINE	Intuniv XR 4mg ER Tab	TAK	5.0738	2.5369	YES	YES	NO
02409119	GUANFACINE	Intuniv XR 2mg ER Tab	TAK	3.7413	1.8707	YES	YES	NO
02523566	GUANFACINE	Jamp Guanfacine XR 2mg ER Tab	JPC	1.8707	1.8707	YES	YES	NO
02523582	GUANFACINE	Jamp Guanfacine XR 4mg ER Tab	JPC	2.5369	2.5369	YES	YES	NO
02523558	GUANFACINE	Jamp Guanfacine XR 1mg ER Tab	JPC	1.5375	1.5375	YES	YES	NO
02523574	GUANFACINE	Jamp Guanfacine XR 3mg ER Tab	JPC	2.2038	2.2038	YES	YES	NO
02487314	GUSELKUMAB	Tremfya One-Press 100mg/mL Inj Sol-1mL Autoinj (Preservative-Free)	JAN	3059.7400	3059.7400	NO	YES	NO
02469758	GUSELKUMAB	Tremfya 100mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	JAN	3059.7400	3059.7400	NO	YES	NO
02506262	HALOBETASOL PROPIONATE	Bryhali 0.01% w/w Lot	BHC	0.9816	0.9816	NO	NO	YES
02499967	HALOBETASOL PROPIONATE & TAZAROTENE	Duobrii 0.01% & 0.045% Lot	BHC	1.9300	1.9300	NO	NO	NO
00017574	HALOPERIDOL	Haldol (Not a Benefit) 5mg/mL Inj Sol-1mL Pk	OMC	N/A	N/A	YES	NO	NO
00808652	HALOPERIDOL	Haloperidol 5mg/mL Inj Sol-1mL Pk	SDZ	4.8300	4.8300	YES	NO	NO
00017698	HALOPERIDOL	Haldol (Not a Benefit) 5mg Tab	OMC	N/A	N/A	YES	NO	NO
00017663	HALOPERIDOL	Haldol (Not a Benefit) 1mg Tab	OMC	N/A	N/A	YES	NO	NO
00017655	HALOPERIDOL	Haldol (Not a Benefit) 0.5mg Tab	OMC	N/A	N/A	YES	NO	NO
00017671	HALOPERIDOL	Haldol (Not a Benefit) 2mg Tab	OMC	N/A	N/A	YES	NO	NO
00499579	HALOPERIDOL	Haldol (Not a Benefit) 20mg Tab	OMC	N/A	N/A	YES	NO	NO
00381772	HALOPERIDOL	Haldol (Not a Benefit) 10mg Tab	OMC	N/A	N/A	YES	NO	NO
00768820	HALOPERIDOL	Teva-Haloperidol 20mg Tab	TEV	1.3047	1.3047	YES	NO	NO
00713449	HALOPERIDOL	Teva-Haloperidol 10mg Tab	TEV	0.7450	0.7450	YES	NO	NO
00363650	HALOPERIDOL	Teva-Haloperidol 5mg Tab	TEV	0.5121	0.5121	YES	NO	NO
00363677	HALOPERIDOL	Teva-Haloperidol 1mg Tab	TEV	0.2148	0.2148	YES	NO	NO
00363685	HALOPERIDOL	Teva-Haloperidol 0.5mg Tab	TEV	0.1430	0.1430	YES	NO	NO
00363669	HALOPERIDOL	Teva-Haloperidol 2mg Tab	TEV	0.3211	0.3211	YES	NO	NO
00980803	HALOPERIDOL DECANOATE	Haldol-LA (Not a Benefit) 100mg/mL Oily Inj Sol-5mL Pk	OMC	N/A	N/A	YES	NO	NO
09853758	HALOPERIDOL DECANOATE	Haloperidol LA 100mg/mL Oily Inj Sol-5mL Pk	SDZ	84.6150	84.6150	YES	NO	NO
00701130	HEXAVITAMINS USP	Apo-Hexa (Not a Benefit) Tab	APX	N/A	N/A	YES	NO	NO
00269034	HEXAVITAMINS USP	Hexavitamins (Not a Benefit) Tab	NOP	N/A	N/A	YES	NO	NO
00723754	HYDRALAZINE HCL	Apresoline 20mg/mL Inj Sol-1mL Vial Pk	STE	11.6500	8.7375	YES	NO	NO
02516160	HYDRALAZINE HCL	Hydralazine Hydrochloride Injection, USP 20mg/mL Inj Sol-1mL Vial Pk	AUR	8.7375	8.7375	YES	NO	NO
00441627	HYDRALAZINE HCL	Apo-Hydralazine 25mg Tab	APX	0.0609	0.0609	YES	NO	NO
00441619	HYDRALAZINE HCL	Apo-Hydralazine 10mg Tab	APX	0.0355	0.0355	YES	NO	NO
00441635	HYDRALAZINE HCL	Apo-Hydralazine 50mg Tab	APX	0.0956	0.0956	YES	NO	NO
00005533	HYDRALAZINE HCL	Apresoline (Not a Benefit) 25mg Tab	STE	N/A	N/A	YES	NO	NO
00005525	HYDRALAZINE HCL	Apresoline (Not a Benefit) 10mg Tab	NOV	N/A	N/A	YES	NO	NO
00005541	HYDRALAZINE HCL	Apresoline (Not a Benefit) 50mg Tab	NOV	N/A	N/A	YES	NO	NO
02539802	HYDRALAZINE HCL	Hydralazine 10mg Tab	SAI	0.0355	0.0355	YES	NO	NO
02539810	HYDRALAZINE HCL	Hydralazine 25mg Tab	SAI	0.0609	0.0609	YES	NO	NO
02539829	HYDRALAZINE HCL	Hydralazine 50mg Tab	SAI	0.0956	0.0956	YES	NO	NO
02457865	HYDRALAZINE HCL	Jamp-Hydralazine 10mg Tab	JPC	0.0355	0.0355	YES	NO	NO
02457873	HYDRALAZINE HCL	Jamp-Hydralazine 25mg Tab	JPC	0.0609	0.0609	YES	NO	NO
02457881	HYDRALAZINE HCL	Jamp-Hydralazine 50mg Tab	JPC	0.0956	0.0956	YES	NO	NO
02468778	HYDRALAZINE HCL	Mint-Hydralazine 10mg Tab	MIN	0.0355	0.0355	YES	NO	NO
02468794	HYDRALAZINE HCL	Mint-Hydralazine 50mg Tab	MIN	0.0956	0.0956	YES	NO	NO
02468786	HYDRALAZINE HCL	Mint-Hydralazine 25mg Tab	MIN	0.0609	0.0609	YES	NO	NO
02327856	HYDROCHLOROTHIAZIDE	Apo-Hydro (Off-Formulary Interchangeable) 12.5mg Tab	APX	0.0322	N/A	YES	NO	NO
00326844	HYDROCHLOROTHIAZIDE	Apo-Hydro 25 25mg Tab	APX	0.0157	0.0157	YES	NO	NO
00312800	HYDROCHLOROTHIAZIDE	Apo-Hydro 50 50mg Tab	APX	0.0217	0.0217	YES	NO	NO
00016500	HYDROCHLOROTHIAZIDE	HydroDIURIL (Not a Benefit) 25mg Tab	MSD	N/A	N/A	YES	NO	NO
00016519	HYDROCHLOROTHIAZIDE	HydroDIURIL (Not a Benefit) 50mg Tab	MSD	N/A	N/A	YES	NO	NO
02425947	HYDROCHLOROTHIAZIDE	Mint-Hydrochlorothiazide (Off-Formulary Interchangeable) 12.5mg Tab	MIN	0.0322	N/A	YES	NO	NO
02426196	HYDROCHLOROTHIAZIDE	Mint-Hydrochlorothiazide 25mg Tab	MIN	0.0157	0.0157	YES	NO	NO
02274086	HYDROCHLOROTHIAZIDE	PMS-Hydrochlorothiazide (Off-Formulary Interchangeable) 12.5mg Tab	PMS	N/A	N/A	YES	NO	NO
02247387	HYDROCHLOROTHIAZIDE	PMS-Hydrochlorothiazide 50mg Tab	PMS	0.0217	0.0217	YES	NO	NO
02247386	HYDROCHLOROTHIAZIDE	PMS-Hydrochlorothiazide 25mg Tab	PMS	0.0157	0.0157	YES	NO	NO
00021474	HYDROCHLOROTHIAZIDE	Teva-Hydrochlorothiazide 25mg Tab	TEV	0.0157	0.0157	YES	NO	NO
00021482	HYDROCHLOROTHIAZIDE	Teva-Hydrochlorothiazide 50mg Tab	TEV	0.0217	0.0217	YES	NO	NO
00180408	HYDROCHLOROTHIAZIDE & SPIRONOLACTONE	Aldactazide-25 (Not a Benefit) 25mg & 25mg Tab	PFI	N/A	N/A	YES	NO	NO
00594377	HYDROCHLOROTHIAZIDE & SPIRONOLACTONE	Aldactazide-50 (Not a Benefit) 50mg & 50mg Tab	PFI	N/A	N/A	YES	NO	NO
00613231	HYDROCHLOROTHIAZIDE & SPIRONOLACTONE	Teva-Spironolactone/HCTZ 25mg & 25mg Tab	TEV	0.1372	0.1372	YES	NO	NO
00657182	HYDROCHLOROTHIAZIDE & SPIRONOLACTONE	Teva-Spironolactone/HCTZ 50mg & 50mg Tab	TEV	0.2903	0.2903	YES	NO	NO
00441775	HYDROCHLOROTHIAZIDE & TRIAMTERENE	Apo-Triazide 25mg & 50mg Tab	APX	0.0608	0.0608	YES	NO	NO
01919547	HYDROCHLOROTHIAZIDE & TRIAMTERENE	Dyazide (Not a Benefit) 25mg & 50mg Tab	SMJ	N/A	N/A	YES	NO	NO
00532657	HYDROCHLOROTHIAZIDE & TRIAMTERENE	Teva-Triamterene/HCTZ 25mg & 50mg Tab	TEV	0.0608	0.0608	YES	NO	NO
01916580	HYDROCODONE BITARTRATE	Hycodan (Not a Benefit) 1mg/mL O/L	BQU	N/A	N/A	YES	NO	NO
02324253	HYDROCODONE BITARTRATE	PMS-Hydrocodone 1mg/mL O/L	PMS	0.0617	0.0617	YES	NO	NO
00502197	HYDROCORTISONE	Cortate (Not a Benefit) 1% Oint	SCH	N/A	N/A	YES	NO	NO
00513261	HYDROCORTISONE	Cortate (Not a Benefit) 0.5% Oint	SCH	N/A	N/A	YES	NO	NO
00716685	HYDROCORTISONE	Cortoderm 0.5% Oint	TAR	0.1400	0.1400	YES	NO	NO
00716693	HYDROCORTISONE	Cortoderm 1% Oint	TAR	0.0390	0.0390	YES	NO	NO
02524473	HYDROCORTISONE	Auro-Hydrocortisone 20mg Tab	AUR	0.2958	0.2958	YES	NO	NO
02524465	HYDROCORTISONE	Auro-Hydrocortisone 10mg Tab	AUR	0.1639	0.1639	YES	NO	NO
09858155	HYDROCORTISONE	Cortef (Temporary Benefit) 10mg Tab	PFI	0.2185	0.2185	NO	NO	NO
00030910	HYDROCORTISONE	Cortef 10mg Tab	PFI	0.2259	0.1639	YES	NO	NO
00030929	HYDROCORTISONE	Cortef 20mg Tab	PFI	0.4078	0.2958	YES	NO	NO
00477699	HYDROCORTISONE ACETATE	Corticreme (Not a Benefit) 1% Cr	ROG	N/A	N/A	YES	NO	NO
00716839	HYDROCORTISONE ACETATE	Hyderm 1% Cr	TAR	0.2056	0.2056	YES	NO	NO
02242984	HYDROCORTISONE VALERATE	Hydroval 0.2% Cr	TPH	0.1667	0.1667	YES	NO	NO
01910124	HYDROCORTISONE VALERATE	Westcort (Not a Benefit) 0.2% Cr	BQU	N/A	N/A	YES	NO	NO
02242985	HYDROCORTISONE VALERATE	Hydroval 0.2% Oint	TPH	0.1667	0.1667	YES	NO	NO
01910132	HYDROCORTISONE VALERATE	Westcort (Not a Benefit) 0.2% Oint	BQU	N/A	N/A	YES	NO	NO
02243562	HYDROMORPHONE HCL	Hydromorph Contin 18mg CR Cap	PFP	2.9661	2.9661	NO	NO	YES
02125366	HYDROMORPHONE HCL	Hydromorph Contin 12mg CR Cap	PFP	2.0559	2.0559	NO	NO	YES
02125331	HYDROMORPHONE HCL	Hydromorph Contin 6mg CR Cap	PFP	1.1823	1.1823	NO	NO	YES
02125323	HYDROMORPHONE HCL	Hydromorph Contin 3mg CR Cap	PFP	0.7913	0.7913	NO	NO	YES
02359510	HYDROMORPHONE HCL	Hydromorph Contin 9mg CR Cap	PFP	1.5600	1.5600	NO	NO	YES
02125382	HYDROMORPHONE HCL	Hydromorph Contin (Off-Formulary Interchangeable) 24mg CR Cap	PFP	4.3022	4.3022	NO	NO	YES
02359502	HYDROMORPHONE HCL	Hydromorph Contin 4.5mg CR Cap	PFP	0.9549	0.9549	NO	NO	YES
02125390	HYDROMORPHONE HCL	Hydromorph Contin (Off-Formulary Interchangeable) 30mg CR Cap	PFP	5.1553	5.1553	NO	NO	YES
00627100	HYDROMORPHONE HCL	Dilaudid (Not a Benefit) 2mg/mL Inj Sol-1mL Pk	PFP	N/A	N/A	YES	NO	YES
00622133	HYDROMORPHONE HCL	Dilaudid-HP (Not a Benefit) 10mg/mL Inj Sol-1mL Pk	PFP	N/A	N/A	YES	NO	YES
02145901	HYDROMORPHONE HCL	Hydromorphone 2mg/mL Inj Sol-1mL Pk	SDZ	1.7830	1.7830	YES	NO	YES
02145928	HYDROMORPHONE HCL	Hydromorphone HP-10 10mg/mL Inj Sol-1mL Pk	SDZ	4.3460	4.3460	YES	NO	YES
00786535	HYDROMORPHONE HCL	Dilaudid (Not a Benefit) 1mg/mL Oral Sol	PFP	N/A	N/A	YES	NO	YES
01916386	HYDROMORPHONE HCL	PMS-HYDROmorphone 1mg/mL Oral Sol	PMS	0.0827	0.0827	YES	NO	YES
02364115	HYDROMORPHONE HCL	Apo-Hydromorphone 1mg Tab	APX	0.0959	0.0959	YES	NO	YES
02364123	HYDROMORPHONE HCL	Apo-Hydromorphone 2mg Tab	APX	0.1417	0.1417	YES	NO	YES
02364131	HYDROMORPHONE HCL	Apo-Hydromorphone 4mg Tab	APX	0.2240	0.2240	YES	NO	YES
02364158	HYDROMORPHONE HCL	Apo-Hydromorphone 8mg Tab	APX	0.3528	0.3528	YES	NO	YES
00786543	HYDROMORPHONE HCL	Dilaudid 8mg Tab	PFP	0.3812	0.3528	YES	NO	YES
00125121	HYDROMORPHONE HCL	Dilaudid 4mg Tab	PFP	0.2418	0.2240	YES	NO	YES
00125083	HYDROMORPHONE HCL	Dilaudid 2mg Tab	PFP	0.1533	0.1417	YES	NO	YES
00705438	HYDROMORPHONE HCL	Dilaudid 1mg Tab	PFP	0.1039	0.0959	YES	NO	YES
00885444	HYDROMORPHONE HCL	PMS-HYDROmorphone 1mg Tab	PMS	0.0959	0.0959	YES	NO	YES
00885436	HYDROMORPHONE HCL	PMS-HYDROmorphone 2mg Tab	PMS	0.1417	0.1417	YES	NO	YES
00885428	HYDROMORPHONE HCL	PMS-HYDROmorphone 8mg Tab	PMS	0.3528	0.3528	YES	NO	YES
00885401	HYDROMORPHONE HCL	PMS-HYDROmorphone 4mg Tab	PMS	0.2240	0.2240	YES	NO	YES
02319411	HYDROMORPHONE HCL	Teva-Hydromorphone 2mg Tab	TEV	0.1417	0.1417	YES	NO	YES
02319403	HYDROMORPHONE HCL	Teva-Hydromorphone 1mg Tab	TEV	0.0959	0.0959	YES	NO	YES
02319438	HYDROMORPHONE HCL	Teva-Hydromorphone 4mg Tab	TEV	0.2240	0.2240	YES	NO	YES
02319446	HYDROMORPHONE HCL	Teva-Hydromorphone 8mg Tab	TEV	0.3528	0.3528	YES	NO	YES
02246691	HYDROXYCHLOROQUINE SULFATE	Apo-Hydroxyquine 200mg Tab	APX	0.1576	0.1576	YES	NO	NO
02519348	HYDROXYCHLOROQUINE SULFATE	Hydroxychloroquine 200mg Tab	SAI	0.1576	0.1576	YES	NO	NO
02491427	HYDROXYCHLOROQUINE SULFATE	Jamp-Hydroxychloroquine 200mg Tab	JPC	0.1576	0.1576	YES	NO	NO
02424991	HYDROXYCHLOROQUINE SULFATE	Mint-Hydroxychloroquine 200mg Tab	MIN	0.1576	0.1576	YES	NO	NO
02511886	HYDROXYCHLOROQUINE SULFATE	NRA-Hydroxychloroquine 200mg Tab	NRA	0.1576	0.1576	YES	NO	NO
02017709	HYDROXYCHLOROQUINE SULFATE	Plaquenil 200mg Tab	SAV	0.6516	0.1576	YES	NO	NO
02247937	HYDROXYUREA	Apo-Hydroxyurea 500mg Cap	APX	1.0203	1.0203	YES	NO	NO
00465283	HYDROXYUREA	Hydrea 500mg Cap	BQU	1.1727	1.0203	YES	NO	NO
02242920	HYDROXYUREA	Mylan-Hydroxyurea 500mg Cap	MYL	1.0203	1.0203	YES	NO	NO
00024384	HYDROXYZINE HCL	Atarax (Not a Benefit) 25mg Cap	PFI	N/A	N/A	YES	NO	NO
00024376	HYDROXYZINE HCL	Atarax (Not a Benefit) 10mg Cap	PFI	N/A	N/A	YES	NO	NO
00024392	HYDROXYZINE HCL	Atarax (Not a Benefit) 50mg Cap	PFI	N/A	N/A	YES	NO	NO
00646024	HYDROXYZINE HCL	Hydroxyzine (Not a Benefit) 25mg Cap	AAP	N/A	N/A	YES	NO	NO
00646059	HYDROXYZINE HCL	Hydroxyzine (Not a Benefit) 10mg Cap	AAP	N/A	N/A	YES	NO	NO
00646016	HYDROXYZINE HCL	Hydroxyzine (Not a Benefit) 50mg Cap	AAP	N/A	N/A	YES	NO	NO
01927884	HYDROXYZINE HCL	Multipax (Not a Benefit) 50mg Cap	RPP	N/A	N/A	YES	NO	NO
01927876	HYDROXYZINE HCL	Multipax (Not a Benefit) 10mg Cap	RPP	N/A	N/A	YES	NO	NO
01938835	HYDROXYZINE HCL	Multipax (Not a Benefit) 25mg Cap	RPP	N/A	N/A	YES	NO	NO
00738832	HYDROXYZINE HCL	Novo-Hydroxyzin (Not a Benefit) 25mg Cap	NOP	N/A	N/A	YES	NO	NO
00738824	HYDROXYZINE HCL	Novo-Hydroxyzin (Not a Benefit) 10mg Cap	NOP	N/A	N/A	YES	NO	NO
00738840	HYDROXYZINE HCL	Novo-Hydroxyzin (Not a Benefit) 50mg Cap	NOP	N/A	N/A	YES	NO	NO
00363839	HYOSCINE BUTYLBROMIDE	Buscopan 20mg/mL Inj Sol	SCO	4.8880	4.8880	NO	YES	NO
02512335	HYOSCINE BUTYLBROMIDE	Accel-Hyoscine 10mg Tab	ACC	0.2711	0.2711	YES	YES	NO
00363812	HYOSCINE BUTYLBROMIDE	Buscopan 10mg Tab	SCO	0.3655	0.2711	YES	YES	NO
00506052	IBUPROFEN	Apo-Ibuprofen 400mg Tab	APX	0.0468	0.0468	YES	NO	YES
00441643	IBUPROFEN	Apo-Ibuprofen 200mg Tab	APX	0.0309	0.0309	YES	NO	YES
00441651	IBUPROFEN	Apo-Ibuprofen 300mg Tab	APX	0.1377	0.1377	YES	NO	YES
00585114	IBUPROFEN	Apo-Ibuprofen 600mg Tab	APX	0.1313	0.1313	YES	NO	YES
02257912	IBUPROFEN	Ibuprofen 200mg Tab	JPC	0.0309	0.0309	YES	NO	YES
02317338	IBUPROFEN	Ibuprofen 400mg Tab	JPC	0.0468	0.0468	YES	NO	YES
00484911	IBUPROFEN	Motrin (Not a Benefit) 600mg Tab	UPJ	N/A	N/A	YES	NO	YES
00327794	IBUPROFEN	Motrin (Not a Benefit) 300mg Tab	UPJ	N/A	N/A	YES	NO	YES
00252409	IBUPROFEN	Motrin (Not a Benefit) 200mg Tab	UPJ	N/A	N/A	YES	NO	YES
00364142	IBUPROFEN	Motrin 400mg Tab	UPJ	0.1871	0.0468	YES	NO	YES
00629359	IBUPROFEN	Novo-Profen 600mg Tab	NOP	0.1313	0.1313	YES	NO	YES
02425696	ICATIBANT	Firazyr (Off-Formulary Interchangeable) 30mg/3mL Inj Sol-Pref Syr 3mL Pk	TAK	2700.0000	1485.0000	YES	NO	NO
02547562	ICATIBANT	Icatibant Injection (Off-Formulary Interchangeable) 30mg/3mL Inj Sol-Pref Syr 3mL Pk	JPC	1485.0000	1485.0000	YES	NO	NO
02490986	IMATINIB MESYLATE	Ach-Imatinib 100mg Tab	ACH	5.2079	5.2079	YES	NO	YES
02490994	IMATINIB MESYLATE	Ach-Imatinib 400mg Tab	ACH	20.8314	20.8314	YES	NO	YES
02355345	IMATINIB MESYLATE	Apo-Imatinib 400mg Tab	APX	20.8314	20.8314	YES	NO	YES
02355337	IMATINIB MESYLATE	Apo-Imatinib 100mg Tab	APX	5.2079	5.2079	YES	NO	YES
02253275	IMATINIB MESYLATE	Gleevec 100mg Tab	NOV	29.7475	5.2079	YES	NO	YES
02253283	IMATINIB MESYLATE	Gleevec 400mg Tab	NOV	118.9900	20.8314	YES	NO	YES
02521210	IMATINIB MESYLATE	Imatinib 400mg Tab	SIV	20.8314	20.8314	YES	NO	YES
02504618	IMATINIB MESYLATE	Imatinib 400mg Tab	SAI	20.8314	20.8314	YES	NO	YES
02521202	IMATINIB MESYLATE	Imatinib 100mg Tab	SIV	5.2079	5.2079	YES	NO	YES
02504596	IMATINIB MESYLATE	Imatinib 100mg Tab	SAI	5.2079	5.2079	YES	NO	YES
02495074	IMATINIB MESYLATE	Jamp Imatinib 400mg Tab	JPC	20.8314	20.8314	YES	NO	YES
02495066	IMATINIB MESYLATE	Jamp Imatinib 100mg Tab	JPC	5.2079	5.2079	YES	NO	YES
02492334	IMATINIB MESYLATE	Mint-Imatinib 100mg Tab	MIN	5.2079	5.2079	YES	NO	YES
02492342	IMATINIB MESYLATE	Mint-Imatinib 400mg Tab	MIN	20.8314	20.8314	YES	NO	YES
02397293	IMATINIB MESYLATE	Nat-Imatinib 400mg Tab	NAT	20.8314	20.8314	YES	NO	YES
02397285	IMATINIB MESYLATE	Nat-Imatinib 100mg Tab	NAT	5.2079	5.2079	YES	NO	YES
02431114	IMATINIB MESYLATE	PMS-Imatinib 100mg Tab	PMS	5.2079	5.2079	YES	NO	YES
02431122	IMATINIB MESYLATE	PMS-Imatinib 400mg Tab	PMS	20.8314	20.8314	YES	NO	YES
02399814	IMATINIB MESYLATE	Teva-Imatinib 400mg Tab	TEV	20.8314	20.8314	YES	NO	YES
02399806	IMATINIB MESYLATE	Teva-Imatinib 100mg Tab	TEV	5.2079	5.2079	YES	NO	YES
00360201	IMIPRAMINE	Imipramine 10mg Tab	AAP	0.1257	0.1257	YES	NO	NO
00312797	IMIPRAMINE	Imipramine 25mg Tab	AAP	0.2316	0.2316	YES	NO	NO
00326852	IMIPRAMINE	Imipramine 50mg Tab	AAP	0.4519	0.4519	YES	NO	NO
02546353	IMIPRAMINE	Jamp Imipramine 50mg Tab	JPC	0.4519	0.4519	YES	NO	NO
02546337	IMIPRAMINE	Jamp Imipramine 10mg Tab	JPC	0.1257	0.1257	YES	NO	NO
02546345	IMIPRAMINE	Jamp Imipramine 25mg Tab	JPC	0.2316	0.2316	YES	NO	NO
00010480	IMIPRAMINE	Tofranil (Not a Benefit) 50mg Tab	NOV	N/A	N/A	YES	NO	NO
00010472	IMIPRAMINE	Tofranil (Not a Benefit) 25mg Tab	NOV	N/A	N/A	YES	NO	NO
00010464	IMIPRAMINE	Tofranil (Not a Benefit) 10mg Tab	NOV	N/A	N/A	YES	NO	NO
09857622	IMIQUIMOD	Aldara P (Off-Formulary Interchangeable) 5% Top Cr	VAL	N/A	N/A	YES	NO	NO
02482983	IMIQUIMOD	Taro-Imiquimod Pump (Off-Formulary Interchangeable) 5% Top Cr	TAR	43.4350	N/A	YES	NO	NO
02376938	INDACATEROL	Onbrez Breezhaler 75mcg Inh Pd-Cap	NOV	1.5500	1.5500	NO	YES	NO
02418282	INDACATEROL & GLYCOPYRRONIUM	Ultibro Breezhaler 110mcg & 50mcg Inh Pd-Cap	NOV	2.5830	2.5830	NO	YES	NO
02501244	INDACATEROL ACETATE & GLYCOPYRRONIUM BROMIDE & MOMETASONE FUROATE	Enerzair Breezhaler 150mcg & 50mcg & 160mcg Inh Pd-Cap	NOV	3.4277	3.4277	NO	YES	NO
02498707	INDACATEROL ACETATE & MOMETASONE FUROATE	Atectura Breezhaler 150mcg & 160mcg Inh Pd-Cap	NOV	1.3419	1.3419	NO	YES	NO
02498693	INDACATEROL ACETATE & MOMETASONE FUROATE	Atectura Breezhaler 150mcg & 320mcg Inh Pd-Cap	NOV	1.8473	1.8473	NO	YES	NO
02498685	INDACATEROL ACETATE & MOMETASONE FUROATE	Atectura Breezhaler 150mcg & 80mcg Inh Pd-Cap	NOV	1.0731	1.0731	NO	YES	NO
02223678	INDAPAMIDE	Apo-Indapamide 2.5mg Tab	APX	0.2364	0.2364	YES	NO	NO
02245246	INDAPAMIDE	Apo-Indapamide 1.25mg Tab	APX	0.1490	0.1490	YES	NO	NO
02179709	INDAPAMIDE	Lozide (Not a Benefit) 1.25mg Tab	SEV	N/A	N/A	YES	NO	NO
00564966	INDAPAMIDE	Lozide (Not a Benefit) 2.5mg Tab	SEV	N/A	N/A	YES	NO	NO
02240067	INDAPAMIDE	Mylan-Indapamide 1.25mg Tab	MYL	0.1490	0.1490	YES	NO	NO
02153483	INDAPAMIDE	Mylan-Indapamide 2.5mg Tab	MYL	0.2364	0.2364	YES	NO	NO
00016039	INDOMETHACIN	Indocid (Not a Benefit) 25mg Cap	MSD	N/A	N/A	YES	NO	YES
00016047	INDOMETHACIN	Indocid (Not a Benefit) 50mg Cap	MSD	N/A	N/A	YES	NO	YES
02461811	INDOMETHACIN	Mint-Indomethacin 25mg Cap	MIN	0.1519	0.1519	YES	NO	YES
02461536	INDOMETHACIN	Mint-Indomethacin 50mg Cap	MIN	0.2469	0.2469	YES	NO	YES
00337439	INDOMETHACIN	Teva-Indomethacin 50mg Cap	TEV	0.2469	0.2469	YES	NO	YES
00337420	INDOMETHACIN	Teva-Indomethacin 25mg Cap	TEV	0.1519	0.1519	YES	NO	YES
00016233	INDOMETHACIN	Indocid (Not a Benefit) 100mg Sup	MSD	N/A	N/A	YES	NO	YES
00594466	INDOMETHACIN	Indocid (Not a Benefit) 50mg Sup	MSD	N/A	N/A	YES	NO	YES
02231799	INDOMETHACIN	Odan-Indomethacin 50mg Sup	ODN	1.2500	1.2500	YES	NO	YES
02231800	INDOMETHACIN	Odan-Indomethacin 100mg Sup	ODN	1.6500	1.6500	YES	NO	YES
09858358	INFLIXIMAB	Inflectra 100mg/Vial Inj Pd-Vial Pk	CEH	525.0000	525.0000	NO	YES	NO
02523191	INFLIXIMAB	Ixifi 100mg/Vial Inj Pd-Vial Pk	PFI	493.0000	493.0000	NO	YES	NO
02419475	INFLIXIMAB	Remdantry 100mg/Vial Inj Pd-Vial Pk	CEI	493.0000	493.0000	NO	YES	NO
02470373	INFLIXIMAB	Renflexis 100mg/Vial Inj Pd-Vial Pk	SAM	493.0000	493.0000	NO	YES	NO
02511584	INFLIXIMAB	Remsima SC 120mg/mL Inj Sol-1mL Pref Pen Pk (Preservative-Free)	CEH	474.5100	474.5100	NO	YES	NO
02511576	INFLIXIMAB	Remsima SC 120mg/mL Inj Sol-1mL Pref Syr Pk (Preservative-Free)	CEH	474.5100	474.5100	NO	YES	NO
02496933	INFLIXIMAB	Avsola 100mg/Vial Pd for Sol-Vial Pk	AMG	493.0000	493.0000	NO	YES	NO
02024217	INSULIN (30% NEUTRAL & 70% ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge 30/70 1000U/10mL Inj Susp-10mL Pk	NOO	25.9100	25.9100	NO	NO	NO
09853812	INSULIN (30% NEUTRAL & 70% ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge 30/70 Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	48.9900	48.9900	NO	NO	NO
02024225	INSULIN (ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge NPH 1000U/10mL Inj Susp-10mL Pk	NOO	25.7800	25.7800	NO	NO	NO
09853782	INSULIN (ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge NPH Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	50.6900	50.6900	NO	NO	NO
00587737	INSULIN (ISOPHANE) HUMAN BIOSYNTHETIC (RDNA ORIGIN)	Humulin NPH 1000U/10mL Inj Susp-10mL Pk	LIL	29.9800	29.9800	NO	NO	NO
09853804	INSULIN (ISOPHANE) HUMAN BIOSYNTHETIC (RDNA ORIGIN)	Humulin N 100U/mL Inj Susp-5x3mL Pk	LIL	56.0200	56.0200	NO	NO	NO
00586714	INSULIN (ZINC CRYSTALLINE) HUMAN BIOSYNTHETIC (RDNA ORIGIN)	Humulin Regular 1000U/10mL Inj Sol-10mL Pk	LIL	29.9800	29.9800	NO	NO	NO
09853766	INSULIN (ZINC CRYSTALLINE) HUMAN BIOSYNTHETIC (RDNA ORIGIN)	Humulin R 100U/mL Inj Sol-5x3mL Pk	LIL	56.0200	56.0200	NO	NO	NO
02245397	INSULIN ASPART	NovoRapid 100U/mL Inj Sol-10mL Pk	NOO	31.9500	31.9500	NO	YES	NO
02529254	INSULIN ASPART	Trurapi 100U/mL Inj Sol-10mL Vial Pk	SAC	22.6430	22.6430	NO	NO	NO
02520974	INSULIN ASPART	Kirsty 100U/mL Inj Sol-5X3mL Pref Pen Pk	BGP	42.7125	42.7125	NO	NO	NO
02506564	INSULIN ASPART	Trurapi 100U/mL Inj Sol-5x3mL Cart Pk	SAC	45.0000	45.0000	NO	NO	NO
02506572	INSULIN ASPART	Trurapi 100U/mL Inj Sol-5x3mL SoloSTAR Pref Pen Pk	SAC	45.0000	45.0000	NO	NO	NO
02265435	INSULIN ASPART 30% & INSULIN ASPART PROTAMINE 70%	NovoMix 30 Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	59.4300	59.4300	NO	NO	NO
02467860	INSULIN DEGLUDEC	Tresiba 100U/mL Inj Sol-3X5mL Cart Pk	NOO	114.1700	114.1700	NO	NO	NO
02467887	INSULIN DEGLUDEC	Tresiba 200U/mL Inj Sol-Flextouch Pref Pen 3x3mL Pk	NOO	137.0100	137.0100	NO	NO	NO
02467879	INSULIN DEGLUDEC	Tresiba 100U/mL Inj Sol-Flextouch Pref Pen 5x3mL Pk	NOO	114.1700	114.1700	NO	NO	NO
02271842	INSULIN DETEMIR	Levemir Penfill 100U/mL Inj Sol-5x3mL Pk	NOO	114.3600	114.3600	NO	NO	NO
02412829	INSULIN DETEMIR	Levemir Flextouch 100U/mL Inj Sol-Pref Disp Pen 5X3mL Pk	NOO	115.2900	115.2900	NO	NO	NO
02441829	INSULIN GLARGINE	TOUJEO SoloSTAR 300U/mL Inj Sol-1.5mL Pref Pen	SAC	26.4333	26.4333	NO	NO	NO
02245689	INSULIN GLARGINE	Lantus-(Vial) 100U/mL Inj Sol-10mL Vial Pk	SAV	61.6900	61.6900	NO	YES	NO
02526441	INSULIN GLARGINE	Semglee 100U/mL Inj Sol-3mL Pref Pen	BGP	12.7668	12.7668	NO	NO	NO
02493373	INSULIN GLARGINE	Toujeo DoubleSTAR 300U/mL Inj Sol-3mL Pref Pen	SAC	52.8666	52.8666	NO	NO	NO
02444844	INSULIN GLARGINE	Basaglar 100U/mL Inj Sol-Cartridge 5x3mL Pk	LIL	83.0400	83.0400	NO	NO	NO
02461528	INSULIN GLARGINE	Basaglar 100U/mL Inj Sol-KwikPen (80U) Pref Pen 5x3mL Pk	LIL	83.0400	83.0400	NO	NO	NO
02478293	INSULIN GLARGINE & LIXISENATIDE	Soliqua 100U/mL & 33mcg/mL Inj Sol-Pref Pen 5x3mL Pk	SAC	198.3700	198.3700	NO	NO	YES
02279479	INSULIN GLULISINE (DNA ORIGIN)	Apidra 100U/mL Inj 5x3mL Cart ClickStar Pen	SAV	55.9500	55.9500	NO	NO	YES
02279460	INSULIN GLULISINE (DNA ORIGIN)	Apidra 100U/mL Inj Sol-10mL Vial	SAV	28.2400	28.2400	NO	NO	YES
02294346	INSULIN GLULISINE (DNA ORIGIN)	Apidra 100U/mL Inj Sol-5x3mL SoloSTAR Pref Pen	SAV	56.4900	56.4900	NO	NO	YES
02024233	INSULIN HUMAN BIOSYNTHETIC	Novolin ge Toronto 1000U/10mL Inj Sol-10mL Pk	NOO	25.2100	25.2100	NO	NO	NO
09853774	INSULIN HUMAN BIOSYNTHETIC	Novolin ge Toronto Penfill 100U/mL Inj Sol-5x3mL Pk	NOO	49.5200	49.5200	NO	NO	NO
00795879	INSULIN HUMAN BIOSYNTHETIC 30% & ISOPHANE 70%	Humulin 30/70 1000U/10mL Inj Susp-10mL Pk	LIL	29.9800	29.9800	NO	NO	NO
09853855	INSULIN HUMAN BIOSYNTHETIC 30% & ISOPHANE 70%	Humulin 30/70 100U/mL Inj Susp-5x3mL Pk	LIL	56.0200	56.0200	NO	NO	NO
02466864	INSULIN INJECTION, HUMAN BIOSYNTHETIC	Entuzity KwikPen 500U/mL Inj Sol-Pref Pen 2x3mL Pk	LIL	114.2200	114.2200	NO	NO	NO
02229704	INSULIN LISPRO	Humalog 100U/mL Inj Sol-10mL Pk	LIL	36.4200	36.4200	NO	YES	NO
02469901	INSULIN LISPRO	Admelog 100U/mL Inj Sol-10mL Vial Pk	SAC	22.7000	22.7000	NO	NO	NO
02469898	INSULIN LISPRO	Admelog 100U/mL Inj Sol-5x3mL Cart Pk	SAC	45.0000	45.0000	NO	NO	NO
02469871	INSULIN LISPRO	Admelog 100U/mL Inj Sol-5x3mL SoloSTAR Pref Pen Pk	SAC	45.0000	45.0000	NO	NO	NO
02439611	INSULIN LISPRO	Humalog 200 units/mL KwikPen 200U/mL Inj Sol-Pref Pen 5x3mL Pk	LIL	133.7600	133.7600	NO	NO	YES
02240294	INSULIN LISPRO & INSULIN LISPRO PROTAMINE	Humalog Mix25 25% & 75% Inj Susp-5x3mL Pk	LIL	73.2300	73.2300	NO	NO	NO
02403420	INSULIN LISPRO & INSULIN LISPRO PROTAMINE	Humalog Mix25 Kwikpen 25% & 75% Inj Susp-5x3mL Pk	LIL	72.6900	72.6900	NO	NO	NO
02240297	INSULIN LISPRO & INSULIN LISPRO PROTAMINE	Humalog Mix50 50% & 50% Inj Susp-5x3mL Pk	LIL	72.1100	72.1100	NO	NO	NO
02403439	INSULIN LISPRO & INSULIN LISPRO PROTAMINE	Humalog Mix50 Kwikpen 50% & 50% Inj Susp-5x3mL Pk	LIL	71.4700	71.4700	NO	NO	NO
02126222	IPRATROPIUM BROMIDE	AA-Ipravent 250mcg/mL Inh Sol-20mL Pk	AAP	6.3140	6.3140	YES	YES	NO
00731439	IPRATROPIUM BROMIDE	Atrovent (Not a Benefit) 250mcg/mL Inh Sol-20mL Pk	BOE	N/A	N/A	YES	NO	NO
02210479	IPRATROPIUM BROMIDE	Novo-Ipramide 250mcg/mL Inh Sol-20mL Pk	NOP	6.3140	6.3140	YES	YES	NO
02231136	IPRATROPIUM BROMIDE	PMS-Ipratropium 250mcg/mL Inh Sol-20mL Pk	PMS	6.3140	6.3140	YES	YES	NO
01950681	IPRATROPIUM BROMIDE	Atrovent UDV (Not a Benefit) 250mcg/mL Inh Sol-2mL UDV Pk	BOE	N/A	N/A	YES	NO	NO
02026759	IPRATROPIUM BROMIDE	Atrovent UDV (Not a Benefit) 125mcg/mL Inh Sol-2mL UDV Pk	BOE	N/A	N/A	YES	NO	NO
02231135	IPRATROPIUM BROMIDE	PMS-Ipratropium 125mcg/mL Inh Sol-2mL UDV Pk	PMS	1.1505	1.1505	YES	YES	NO
02231245	IPRATROPIUM BROMIDE	PMS-Ipratropium 250mcg/mL Inh Sol-2mL UDV Pk	PMS	1.3180	1.3180	YES	YES	NO
02097168	IPRATROPIUM BROMIDE	Ratio-Ipratropium UDV 250mcg/mL Inh Sol-2mL UDV Pk	RPH	1.3180	1.3180	YES	YES	NO
02216221	IPRATROPIUM BROMIDE	Teva-Ipratropium Sterinebs 250mcg/mL Inh Sol-2mL UDV Pk	TEV	1.3180	1.3180	YES	YES	NO
02247686	IPRATROPIUM BROMIDE	Atrovent HFA 20mcg/Metered Dose Inh-200 Dose Pk	BOE	20.4600	11.2530	YES	NO	NO
02542587	IPRATROPIUM BROMIDE	Jamp Ipratropium HFA 20mcg/Metered Dose Inh-200 Dose Pk	JPC	11.2530	11.2530	YES	NO	NO
02163713	IPRATROPIUM BROMIDE	Atrovent (Off-Formulary Interchangeable) 0.06% Nasal Spray	BOE	N/A	N/A	YES	NO	NO
02163705	IPRATROPIUM BROMIDE	Atrovent (Not a Benefit) 0.03% Nasal Spray	BOE	N/A	N/A	YES	NO	NO
02246084	IPRATROPIUM BROMIDE	Ipravent (Off-Formulary Interchangeable) 0.06% Nasal Spray	AAP	2.9700	N/A	YES	NO	NO
02239627	IPRATROPIUM BROMIDE	PMS-Ipratropium 0.03% Nasal Spray	PMS	0.8693	0.8693	YES	YES	NO
02231675	IPRATROPIUM BROMIDE/SALBUTAMOL	Combivent UDV (Not a Benefit) 500mcg/2.5mg/2.5mL Inh Sol-2.5mL Amp Pk	BOE	N/A	N/A	YES	NO	NO
02483394	IPRATROPIUM BROMIDE/SALBUTAMOL	Ipratropium Bromide and Salbutamol Sulph 500mcg/2.5mg/2.5mL Inh Sol-2.5mL Amp Pk	MDI	0.8066	0.8066	YES	YES	NO
02272695	IPRATROPIUM BROMIDE/SALBUTAMOL	Teva-Combo Sterinebs 500mcg/2.5mg/2.5mL Inh Sol-2.5mL Amp Pk	TEV	0.8066	0.8066	YES	YES	NO
02386968	IRBESARTAN	Apo-Irbesartan 75mg Tab	APX	0.2281	0.2281	YES	NO	NO
02386976	IRBESARTAN	Apo-Irbesartan 150mg Tab	APX	0.2281	0.2281	YES	NO	NO
02386984	IRBESARTAN	Apo-Irbesartan 300mg Tab	APX	0.2281	0.2281	YES	NO	NO
02406098	IRBESARTAN	Auro-Irbesartan 75mg Tab	AUR	0.2281	0.2281	YES	NO	NO
02406101	IRBESARTAN	Auro-Irbesartan 150mg Tab	AUR	0.2281	0.2281	YES	NO	NO
02406128	IRBESARTAN	Auro-Irbesartan 300mg Tab	AUR	0.2281	0.2281	YES	NO	NO
02237925	IRBESARTAN	Avapro 300mg Tab	SAV	1.2671	0.2281	YES	NO	NO
02237924	IRBESARTAN	Avapro 150mg Tab	SAV	1.2671	0.2281	YES	NO	NO
02237923	IRBESARTAN	Avapro 75mg Tab	SAV	1.2671	0.2281	YES	NO	NO
02328100	IRBESARTAN	Co Irbesartan 300mg Tab	COB	0.2281	0.2281	YES	NO	NO
02328089	IRBESARTAN	Co Irbesartan 150mg Tab	COB	0.2281	0.2281	YES	NO	NO
02372398	IRBESARTAN	Irbesartan 300mg Tab	SAI	0.2281	0.2281	YES	NO	NO
02372347	IRBESARTAN	Irbesartan 75mg Tab	SAI	0.2281	0.2281	YES	NO	NO
02385287	IRBESARTAN	Irbesartan 75mg Tab	SIV	0.2281	0.2281	YES	NO	NO
02385295	IRBESARTAN	Irbesartan 150mg Tab	SIV	0.2281	0.2281	YES	NO	NO
02372371	IRBESARTAN	Irbesartan 150mg Tab	SAI	0.2281	0.2281	YES	NO	NO
02385309	IRBESARTAN	Irbesartan 300mg Tab	SIV	0.2281	0.2281	YES	NO	NO
02545225	IRBESARTAN	Jamp Irbesartan 75mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02545241	IRBESARTAN	Jamp Irbesartan 300mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02545233	IRBESARTAN	Jamp Irbesartan 150mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02418207	IRBESARTAN	Jamp-Irbesartan 150mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02418193	IRBESARTAN	Jamp-Irbesartan 75mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02418215	IRBESARTAN	Jamp-Irbesartan 300mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02524813	IRBESARTAN	M-Irbesartan 75mg Tab	MAT	0.2281	0.2281	YES	NO	NO
02524848	IRBESARTAN	M-Irbesartan 300mg Tab	MAT	0.2281	0.2281	YES	NO	NO
02524821	IRBESARTAN	M-Irbesartan 150mg Tab	MAT	0.2281	0.2281	YES	NO	NO
02423006	IRBESARTAN	Mint-Irbesartan 300mg Tab	MIN	0.2281	0.2281	YES	NO	NO
02422999	IRBESARTAN	Mint-Irbesartan 150mg Tab	MIN	0.2281	0.2281	YES	NO	NO
02422980	IRBESARTAN	Mint-Irbesartan 75mg Tab	MIN	0.2281	0.2281	YES	NO	NO
02317079	IRBESARTAN	PMS-Irbesartan 150mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02317087	IRBESARTAN	PMS-Irbesartan 300mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02317060	IRBESARTAN	PMS-Irbesartan 75mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02406829	IRBESARTAN	Ran-Irbesartan 150mg Tab	RAN	0.2281	0.2281	YES	NO	NO
02406810	IRBESARTAN	Ran-Irbesartan 75mg Tab	RAN	0.2281	0.2281	YES	NO	NO
02406837	IRBESARTAN	Ran-Irbesartan 300mg Tab	RAN	0.2281	0.2281	YES	NO	NO
02328461	IRBESARTAN	Sandoz Irbesartan 75mg Tab	SDZ	0.2281	0.2281	YES	NO	NO
02328488	IRBESARTAN	Sandoz Irbesartan 150mg Tab	SDZ	0.2281	0.2281	YES	NO	NO
02328496	IRBESARTAN	Sandoz Irbesartan 300mg Tab	SDZ	0.2281	0.2281	YES	NO	NO
02316412	IRBESARTAN	Teva-Irbesartan 300mg Tab	TEV	0.2281	0.2281	YES	NO	NO
02316390	IRBESARTAN	Teva-Irbesartan 75mg Tab	TEV	0.2281	0.2281	YES	NO	NO
02316404	IRBESARTAN	Teva-Irbesartan 150mg Tab	TEV	0.2281	0.2281	YES	NO	NO
02387654	IRBESARTAN & HYDROCHLOROTHIAZIDE	Apo-Irbesartan/HCTZ 300mg & 12.5mg Tab	APX	0.2281	0.2281	YES	NO	NO
02387646	IRBESARTAN & HYDROCHLOROTHIAZIDE	Apo-Irbesartan/HCTZ 150mg & 12.5mg Tab	APX	0.2281	0.2281	YES	NO	NO
02387662	IRBESARTAN & HYDROCHLOROTHIAZIDE	Apo-Irbesartan/HCTZ 300mg & 25mg Tab	APX	0.2184	0.2184	YES	NO	NO
02447886	IRBESARTAN & HYDROCHLOROTHIAZIDE	Auro-Irbesartan HCT 300mg & 12.5mg Tab	AUR	0.2281	0.2281	YES	NO	NO
02447878	IRBESARTAN & HYDROCHLOROTHIAZIDE	Auro-Irbesartan HCT 150mg & 12.5mg Tab	AUR	0.2281	0.2281	YES	NO	NO
02447894	IRBESARTAN & HYDROCHLOROTHIAZIDE	Auro-Irbesartan HCT 300mg & 25mg Tab	AUR	0.2184	0.2184	YES	NO	NO
02241818	IRBESARTAN & HYDROCHLOROTHIAZIDE	Avalide 150mg & 12.5mg Tab	SAV	1.3166	0.2281	YES	NO	NO
02241819	IRBESARTAN & HYDROCHLOROTHIAZIDE	Avalide 300mg & 12.5mg Tab	SAV	1.3166	0.2281	YES	NO	NO
02280213	IRBESARTAN & HYDROCHLOROTHIAZIDE	Avalide (Not a Benefit) 300mg & 25mg Tab	SAV	N/A	N/A	YES	NO	NO
02357402	IRBESARTAN & HYDROCHLOROTHIAZIDE	Co Irbesartan/HCT 300mg & 12.5mg Tab	COB	0.2281	0.2281	YES	NO	NO
02357410	IRBESARTAN & HYDROCHLOROTHIAZIDE	Co Irbesartan/HCT 300mg & 25mg Tab	COB	0.2184	0.2184	YES	NO	NO
02357399	IRBESARTAN & HYDROCHLOROTHIAZIDE	Co Irbesartan/HCT 150mg & 12.5mg Tab	COB	0.2281	0.2281	YES	NO	NO
02385333	IRBESARTAN & HYDROCHLOROTHIAZIDE	Irbesartan HCT 300mg & 25mg Tab	SIV	0.2184	0.2184	YES	NO	NO
02385325	IRBESARTAN & HYDROCHLOROTHIAZIDE	Irbesartan HCT 300mg & 12.5mg Tab	SIV	0.2281	0.2281	YES	NO	NO
02385317	IRBESARTAN & HYDROCHLOROTHIAZIDE	Irbesartan HCT 150mg & 12.5mg Tab	SIV	0.2281	0.2281	YES	NO	NO
02372886	IRBESARTAN & HYDROCHLOROTHIAZIDE	Irbesartan/HCTZ 150mg & 12.5mg Tab	SAI	0.2281	0.2281	YES	NO	NO
02372908	IRBESARTAN & HYDROCHLOROTHIAZIDE	Irbesartan/HCTZ 300mg & 25mg Tab	SAI	0.2184	0.2184	YES	NO	NO
02372894	IRBESARTAN & HYDROCHLOROTHIAZIDE	Irbesartan/HCTZ 300mg & 12.5mg Tab	SAI	0.2281	0.2281	YES	NO	NO
02418258	IRBESARTAN & HYDROCHLOROTHIAZIDE	Jamp-Irbesartan and Hydrochlorothiazide 300mg & 25mg Tab	JPC	0.2184	0.2184	YES	NO	NO
02418231	IRBESARTAN & HYDROCHLOROTHIAZIDE	Jamp-Irbesartan and Hydrochlorothiazide 300mg & 12.5mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02418223	IRBESARTAN & HYDROCHLOROTHIAZIDE	Jamp-Irbesartan and Hydrochlorothiazide 150mg & 12.5mg Tab	JPC	0.2281	0.2281	YES	NO	NO
02393018	IRBESARTAN & HYDROCHLOROTHIAZIDE	Mint Irbesartan/HCTZ 300mg & 12.5mg Tab	MIN	0.2281	0.2281	YES	NO	NO
02393026	IRBESARTAN & HYDROCHLOROTHIAZIDE	Mint Irbesartan/HCTZ 300mg & 25mg Tab	MIN	0.2184	0.2184	YES	NO	NO
02392992	IRBESARTAN & HYDROCHLOROTHIAZIDE	Mint Irbesartan/HCTZ 150mg & 12.5mg Tab	MIN	0.2281	0.2281	YES	NO	NO
02328518	IRBESARTAN & HYDROCHLOROTHIAZIDE	PMS-Irbesartan-HCTZ 150mg & 12.5mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02328534	IRBESARTAN & HYDROCHLOROTHIAZIDE	PMS-Irbesartan-HCTZ 300mg & 25mg Tab	PMS	0.2184	0.2184	YES	NO	NO
02328526	IRBESARTAN & HYDROCHLOROTHIAZIDE	PMS-Irbesartan-HCTZ 300mg & 12.5mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02363208	IRBESARTAN & HYDROCHLOROTHIAZIDE	Ran-Irbesartan HCTZ 150mg & 12.5mg Tab	RAN	0.2281	0.2281	YES	NO	NO
02363216	IRBESARTAN & HYDROCHLOROTHIAZIDE	Ran-Irbesartan HCTZ 300mg & 12.5mg Tab	RAN	0.2281	0.2281	YES	NO	NO
02363224	IRBESARTAN & HYDROCHLOROTHIAZIDE	Ran-Irbesartan HCTZ 300mg & 25mg Tab	RAN	0.2184	0.2184	YES	NO	NO
02337428	IRBESARTAN & HYDROCHLOROTHIAZIDE	Sandoz Irbesartan HCT 150mg & 12.5mg Tab	SDZ	0.2281	0.2281	YES	NO	NO
02337436	IRBESARTAN & HYDROCHLOROTHIAZIDE	Sandoz Irbesartan HCT 300mg & 12.5mg Tab	SDZ	0.2281	0.2281	YES	NO	NO
02337444	IRBESARTAN & HYDROCHLOROTHIAZIDE	Sandoz Irbesartan HCT 300mg & 25mg Tab	SDZ	0.2184	0.2184	YES	NO	NO
02330520	IRBESARTAN & HYDROCHLOROTHIAZIDE	Teva-Irbesartan HCTZ 300mg & 12.5mg Tab	TEV	0.2281	0.2281	YES	NO	NO
02330512	IRBESARTAN & HYDROCHLOROTHIAZIDE	Teva-Irbesartan HCTZ 150mg & 12.5mg Tab	TEV	0.2281	0.2281	YES	NO	NO
02330539	IRBESARTAN & HYDROCHLOROTHIAZIDE	Teva-Irbesartan HCTZ 300mg & 25mg Tab	TEV	0.2184	0.2184	YES	NO	NO
02502917	IRON SUCROSE	PMS-Iron Sucrose (Off-Formulary Interchangeable) 20mg/mL Inj Sol-5mL Pk (Preservative-Free)	PMS	27.5000	27.5000	YES	NO	NO
02243716	IRON SUCROSE	Venofer (Off-Formulary Interchangeable) 20mg/mL Inj Sol-5mL Pk (Preservative-Free)	LUI	N/A	N/A	YES	NO	NO
09857292	ISOPROPYL MYRISTATE	Resultz 50% Top Sol-120mL Pk	MEF	12.6500	12.6500	NO	NO	NO
02279592	ISOPROPYL MYRISTATE	Resultz 50% Top Sol-240mL Pk	ARZ	24.6600	24.6600	NO	NO	NO
00670944	ISOSORBIDE DINITRATE	ISDN 5mg SL Tab	AAP	0.0633	0.0633	YES	NO	NO
02042606	ISOSORBIDE DINITRATE	Isordil (Not a Benefit) 5mg SL Tab	WAY	N/A	N/A	YES	NO	NO
00441694	ISOSORBIDE DINITRATE	ISDN 30mg Tab	AAP	0.0874	0.0874	YES	NO	NO
00441686	ISOSORBIDE DINITRATE	ISDN 10mg Tab	AAP	0.0372	0.0372	YES	NO	NO
02042614	ISOSORBIDE DINITRATE	Isordil (Not a Benefit) 30mg Tab	WAY	N/A	N/A	YES	NO	NO
02042622	ISOSORBIDE DINITRATE	Isordil (Not a Benefit) 10mg Tab	WAY	N/A	N/A	YES	NO	NO
02272830	ISOSORBIDE-5-MONONITRATE	Apo-ISMN (Off-Formulary Interchangeable) 60mg ER Tab	APX	0.4950	0.4950	YES	NO	NO
02126559	ISOSORBIDE-5-MONONITRATE	Imdur (Off-Formulary Interchangeable) 60mg ER Tab	AZC	N/A	N/A	YES	NO	NO
02301288	ISOSORBIDE-5-MONONITRATE	PMS-ISMN (Off-Formulary Interchangeable) 60mg ER Tab	PMS	0.4950	0.4950	YES	NO	NO
00582344	ISOTRETINOIN	Accutane 10mg Cap	HLR	0.9547	0.9313	YES	NO	YES
00582352	ISOTRETINOIN	Accutane 40mg Cap	HLR	1.9480	1.9003	YES	NO	YES
02257963	ISOTRETINOIN	Clarus 40mg Cap	MYL	1.9003	1.9003	YES	NO	YES
02257955	ISOTRETINOIN	Clarus 10mg Cap	MYL	0.9313	0.9313	YES	NO	YES
02396971	ISOTRETINOIN	Epuris 10mg Cap	CIP	1.5134	1.5134	NO	NO	YES
02396998	ISOTRETINOIN	Epuris 20mg Cap	CIP	2.0941	2.0941	NO	NO	YES
02397005	ISOTRETINOIN	Epuris 30mg Cap	CIP	2.6337	2.6337	NO	NO	YES
02397013	ISOTRETINOIN	Epuris 40mg Cap	CIP	3.0877	3.0877	NO	NO	YES
02462559	ITRACONAZOLE	Mint-Itraconazole 100mg Cap	MIN	3.9270	3.9270	YES	NO	NO
02047454	ITRACONAZOLE	Sporanox 100mg Cap	JAN	6.6750	3.9270	YES	NO	NO
02484315	ITRACONAZOLE	Jamp Itraconazole Oral Solution 10mg/mL Oral Sol	JPC	0.4111	0.4111	YES	YES	NO
02495988	ITRACONAZOLE	Odan-Itraconazole 10mg/mL Oral Sol	ODN	0.4111	0.4111	YES	YES	NO
02231347	ITRACONAZOLE	Sporanox (Not a Benefit) 10mg/mL Oral Sol	JAN	N/A	N/A	YES	NO	NO
02459981	IVABRADINE HCL	Lancora 7.5mg Tab	SEV	1.6707	1.6707	NO	YES	NO
02459973	IVABRADINE HCL	Lancora 5mg Tab	SEV	0.9136	0.9136	NO	YES	NO
02455102	IXEKIZUMAB	Taltz 80mg/mL Inj Sol-Pref Autoinj	LIL	1937.8800	1937.8800	NO	YES	NO
02455110	IXEKIZUMAB	Taltz 80mg/mL Inj Sol-Pref Syr	LIL	1951.0900	1951.0900	NO	YES	NO
02245662	KETOCONAZOLE	Ketoderm 2% Cr	TAR	0.4043	0.4043	YES	NO	YES
00703974	KETOCONAZOLE	Nizoral (Not a Benefit) 2% Cr	JAN	N/A	N/A	YES	NO	YES
02237235	KETOCONAZOLE	Apo-Ketoconazole 200mg Tab	APX	0.9393	0.9393	YES	NO	YES
00633836	KETOCONAZOLE	Nizoral (Not a Benefit) 200mg Tab	JAN	N/A	N/A	YES	NO	YES
02231061	KETOCONAZOLE	Teva-Ketoconazole 200mg Tab	TEV	0.9393	0.9393	YES	NO	YES
00790427	KETOPROFEN	Ketoprofen 50mg Cap	AAP	0.3440	0.3440	YES	NO	YES
01926403	KETOPROFEN	Orudis (Not a Benefit) 50mg Cap	RPP	N/A	N/A	YES	NO	YES
00842664	KETOPROFEN	Ketoprofen-E 100mg Ent Tab	AAP	0.6959	0.6959	YES	NO	YES
00790435	KETOPROFEN	Ketoprofen-E 50mg Ent Tab	AAP	0.3379	0.3379	YES	NO	YES
01926365	KETOPROFEN	Orudis E-100 (Not a Benefit) 100mg Ent Tab	RPP	N/A	N/A	YES	NO	YES
01926381	KETOPROFEN	Orudis E-50 (Not a Benefit) 50mg Ent Tab	RPP	N/A	N/A	YES	NO	YES
00761680	KETOPROFEN	Rhodis-EC (Not a Benefit) 100mg Ent Tab	SAV	N/A	N/A	YES	NO	YES
02172577	KETOPROFEN	Ketoprofen SR 200mg LA Tab	AAP	1.3925	1.3925	YES	NO	YES
01926373	KETOPROFEN	Orudis SR-200 (Not a Benefit) 200mg LA Tab	RPP	N/A	N/A	YES	NO	YES
01968300	KETOROLAC TROMETHAMINE	Acular 0.5% Oph Sol	ALL	3.6780	2.8997	YES	NO	YES
02245821	KETOROLAC TROMETHAMINE	Ketorolac 0.5% Oph Sol	AAP	2.8997	2.8997	YES	NO	YES
02369362	KETOROLAC TROMETHAMINE	Acuvail 0.45% w/v Oph Sol-0.4mL Vial Pk (Preservative-Free)	ABV	0.2593	0.2593	NO	NO	YES
02229080	KETOROLAC TROMETHAMINE	Apo-Ketorolac (Off-Formulary Interchangeable) 10mg Tab	APX	0.6028	N/A	YES	NO	YES
02510855	KETOROLAC TROMETHAMINE	Jamp Ketorolac (Off-Formulary Interchangeable) 10mg Tab	JPC	0.6028	N/A	YES	NO	YES
02465124	KETOROLAC TROMETHAMINE	Mar-Ketorolac (Off-Formulary Interchangeable) 10mg Tab	MAR	0.6028	N/A	YES	NO	YES
02461455	KETOROLAC TROMETHAMINE	Mint-Ketorolac (Off-Formulary Interchangeable) 10mg Tab	MIN	0.6028	N/A	YES	NO	YES
02162660	KETOROLAC TROMETHAMINE	Toradol (Off-Formulary Interchangeable) 10mg Tab	AAP	N/A	N/A	YES	NO	YES
02542722	KETOTIFEN	Jamp Ketotifen Ophthalmic (Off-Formulary Interchangeable) 0.25mg/mL Oph Sol-5mL Pk	JPC	25.7800	N/A	YES	NO	NO
02400871	KETOTIFEN	Ketotifen Ophthalmic Solution (Off-Formulary Interchangeable) 0.25mg/mL Oph Sol-5mL Pk	STE	21.1700	N/A	YES	NO	NO
02242324	KETOTIFEN	Zaditor (Off-Formulary Interchangeable) 0.25mg/mL Oph Sol-5mL Pk	LBT	N/A	N/A	YES	NO	NO
02243539	LABETALOL HCL	Apo-Labetalol 200mg Tab	APX	0.3504	0.3504	YES	NO	NO
02243538	LABETALOL HCL	Apo-Labetalol 100mg Tab	APX	0.1983	0.1983	YES	NO	NO
02489414	LABETALOL HCL	Riva-Labetalol 200mg Tab	RIA	0.3504	0.3504	YES	NO	NO
02489406	LABETALOL HCL	Riva-Labetalol 100mg Tab	RIA	0.1983	0.1983	YES	NO	NO
02106272	LABETALOL HCL	Trandate 100mg Tab	PPI	0.4044	0.1983	YES	NO	NO
02106280	LABETALOL HCL	Trandate 200mg Tab	PPI	0.7148	0.3504	YES	NO	NO
02489309	LACOSAMIDE	Ach-Lacosamide 150mg Tab	ACH	1.1763	1.1763	YES	YES	NO
02489287	LACOSAMIDE	Ach-Lacosamide 50mg Tab	ACH	0.6313	0.6313	YES	YES	NO
02489295	LACOSAMIDE	Ach-Lacosamide 100mg Tab	ACH	0.8750	0.8750	YES	YES	NO
02489317	LACOSAMIDE	Ach-Lacosamide 200mg Tab	ACH	1.4500	1.4500	YES	YES	NO
02475332	LACOSAMIDE	Auro-Lacosamide 50mg Tab	AUR	0.6313	0.6313	YES	YES	NO
02475359	LACOSAMIDE	Auro-Lacosamide 150mg Tab	AUR	1.1763	1.1763	YES	YES	NO
02475367	LACOSAMIDE	Auro-Lacosamide 200mg Tab	AUR	1.4500	1.4500	YES	YES	NO
02475340	LACOSAMIDE	Auro-Lacosamide 100mg Tab	AUR	0.8750	0.8750	YES	YES	NO
02488396	LACOSAMIDE	Jamp-Lacosamide 100mg Tab	JPC	0.8750	0.8750	YES	YES	NO
02488426	LACOSAMIDE	Jamp-Lacosamide 200mg Tab	JPC	1.4500	1.4500	YES	YES	NO
02488388	LACOSAMIDE	Jamp-Lacosamide 50mg Tab	JPC	0.6313	0.6313	YES	YES	NO
02488418	LACOSAMIDE	Jamp-Lacosamide 150mg Tab	JPC	1.1763	1.1763	YES	YES	NO
02512874	LACOSAMIDE	Lacosamide 50mg Tab	SAI	0.6313	0.6313	YES	YES	NO
02512890	LACOSAMIDE	Lacosamide 150mg Tab	SAI	1.1763	1.1763	YES	YES	NO
02512904	LACOSAMIDE	Lacosamide 200mg Tab	SAI	1.4500	1.4500	YES	YES	NO
02512882	LACOSAMIDE	Lacosamide 100mg Tab	SAI	0.8750	0.8750	YES	YES	NO
02487829	LACOSAMIDE	Mar-Lacosamide 150mg Tab	MAR	1.1763	1.1763	YES	YES	NO
02487802	LACOSAMIDE	Mar-Lacosamide 50mg Tab	MAR	0.6313	0.6313	YES	YES	NO
02487810	LACOSAMIDE	Mar-Lacosamide 100mg Tab	MAR	0.8750	0.8750	YES	YES	NO
02487837	LACOSAMIDE	Mar-Lacosamide 200mg Tab	MAR	1.4500	1.4500	YES	YES	NO
02490552	LACOSAMIDE	Mint-Lacosamide 100mg Tab	MIN	0.8750	0.8750	YES	YES	NO
02490544	LACOSAMIDE	Mint-Lacosamide 50mg Tab	MIN	0.6313	0.6313	YES	YES	NO
02490579	LACOSAMIDE	Mint-Lacosamide 200mg Tab	MIN	1.4500	1.4500	YES	YES	NO
02490560	LACOSAMIDE	Mint-Lacosamide 150mg Tab	MIN	1.1763	1.1763	YES	YES	NO
02499592	LACOSAMIDE	NRA-Lacosamide 200mg Tab	NRA	1.4500	1.4500	YES	YES	NO
02499576	LACOSAMIDE	NRA-Lacosamide 100mg Tab	NRA	0.8750	0.8750	YES	YES	NO
02499568	LACOSAMIDE	NRA-Lacosamide 50mg Tab	NRA	0.6313	0.6313	YES	YES	NO
02499584	LACOSAMIDE	NRA-Lacosamide 150mg Tab	NRA	1.1763	1.1763	YES	YES	NO
02478226	LACOSAMIDE	Pharma-Lacosamide 150mg Tab	PMS	1.1763	1.1763	YES	YES	NO
02478196	LACOSAMIDE	Pharma-Lacosamide 50mg Tab	PMS	0.6313	0.6313	YES	YES	NO
02478218	LACOSAMIDE	Pharma-Lacosamide 100mg Tab	PMS	0.8750	0.8750	YES	YES	NO
02478234	LACOSAMIDE	Pharma-Lacosamide 200mg Tab	PMS	1.4500	1.4500	YES	YES	NO
02474697	LACOSAMIDE	Sandoz Lacosamide 150mg Tab	SDZ	1.1763	1.1763	YES	YES	NO
02474670	LACOSAMIDE	Sandoz Lacosamide 50mg Tab	SDZ	0.6313	0.6313	YES	YES	NO
02474689	LACOSAMIDE	Sandoz Lacosamide 100mg Tab	SDZ	0.8750	0.8750	YES	YES	NO
02474700	LACOSAMIDE	Sandoz Lacosamide 200mg Tab	SDZ	1.4500	1.4500	YES	YES	NO
02472910	LACOSAMIDE	Teva-Lacosamide 100mg Tab	TEV	0.8750	0.8750	YES	YES	NO
02472929	LACOSAMIDE	Teva-Lacosamide 150mg Tab	TEV	1.1763	1.1763	YES	YES	NO
02472937	LACOSAMIDE	Teva-Lacosamide 200mg Tab	TEV	1.4500	1.4500	YES	YES	NO
02472902	LACOSAMIDE	Teva-Lacosamide 50mg Tab	TEV	0.6313	0.6313	YES	YES	NO
02357631	LACOSAMIDE	Vimpat 150mg Tab	UCB	4.7050	1.1763	YES	YES	NO
02357658	LACOSAMIDE	Vimpat 200mg Tab	UCB	5.8000	1.4500	YES	YES	NO
02357623	LACOSAMIDE	Vimpat 100mg Tab	UCB	3.5000	0.8750	YES	YES	NO
02357615	LACOSAMIDE	Vimpat 50mg Tab	UCB	2.5250	0.6313	YES	YES	NO
02242814	LACTULOSE	Apo-Lactulose Solution 667mg/mL O/L	APX	0.0145	0.0145	YES	NO	NO
02091925	LACTULOSE	Cephulac (Not a Benefit) 667mg/mL O/L	MRR	N/A	N/A	YES	NO	NO
02295881	LACTULOSE	Jamp-Lactulose 667mg/mL O/L	JPC	0.0145	0.0145	YES	NO	NO
02412268	LACTULOSE	Lactulose 667mg/mL O/L	SAI	0.0145	0.0145	YES	NO	NO
00703486	LACTULOSE	PMS-Lactulose 667mg/mL O/L	PMS	0.0147	0.0147	NO	NO	NO
02469391	LACTULOSE	PMS-Lactulose-Pharma 667mg/mL O/L	PMS	0.0145	0.0145	YES	NO	NO
02247383	LACTULOSE	Pharma-Lactulose 667mg/mL O/L	PMS	0.0145	0.0145	YES	NO	NO
00854409	LACTULOSE	Ratio-Lactulose 667mg/mL O/L	RPH	0.0145	0.0145	YES	NO	NO
02192691	LAMIVUDINE	3TC 10mg/mL O/L	VIH	0.4267	0.4267	NO	NO	YES
02192683	LAMIVUDINE	3TC 150mg Tab	VIH	6.6082	2.7323	YES	NO	YES
02247825	LAMIVUDINE	3TC 300mg Tab	VIH	13.2673	5.4857	YES	NO	YES
02369060	LAMIVUDINE	Apo-Lamivudine 300mg Tab	APX	5.4857	5.4857	YES	NO	YES
02369052	LAMIVUDINE	Apo-Lamivudine 150mg Tab	APX	2.7323	2.7323	YES	NO	YES
02393239	LAMIVUDINE	Apo-Lamivudine HBV 100mg Tab	APX	2.6154	2.6154	YES	YES	NO
02239193	LAMIVUDINE	Heptovir (Not a Benefit) 100mg Tab	GSK	N/A	N/A	YES	NO	NO
02507110	LAMIVUDINE	Jamp Lamivudine 150mg Tab	JPC	2.7323	2.7323	YES	NO	YES
02507129	LAMIVUDINE	Jamp Lamivudine 300mg Tab	JPC	5.4857	5.4857	YES	NO	YES
02512467	LAMIVUDINE	Jamp Lamivudine HBV 100mg Tab	JPC	2.6154	2.6154	YES	YES	NO
02375540	LAMIVUDINE & ZIDOVUDINE	Apo-Lamivudine-Zidovudine 150mg & 300mg Tab	APX	2.6103	2.6103	YES	NO	NO
02414414	LAMIVUDINE & ZIDOVUDINE	Auro-Lamivudine/Zidovudine 150mg & 300mg Tab	AUR	2.6103	2.6103	YES	NO	NO
02239213	LAMIVUDINE & ZIDOVUDINE	Combivir 150mg & 300mg Tab	VIH	13.2262	2.6103	YES	NO	NO
02502801	LAMIVUDINE & ZIDOVUDINE	Jamp Lamivudine / Zidovudine 150mg & 300mg Tab	JPC	2.6103	2.6103	YES	NO	NO
02245208	LAMOTRIGINE	Apo-Lamotrigine 25mg Tab	APX	0.0698	0.0698	YES	NO	NO
02245209	LAMOTRIGINE	Apo-Lamotrigine 100mg Tab	APX	0.2787	0.2787	YES	NO	NO
02245210	LAMOTRIGINE	Apo-Lamotrigine 150mg Tab	APX	0.4107	0.4107	YES	NO	NO
02381362	LAMOTRIGINE	Auro-Lamotrigine 100mg Tab	AUR	0.2787	0.2787	YES	NO	NO
02381354	LAMOTRIGINE	Auro-Lamotrigine 25mg Tab	AUR	0.0698	0.0698	YES	NO	NO
02381370	LAMOTRIGINE	Auro-Lamotrigine 150mg Tab	AUR	0.4107	0.4107	YES	NO	NO
02542749	LAMOTRIGINE	Jamp Lamotrigine 100mg Tab	JPC	0.2787	0.2787	YES	NO	NO
02542757	LAMOTRIGINE	Jamp Lamotrigine 150mg Tab	JPC	0.4107	0.4107	YES	NO	NO
02542730	LAMOTRIGINE	Jamp Lamotrigine 25mg Tab	JPC	0.0698	0.0698	YES	NO	NO
02142112	LAMOTRIGINE	Lamictal 150mg Tab	GSK	3.1803	0.4107	YES	NO	NO
02142082	LAMOTRIGINE	Lamictal 25mg Tab	GSK	0.5402	0.0698	YES	NO	NO
02142104	LAMOTRIGINE	Lamictal 100mg Tab	GSK	2.1580	0.2787	YES	NO	NO
02343029	LAMOTRIGINE	Lamotrigine 100mg Tab	SAI	0.2787	0.2787	YES	NO	NO
02428202	LAMOTRIGINE	Lamotrigine 25mg Tab	SIV	0.0698	0.0698	YES	NO	NO
02343010	LAMOTRIGINE	Lamotrigine 25mg Tab	SAI	0.0698	0.0698	YES	NO	NO
02343037	LAMOTRIGINE	Lamotrigine 150mg Tab	SAI	0.4107	0.4107	YES	NO	NO
02428210	LAMOTRIGINE	Lamotrigine 100mg Tab	SIV	0.2787	0.2787	YES	NO	NO
02428229	LAMOTRIGINE	Lamotrigine 150mg Tab	SIV	0.4107	0.4107	YES	NO	NO
02265494	LAMOTRIGINE	Mylan-Lamotrigine 25mg Tab	MYL	0.0698	0.0698	YES	NO	NO
02265508	LAMOTRIGINE	Mylan-Lamotrigine 100mg Tab	MYL	0.2787	0.2787	YES	NO	NO
02265516	LAMOTRIGINE	Mylan-Lamotrigine 150mg Tab	MYL	0.4107	0.4107	YES	NO	NO
02246899	LAMOTRIGINE	PMS-Lamotrigine 150mg Tab	PMS	0.4107	0.4107	YES	NO	NO
02246897	LAMOTRIGINE	PMS-Lamotrigine 25mg Tab	PMS	0.0698	0.0698	YES	NO	NO
02246898	LAMOTRIGINE	PMS-Lamotrigine 100mg Tab	PMS	0.2787	0.2787	YES	NO	NO
02243352	LAMOTRIGINE	Ratio-Lamotrigine 25mg Tab	RPH	0.0698	0.0698	YES	NO	NO
02248234	LAMOTRIGINE	Teva-Lamotrigine 150mg Tab	TEV	0.4107	0.4107	YES	NO	NO
02248232	LAMOTRIGINE	Teva-Lamotrigine 25mg Tab	TEV	0.0698	0.0698	YES	NO	NO
02248233	LAMOTRIGINE	Teva-Lamotrigine 100mg Tab	TEV	0.2787	0.2787	YES	NO	NO
02283395	LANREOTIDE ACETATE	Somatuline Autogel 60mg/0.3mL ER Pref Syr-0.3mL Pk	IPS	1381.8284	1381.8284	NO	NO	NO
02283409	LANREOTIDE ACETATE	Somatuline Autogel 90mg/0.3mL ER Pref Syr-0.3mL Pk	IPS	1843.2658	1843.2658	NO	NO	NO
02283417	LANREOTIDE ACETATE	Somatuline Autogel 120mg/0.5mL ER Pref Syr-0.5mL Pk	IPS	2307.2221	2307.2221	NO	NO	NO
02293811	LANSOPRAZOLE	Apo-Lansoprazole 15mg DR Cap	APX	0.5000	0.5000	YES	YES	NO
02293838	LANSOPRAZOLE	Apo-Lansoprazole 30mg DR Cap	APX	0.5000	0.5000	YES	YES	NO
02385767	LANSOPRAZOLE	Lansoprazole 15mg DR Cap	SIV	0.5000	0.5000	YES	YES	NO
02433001	LANSOPRAZOLE	Lansoprazole 15mg DR Cap	PMS	0.5000	0.5000	YES	YES	NO
02357682	LANSOPRAZOLE	Lansoprazole 15mg DR Cap	SAI	0.5000	0.5000	YES	YES	NO
02357690	LANSOPRAZOLE	Lansoprazole 30mg DR Cap	SAI	0.5000	0.5000	YES	YES	NO
02410389	LANSOPRAZOLE	Lansoprazole 30mg DR Cap	SIV	0.5000	0.5000	YES	YES	NO
02433028	LANSOPRAZOLE	Lansoprazole 30mg DR Cap	PMS	0.5000	0.5000	YES	YES	NO
02353830	LANSOPRAZOLE	Mylan-Lansoprazole 15mg DR Cap	MYL	0.5000	0.5000	YES	YES	NO
02353849	LANSOPRAZOLE	Mylan-Lansoprazole 30mg DR Cap	MYL	0.5000	0.5000	YES	YES	NO
02165503	LANSOPRAZOLE	Prevacid 15mg DR Cap	TPA	2.4338	0.5000	YES	YES	NO
02165511	LANSOPRAZOLE	Prevacid 30mg DR Cap	TPA	2.4338	0.5000	YES	YES	NO
02385651	LANSOPRAZOLE	Sandoz Lansoprazole 30mg DR Cap	SDZ	0.5000	0.5000	YES	YES	NO
02385643	LANSOPRAZOLE	Sandoz Lansoprazole 15mg DR Cap	SDZ	0.5000	0.5000	YES	YES	NO
02402610	LANSOPRAZOLE	Taro-Lansoprazole 15mg DR Cap	SPC	0.5000	0.5000	YES	YES	NO
02402629	LANSOPRAZOLE	Taro-Lansoprazole 30mg DR Cap	SPC	0.5000	0.5000	YES	YES	NO
02280515	LANSOPRAZOLE	Teva-Lansoprazole 15mg DR Cap	TEV	0.5000	0.5000	YES	YES	NO
02280523	LANSOPRAZOLE	Teva-Lansoprazole 30mg DR Cap	TEV	0.5000	0.5000	YES	YES	NO
02470780	LANSOPRAZOLE & CLARITHROMYCIN & AMOXICILLIN	AA-LansoprazoleAmoxicillinClarithromycin 30mg & 500mg & 500mg Tab/Cap Pk	AAP	67.9100	67.9100	YES	YES	NO
02238525	LANSOPRAZOLE & CLARITHROMYCIN & AMOXICILLIN	Hp-PAC (Not a Benefit) 30mg & 500mg & 500mg Tab/Cap Pk	TPA	N/A	N/A	YES	NO	NO
02287145	LANTHANUM	Fosrenol (Not a Benefit) 250mg Chew Tab	TAK	N/A	N/A	YES	NO	NO
02287153	LANTHANUM	Fosrenol (Not a Benefit) 500mg Chew Tab	TAK	N/A	N/A	YES	NO	NO
02287161	LANTHANUM	Fosrenol (Not a Benefit) 750mg Chew Tab	TAK	N/A	N/A	YES	NO	NO
02287188	LANTHANUM	Fosrenol (Not a Benefit) 1000mg Chew Tab	TAK	N/A	N/A	YES	NO	NO
02498731	LANTHANUM	Nat-Lanthanum (Off-Formulary Interchangeable) 250mg Chew Tab	NAT	1.2034	1.2034	YES	NO	NO
02498758	LANTHANUM	Nat-Lanthanum (Off-Formulary Interchangeable) 500mg Chew Tab	NAT	2.4069	2.4069	YES	NO	NO
02498766	LANTHANUM	Nat-Lanthanum (Off-Formulary Interchangeable) 750mg Chew Tab	NAT	3.6219	3.6219	YES	NO	NO
02498774	LANTHANUM	Nat-Lanthanum (Off-Formulary Interchangeable) 1000mg Chew Tab	NAT	4.8018	4.8018	YES	NO	NO
02296527	LATANOPROST	Apo-Latanoprost 0.005% Oph Sol-2.5mL Pk	APX	9.5830	9.5830	YES	YES	NO
02254786	LATANOPROST	Co Latanoprost 0.005% Oph Sol-2.5mL Pk	COB	9.5830	9.5830	YES	YES	NO
02373041	LATANOPROST	Gd-Latanoprost 0.005% Oph Sol-2.5mL Pk	UJC	9.5830	9.5830	YES	YES	NO
02453355	LATANOPROST	Jamp Latanoprost 0.005% Oph Sol-2.5mL Pk	JPC	9.5830	9.5830	YES	YES	NO
02489570	LATANOPROST	Latanoprost Ophthalmic Solution 0.005% Oph Sol-2.5mL Pk	TCI	9.5830	9.5830	YES	YES	NO
02513285	LATANOPROST	M-Latanoprost 0.005% Oph Sol-2.5mL Pk	MAT	9.5830	9.5830	YES	YES	NO
02426935	LATANOPROST	Med-Latanoprost 0.005% Oph Sol-2.5mL Pk	GMP	9.5830	9.5830	YES	YES	NO
02341085	LATANOPROST	Riva-Latanoprost 0.005% Oph Sol-2.5mL Pk	RIA	9.5830	9.5830	YES	YES	NO
02367335	LATANOPROST	Sandoz Latanoprost 0.005% Oph Sol-2.5mL Pk	SDZ	9.5830	9.5830	YES	YES	NO
02231493	LATANOPROST	Xalatan 0.005% Oph Sol-2.5mL Pk	UJC	35.4927	9.5830	YES	YES	NO
02436256	LATANOPROST & TIMOLOL MALEATE	Act Latanoprost/Timolol 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	ACV	11.0700	11.0670	YES	YES	NO
02414155	LATANOPROST & TIMOLOL MALEATE	Apo-Latanoprost-Timop 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	APX	11.0700	11.0670	YES	YES	NO
02373068	LATANOPROST & TIMOLOL MALEATE	Gd-Latanoprost/Timolol 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	UJC	11.0700	11.0670	YES	YES	NO
02453770	LATANOPROST & TIMOLOL MALEATE	Jamp-Latanoprost/Timolol 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	JPC	11.0700	11.0670	YES	YES	NO
02514516	LATANOPROST & TIMOLOL MALEATE	M-Latanoprost-Timolol 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	MAT	11.0670	11.0670	YES	YES	NO
02454505	LATANOPROST & TIMOLOL MALEATE	Med-Latanoprost-Timolol 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	GMP	11.0700	11.0670	YES	YES	NO
02394685	LATANOPROST & TIMOLOL MALEATE	Sandoz Latanoprost/Timolol 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	SDZ	11.0700	11.0670	YES	YES	NO
02246619	LATANOPROST & TIMOLOL MALEATE	Xalacom 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	UJC	40.1739	11.0670	YES	YES	NO
02484218	LATANOPROSTENE BUNOD	Vyzulta 0.024%w/v Oph Sol	BSH	5.2500	5.2500	NO	YES	NO
02432226	LEDIPASVIR & SOFOSBUVIR	Harvoni 90mg & 400mg Tab	GIL	797.6190	797.6190	NO	YES	NO
02478862	LEFLUNOMIDE	Accel-Leflunomide 10mg Tab	ACC	2.0000	2.0000	YES	NO	NO
02478870	LEFLUNOMIDE	Accel-Leflunomide 20mg Tab	ACC	2.0000	2.0000	YES	NO	NO
02256495	LEFLUNOMIDE	Apo-Leflunomide 10mg Tab	APX	2.6433	2.0000	YES	NO	NO
02256509	LEFLUNOMIDE	Apo-Leflunomide 20mg Tab	APX	2.6433	2.0000	YES	NO	NO
02241888	LEFLUNOMIDE	Arava 10mg Tab	SAV	11.4440	2.0000	YES	NO	NO
02241889	LEFLUNOMIDE	Arava 20mg Tab	SAV	11.4443	2.0000	YES	NO	NO
02543575	LEFLUNOMIDE	Leflunomide 10mg Tab	SIV	2.6433	2.0000	YES	NO	NO
02351676	LEFLUNOMIDE	Leflunomide 20mg Tab	SAI	2.6433	2.0000	YES	NO	NO
02543583	LEFLUNOMIDE	Leflunomide 20mg Tab	SIV	2.6433	2.0000	YES	NO	NO
02351668	LEFLUNOMIDE	Leflunomide 10mg Tab	SAI	2.6433	2.0000	YES	NO	NO
02551918	LEFLUNOMIDE	Mar-Leflunomide 10mg Tab	MAR	2.6433	2.0000	YES	NO	NO
02551926	LEFLUNOMIDE	Mar-Leflunomide 20mg Tab	MAR	2.6433	2.0000	YES	NO	NO
02288273	LEFLUNOMIDE	PMS-Leflunomide 20mg Tab	PMS	2.6433	2.0000	YES	NO	NO
02288265	LEFLUNOMIDE	PMS-Leflunomide 10mg Tab	PMS	2.6433	2.0000	YES	NO	NO
02283964	LEFLUNOMIDE	Sandoz Leflunomide 10mg Tab	SDZ	2.6433	2.0000	YES	NO	NO
02283972	LEFLUNOMIDE	Sandoz Leflunomide 20mg Tab	SDZ	2.6433	2.0000	YES	NO	NO
02261278	LEFLUNOMIDE	Teva-Leflunomide 20mg Tab	TEV	2.6433	2.0000	YES	NO	NO
02261251	LEFLUNOMIDE	Teva-Leflunomide 10mg Tab	TEV	2.6433	2.0000	YES	NO	NO
02507927	LENALIDOMIDE	Apo-Lenalidomide 2.5mg Cap	APX	82.3750	82.3750	YES	YES	NO
02507978	LENALIDOMIDE	Apo-Lenalidomide 20mg Cap	APX	100.7500	100.7500	YES	YES	NO
02507943	LENALIDOMIDE	Apo-Lenalidomide 10mg Cap	APX	90.2500	90.2500	YES	YES	NO
02507935	LENALIDOMIDE	Apo-Lenalidomide 5mg Cap	APX	85.0000	85.0000	YES	YES	NO
02507951	LENALIDOMIDE	Apo-Lenalidomide 15mg Cap	APX	95.5000	95.5000	YES	YES	NO
02507986	LENALIDOMIDE	Apo-Lenalidomide 25mg Cap	APX	106.0000	106.0000	YES	YES	NO
02506130	LENALIDOMIDE	Jamp Lenalidomide 2.5mg Cap	JPC	82.3750	82.3750	YES	YES	NO
02506149	LENALIDOMIDE	Jamp Lenalidomide 5mg Cap	JPC	85.0000	85.0000	YES	YES	NO
02506165	LENALIDOMIDE	Jamp Lenalidomide 15mg Cap	JPC	95.5000	95.5000	YES	YES	NO
02506181	LENALIDOMIDE	Jamp Lenalidomide 25mg Cap	JPC	106.0000	106.0000	YES	YES	NO
02506157	LENALIDOMIDE	Jamp Lenalidomide 10mg Cap	JPC	90.2500	90.2500	YES	YES	NO
02506173	LENALIDOMIDE	Jamp Lenalidomide 20mg Cap	JPC	100.7500	100.7500	YES	YES	NO
02493896	LENALIDOMIDE	Nat-Lenalidomide 20mg Cap	NAT	100.7500	100.7500	YES	YES	NO
02493845	LENALIDOMIDE	Nat-Lenalidomide 5mg Cap	NAT	85.0000	85.0000	YES	YES	NO
02493888	LENALIDOMIDE	Nat-Lenalidomide 15mg Cap	NAT	95.5000	95.5000	YES	YES	NO
02493861	LENALIDOMIDE	Nat-Lenalidomide 10mg Cap	NAT	90.2500	90.2500	YES	YES	NO
02493837	LENALIDOMIDE	Nat-Lenalidomide 2.5mg Cap	NAT	82.3750	82.3750	YES	YES	NO
02493918	LENALIDOMIDE	Nat-Lenalidomide 25mg Cap	NAT	106.0000	106.0000	YES	YES	NO
02483041	LENALIDOMIDE	Reddy-Lenalidomide 20mg Cap	DRR	100.7500	100.7500	YES	YES	NO
02483033	LENALIDOMIDE	Reddy-Lenalidomide 15mg Cap	DRR	95.5000	95.5000	YES	YES	NO
02484714	LENALIDOMIDE	Reddy-Lenalidomide 2.5mg Cap	DRR	82.3750	82.3750	YES	YES	NO
02483025	LENALIDOMIDE	Reddy-Lenalidomide 10mg Cap	DRR	90.2500	90.2500	YES	YES	NO
02483017	LENALIDOMIDE	Reddy-Lenalidomide 5mg Cap	DRR	85.0000	85.0000	YES	YES	NO
02483068	LENALIDOMIDE	Reddy-Lenalidomide 25mg Cap	DRR	106.0000	106.0000	YES	YES	NO
02317710	LENALIDOMIDE	Revlimid 25mg Cap	BQU	424.0000	106.0000	YES	YES	NO
02440601	LENALIDOMIDE	Revlimid 20mg Cap	BQU	403.0000	100.7500	YES	YES	NO
02317699	LENALIDOMIDE	Revlimid 15mg Cap	BQU	382.0000	95.5000	YES	YES	NO
02304902	LENALIDOMIDE	Revlimid 10mg Cap	BQU	361.0000	90.2500	YES	YES	NO
02459418	LENALIDOMIDE	Revlimid 2.5mg Cap	BQU	329.5000	82.3750	YES	YES	NO
02304899	LENALIDOMIDE	Revlimid 5mg Cap	BQU	340.0000	85.0000	YES	YES	NO
02518600	LENALIDOMIDE	Sandoz Lenalidomide 20mg Cap	SDZ	100.7500	100.7500	YES	YES	NO
02518562	LENALIDOMIDE	Sandoz Lenalidomide 2.5mg Cap	SDZ	82.3750	82.3750	YES	YES	NO
02518597	LENALIDOMIDE	Sandoz Lenalidomide 15mg Cap	SDZ	95.5000	95.5000	YES	YES	NO
02518619	LENALIDOMIDE	Sandoz Lenalidomide 25mg Cap	SDZ	106.0000	106.0000	YES	YES	NO
02518570	LENALIDOMIDE	Sandoz Lenalidomide 5mg Cap	SDZ	85.0000	85.0000	YES	YES	NO
02518589	LENALIDOMIDE	Sandoz Lenalidomide 10mg Cap	SDZ	90.2500	90.2500	YES	YES	NO
02507900	LENALIDOMIDE	Taro-Lenalidomide 20mg Cap	TAR	100.7500	100.7500	YES	YES	NO
02507862	LENALIDOMIDE	Taro-Lenalidomide 2.5mg Cap	TAR	82.3750	82.3750	YES	YES	NO
02507870	LENALIDOMIDE	Taro-Lenalidomide 5mg Cap	TAR	85.0000	85.0000	YES	YES	NO
02507897	LENALIDOMIDE	Taro-Lenalidomide 15mg Cap	TAR	95.5000	95.5000	YES	YES	NO
02507889	LENALIDOMIDE	Taro-Lenalidomide 10mg Cap	TAR	90.2500	90.2500	YES	YES	NO
02507919	LENALIDOMIDE	Taro-Lenalidomide 25mg Cap	TAR	106.0000	106.0000	YES	YES	NO
02358514	LETROZOLE	Apo-Letrozole 2.5mg Tab	APX	1.3780	1.3780	YES	NO	NO
02459884	LETROZOLE	CCP-Letrozole 2.5mg Tab	CCP	1.3780	1.3780	YES	NO	NO
02231384	LETROZOLE	Femara 2.5mg Tab	NOV	8.7543	1.3780	YES	NO	NO
02541912	LETROZOLE	Jamp Letrozole Tablets 2.5mg Tab	JPC	1.3780	1.3780	YES	NO	NO
02373009	LETROZOLE	Jamp-Letrozole 2.5mg Tab	JPC	1.3780	1.3780	YES	NO	NO
02524244	LETROZOLE	Letrozole 2.5mg Tab	SIV	1.3780	1.3780	YES	NO	NO
02504472	LETROZOLE	Letrozole 2.5mg Tab	SAI	1.3780	1.3780	YES	NO	NO
02348969	LETROZOLE	Letrozole 2.5mg Tab	COB	1.3780	1.3780	YES	NO	NO
02338459	LETROZOLE	Letrozole Tablets USP 2.5mg Tab	ACH	1.3780	1.3780	YES	NO	NO
02373424	LETROZOLE	Mar-Letrozole 2.5mg Tab	MAR	1.3780	1.3780	YES	NO	NO
02322315	LETROZOLE	Med-Letrozole 2.5mg Tab	GMP	1.3780	1.3780	YES	NO	NO
02508109	LETROZOLE	Mint-Letrozole 2.5mg Tab	MIN	1.3780	1.3780	YES	NO	NO
02520486	LETROZOLE	NRA-Letrozole 2.5mg Tab	NRA	1.3780	1.3780	YES	NO	NO
02421585	LETROZOLE	Nat-Letrozole 2.5mg Tab	NAT	1.3780	1.3780	YES	NO	NO
02309114	LETROZOLE	PMS-Letrozole 2.5mg Tab	PMS	1.3780	1.3780	YES	NO	NO
02372282	LETROZOLE	Ran-Letrozole 2.5mg Tab	RAN	1.3780	1.3780	YES	NO	NO
02398656	LETROZOLE	Riva-Letrozole 2.5mg Tab	RIA	1.3780	1.3780	YES	NO	NO
02344815	LETROZOLE	Sandoz Letrozole 2.5mg Tab	SDZ	1.3780	1.3780	YES	NO	NO
02343657	LETROZOLE	Teva-Letrozole 2.5mg Tab	TEV	1.3780	1.3780	YES	NO	NO
02378213	LETROZOLE	Zinda-Letrozole 2.5mg Tab	STA	1.3780	1.3780	YES	NO	NO
02548208	LEUCOVORIN CALCIUM	Jamp Leucovorin 5mg Tab	JPC	1.8388	1.8388	YES	NO	NO
02170493	LEUCOVORIN CALCIUM	Leucovorin Calcium 5mg Tab	WAY	7.3552	1.8388	YES	NO	NO
02496828	LEUCOVORIN CALCIUM	Mint-Leucovorin 5mg Tab	MIN	1.8388	1.8388	YES	NO	NO
02493357	LEUCOVORIN CALCIUM	Riva Leucovorin 5mg Tab	RIA	1.8388	1.8388	YES	NO	NO
02230248	LEUPROLIDE ACETATE	Lupron Depot PDS 22.5mg Inj-Kit	ABB	1071.0000	1071.0000	NO	NO	NO
02239834	LEUPROLIDE ACETATE	Lupron Depot PDS 11.25mg Inj-Kit	ABB	1159.5200	1159.5200	NO	NO	NO
00836273	LEUPROLIDE ACETATE	Lupron Depot PDS 7.5mg Inj-Kit	ABB	387.9700	387.9700	NO	NO	NO
00884502	LEUPROLIDE ACETATE	Lupron Depot PDS 3.75mg Inj-Kit	ABB	389.1300	389.1300	NO	NO	NO
02239833	LEUPROLIDE ACETATE	Lupron Depot PDS 30mg Inj-Kit	ABB	1428.0000	1428.0000	NO	NO	NO
02248239	LEUPROLIDE ACETATE	Eligard 7.5mg Pd Susp Inj-Pref Syr Kit	TOL	310.7200	310.7200	NO	NO	NO
02248240	LEUPROLIDE ACETATE	Eligard 22.5mg Pd Susp Inj-Pref Syr Kit	TOL	891.0000	891.0000	NO	NO	NO
02248999	LEUPROLIDE ACETATE	Eligard 30mg Pd Susp Inj-Pref Syr Kit	TOL	1285.2000	1285.2000	NO	NO	NO
02268892	LEUPROLIDE ACETATE	Eligard 45mg Pd Susp Inj-Pref Syr Kit	TOL	1659.9000	1659.9000	NO	NO	NO
02462699	LEUPROLIDE ACETATE	Zeulide Depot 22.5mg/Vial Pd for Inj - Vial Pk	VET	873.0000	873.0000	NO	NO	NO
02429977	LEUPROLIDE ACETATE	Zeulide Depot 3.75mg/Vial Pd for Inj - Vial Pk	VET	304.0000	304.0000	NO	NO	NO
02490447	LEVETIRACETAM	PDP-Levetiracetam 100mg/mL Oral Sol	PEN	0.8142	0.8142	NO	YES	NO
02399776	LEVETIRACETAM	Ach-Levetiracetam 250mg Tab	ACH	0.3210	0.3210	YES	YES	NO
02399784	LEVETIRACETAM	Ach-Levetiracetam 500mg Tab	ACH	0.3911	0.3911	YES	YES	NO
02399792	LEVETIRACETAM	Ach-Levetiracetam 750mg Tab	ACH	0.5416	0.5416	YES	YES	NO
02274191	LEVETIRACETAM	Act Levetiracetam 500mg Tab	ACV	0.3911	0.3911	YES	YES	NO
02274205	LEVETIRACETAM	Act Levetiracetam 750mg Tab	ACV	0.5416	0.5416	YES	YES	NO
02274183	LEVETIRACETAM	Act Levetiracetam 250mg Tab	ACV	0.3210	0.3210	YES	YES	NO
02285924	LEVETIRACETAM	Apo-Levetiracetam 250mg Tab	APX	0.3210	0.3210	YES	YES	NO
02285932	LEVETIRACETAM	Apo-Levetiracetam 500mg Tab	APX	0.3911	0.3911	YES	YES	NO
02285940	LEVETIRACETAM	Apo-Levetiracetam 750mg Tab	APX	0.5416	0.5416	YES	YES	NO
02375265	LEVETIRACETAM	Auro-Levetiracetam 750mg Tab	AUR	0.5416	0.5416	YES	YES	NO
02375257	LEVETIRACETAM	Auro-Levetiracetam 500mg Tab	AUR	0.3911	0.3911	YES	YES	NO
02375249	LEVETIRACETAM	Auro-Levetiracetam 250mg Tab	AUR	0.3210	0.3210	YES	YES	NO
02504561	LEVETIRACETAM	Jamp Levetiracetam Tablets 500mg Tab	JPC	0.3911	0.3911	YES	YES	NO
02504588	LEVETIRACETAM	Jamp Levetiracetam Tablets 750mg Tab	JPC	0.5416	0.5416	YES	YES	NO
02504553	LEVETIRACETAM	Jamp Levetiracetam Tablets 250mg Tab	JPC	0.3210	0.3210	YES	YES	NO
02403005	LEVETIRACETAM	Jamp-Levetiracetam 250mg Tab	JPC	0.3210	0.3210	YES	YES	NO
02403021	LEVETIRACETAM	Jamp-Levetiracetam 500mg Tab	JPC	0.3911	0.3911	YES	YES	NO
02403048	LEVETIRACETAM	Jamp-Levetiracetam 750mg Tab	JPC	0.5416	0.5416	YES	YES	NO
02247027	LEVETIRACETAM	Keppra 250mg Tab	UCB	1.7836	0.3210	YES	YES	NO
02247029	LEVETIRACETAM	Keppra 750mg Tab	UCB	3.0089	0.5416	YES	YES	NO
02247028	LEVETIRACETAM	Keppra 500mg Tab	UCB	2.1725	0.3911	YES	YES	NO
02454653	LEVETIRACETAM	Levetiracetam 250mg Tab	PMS	0.3210	0.3210	YES	YES	NO
02442531	LEVETIRACETAM	Levetiracetam 250mg Tab	SIV	0.3210	0.3210	YES	YES	NO
02454661	LEVETIRACETAM	Levetiracetam 500mg Tab	PMS	0.3911	0.3911	YES	YES	NO
02454688	LEVETIRACETAM	Levetiracetam 750mg Tab	PMS	0.5416	0.5416	YES	YES	NO
02442566	LEVETIRACETAM	Levetiracetam 750mg Tab	SIV	0.5416	0.5416	YES	YES	NO
02353369	LEVETIRACETAM	Levetiracetam 750mg Tab	SAI	0.5416	0.5416	YES	YES	NO
02353342	LEVETIRACETAM	Levetiracetam 250mg Tab	SAI	0.3210	0.3210	YES	YES	NO
02442558	LEVETIRACETAM	Levetiracetam 500mg Tab	SIV	0.3911	0.3911	YES	YES	NO
02353350	LEVETIRACETAM	Levetiracetam 500mg Tab	SAI	0.3911	0.3911	YES	YES	NO
02524589	LEVETIRACETAM	M-Levetiracetam 750mg Tab	MAT	0.5416	0.5416	YES	YES	NO
02524570	LEVETIRACETAM	M-Levetiracetam 500mg Tab	MAT	0.3911	0.3911	YES	YES	NO
02524562	LEVETIRACETAM	M-Levetiracetam 250mg Tab	MAT	0.3210	0.3210	YES	YES	NO
02442418	LEVETIRACETAM	Mint-Levetiracetam 750mg Tab	MIN	0.5416	0.5416	YES	YES	NO
02442396	LEVETIRACETAM	Mint-Levetiracetam 500mg Tab	MIN	0.3911	0.3911	YES	YES	NO
02442388	LEVETIRACETAM	Mint-Levetiracetam 250mg Tab	MIN	0.3210	0.3210	YES	YES	NO
02499215	LEVETIRACETAM	NRA-Levetiracetam 750mg Tab	NRA	0.5416	0.5416	YES	YES	NO
02499193	LEVETIRACETAM	NRA-Levetiracetam 250mg Tab	NRA	0.3210	0.3210	YES	YES	NO
02499207	LEVETIRACETAM	NRA-Levetiracetam 500mg Tab	NRA	0.3911	0.3911	YES	YES	NO
02440202	LEVETIRACETAM	Nat-Levetiracetam 250mg Tab	NAT	0.3210	0.3210	YES	YES	NO
02440229	LEVETIRACETAM	Nat-Levetiracetam 750mg Tab	NAT	0.5416	0.5416	YES	YES	NO
02440210	LEVETIRACETAM	Nat-Levetiracetam 500mg Tab	NAT	0.3911	0.3911	YES	YES	NO
02296128	LEVETIRACETAM	PMS-Levetiracetam 500mg Tab	PMS	0.3911	0.3911	YES	YES	NO
02296101	LEVETIRACETAM	PMS-Levetiracetam 250mg Tab	PMS	0.3210	0.3210	YES	YES	NO
02296136	LEVETIRACETAM	PMS-Levetiracetam 750mg Tab	PMS	0.5416	0.5416	YES	YES	NO
02482290	LEVETIRACETAM	Riva-Levetiracetam 750mg Tab	RIA	0.5416	0.5416	YES	YES	NO
02482282	LEVETIRACETAM	Riva-Levetiracetam 500mg Tab	RIA	0.3911	0.3911	YES	YES	NO
02482274	LEVETIRACETAM	Riva-Levetiracetam 250mg Tab	RIA	0.3210	0.3210	YES	YES	NO
02462028	LEVETIRACETAM	Sandoz Levetiracetam 1000mg Tab	SDZ	0.7221	0.7221	NO	YES	NO
02462001	LEVETIRACETAM	Sandoz Levetiracetam 750mg Tab	SDZ	0.5416	0.5416	YES	YES	NO
02461994	LEVETIRACETAM	Sandoz Levetiracetam 500mg Tab	SDZ	0.3911	0.3911	YES	YES	NO
02461986	LEVETIRACETAM	Sandoz Levetiracetam 250mg Tab	SDZ	0.3210	0.3210	YES	YES	NO
00637661	LEVOBUNOLOL HCL	Betagan 0.5% Oph Sol	ALL	3.8153	3.8153	NO	NO	NO
02144336	LEVOCARNITINE	Carnitor (Off-Formulary Interchangeable) 100mg/mL Oral Sol (with preservative)	LBI	0.3809	0.3809	YES	NO	NO
02492105	LEVOCARNITINE	Odan Levocarnitine (Off-Formulary Interchangeable) 100mg/mL Oral Sol (with preservative)	ODN	0.3809	0.3809	YES	NO	NO
00386464	LEVODOPA & BENSERAZIDE	Prolopa 100-25 100mg & 25mg Cap	HLR	0.5660	0.5660	NO	NO	NO
00386472	LEVODOPA & BENSERAZIDE	Prolopa 200-50 200mg & 50mg Cap	HLR	0.9503	0.9503	NO	NO	NO
00522597	LEVODOPA & BENSERAZIDE	Prolopa 50-12.5 50mg & 12.5mg Cap	HLR	0.3437	0.3437	NO	NO	NO
02272873	LEVODOPA & CARBIDOPA	AA-Levocarb CR 100mg & 25mg CR Tab	AAP	0.7974	0.7974	YES	YES	NO
02245211	LEVODOPA & CARBIDOPA	AA-Levocarb CR 200mg & 50mg CR Tab	AAP	1.4282	1.4282	YES	YES	NO
00870935	LEVODOPA & CARBIDOPA	Sinemet CR (Not a Benefit) 200mg & 50mg CR Tab	MFC	N/A	N/A	YES	NO	NO
02028786	LEVODOPA & CARBIDOPA	Sinemet CR (Not a Benefit) 100mg & 25mg CR Tab	MFC	N/A	N/A	YES	NO	NO
02195933	LEVODOPA & CARBIDOPA	Apo-Levocarb 100mg & 10mg Tab	APX	0.1479	0.1479	YES	NO	NO
02195941	LEVODOPA & CARBIDOPA	Apo-Levocarb 100mg & 25mg Tab	APX	0.2209	0.2209	YES	NO	NO
02195968	LEVODOPA & CARBIDOPA	Apo-Levocarb 250mg & 25mg Tab	APX	0.2466	0.2466	YES	NO	NO
02531593	LEVODOPA & CARBIDOPA	Auro-Levocarb 100mg & 10mg Tab	AUR	0.1479	0.1479	YES	NO	NO
02531607	LEVODOPA & CARBIDOPA	Auro-Levocarb 100mg & 25mg Tab	AUR	0.2209	0.2209	YES	NO	NO
02531615	LEVODOPA & CARBIDOPA	Auro-Levocarb 250mg & 25mg Tab	AUR	0.2466	0.2466	YES	NO	NO
02546426	LEVODOPA & CARBIDOPA	Jamp Levocarb 250mg & 25mg Tab	JPC	0.2466	0.2466	YES	NO	NO
02546418	LEVODOPA & CARBIDOPA	Jamp Levocarb 100mg & 25mg Tab	JPC	0.2209	0.2209	YES	NO	NO
02546396	LEVODOPA & CARBIDOPA	Jamp Levocarb 100mg & 10mg Tab	JPC	0.1479	0.1479	YES	NO	NO
02457962	LEVODOPA & CARBIDOPA	Mint-Levocarb 100mg & 25mg Tab	MIN	0.2209	0.2209	YES	NO	NO
02457970	LEVODOPA & CARBIDOPA	Mint-Levocarb 250mg & 25mg Tab	MIN	0.2466	0.2466	YES	NO	NO
02457954	LEVODOPA & CARBIDOPA	Mint-Levocarb 100mg & 10mg Tab	MIN	0.1479	0.1479	YES	NO	NO
02549727	LEVODOPA & CARBIDOPA	PMS-Levodopa-Carbidopa 100mg & 25mg Tab	PMS	0.2209	0.2209	YES	NO	NO
02549719	LEVODOPA & CARBIDOPA	PMS-Levodopa-Carbidopa 100mg & 10mg Tab	PMS	0.1479	0.1479	YES	NO	NO
02549735	LEVODOPA & CARBIDOPA	PMS-Levodopa-Carbidopa 250mg & 25mg Tab	PMS	0.2466	0.2466	YES	NO	NO
00328219	LEVODOPA & CARBIDOPA	Sinemet (Not a Benefit) 250mg & 25mg Tab	OCI	N/A	N/A	YES	NO	NO
00355658	LEVODOPA & CARBIDOPA	Sinemet (Not a Benefit) 100mg & 10mg Tab	MFC	N/A	N/A	YES	NO	NO
00513997	LEVODOPA & CARBIDOPA	Sinemet (Not a Benefit) 100mg & 25mg Tab	OCI	N/A	N/A	YES	NO	NO
02244496	LEVODOPA & CARBIDOPA	Teva-Levocarbidopa 250mg & 25mg Tab	TEV	0.2466	0.2466	YES	NO	NO
02244495	LEVODOPA & CARBIDOPA	Teva-Levocarbidopa 100mg & 25mg Tab	TEV	0.2209	0.2209	YES	NO	NO
02244494	LEVODOPA & CARBIDOPA	Teva-Levocarbidopa 100mg & 10mg Tab	TEV	0.1479	0.1479	YES	NO	NO
02305941	LEVODOPA & CARBIDOPA & ENTACAPONE	Stalevo 100 & 25 & 200mg Tab	SDZ	1.7471	1.7471	NO	YES	NO
02305968	LEVODOPA & CARBIDOPA & ENTACAPONE	Stalevo 150 & 37.5 & 200mg Tab	SDZ	1.7471	1.7471	NO	YES	NO
02337827	LEVODOPA & CARBIDOPA & ENTACAPONE	Stalevo 75 & 18.75 & 200mg Tab	SDZ	1.7471	1.7471	NO	YES	NO
02337835	LEVODOPA & CARBIDOPA & ENTACAPONE	Stalevo 125 & 31.25 & 200mg Tab	SDZ	1.7471	1.7471	NO	YES	NO
02305933	LEVODOPA & CARBIDOPA & ENTACAPONE	Stalevo 50 & 12.5 & 200mg Tab	SDZ	1.7471	1.7471	NO	YES	NO
02315432	LEVOFLOXACIN	Act Levofloxacin 500mg Tab	TEV	1.3718	1.3718	YES	NO	NO
02315440	LEVOFLOXACIN	Act Levofloxacin (Off-Formulary Interchangeable) 750mg Tab	TEV	6.5484	N/A	YES	NO	NO
02315424	LEVOFLOXACIN	Act Levofloxacin 250mg Tab	TEV	1.2038	1.2038	YES	NO	NO
02284707	LEVOFLOXACIN	Apo-Levofloxacin 250mg Tab	APX	1.2038	1.2038	YES	NO	NO
02284715	LEVOFLOXACIN	Apo-Levofloxacin 500mg Tab	APX	1.3718	1.3718	YES	NO	NO
02325942	LEVOFLOXACIN	Apo-Levofloxacin (Off-Formulary Interchangeable) 750mg Tab	APX	6.5484	N/A	YES	NO	NO
02508443	LEVOFLOXACIN	Jamp Levofloxacin 250mg Tab	JPC	1.2038	1.2038	YES	NO	NO
02508478	LEVOFLOXACIN	Jamp Levofloxacin (Off-Formulary Interchangeable) 750mg Tab	JPC	6.5484	N/A	YES	NO	NO
02508451	LEVOFLOXACIN	Jamp Levofloxacin 500mg Tab	JPC	1.3718	1.3718	YES	NO	NO
02246804	LEVOFLOXACIN	Levaquin (Off-Formulary Interchangeable) 750mg Tab	JAN	N/A	N/A	YES	NO	NO
02236841	LEVOFLOXACIN	Levaquin (Not a Benefit) 250mg Tab	JAN	N/A	N/A	YES	NO	NO
02236842	LEVOFLOXACIN	Levaquin (Not a Benefit) 500mg Tab	JAN	N/A	N/A	YES	NO	NO
02505800	LEVOFLOXACIN	Mint-Levofloxacin (Off-Formulary Interchangeable) 750mg Tab	MIN	6.5484	N/A	YES	NO	NO
02505819	LEVOFLOXACIN	Mint-Levofloxacin 500mg Tab	MIN	1.3718	1.3718	YES	NO	NO
02505797	LEVOFLOXACIN	Mint-Levofloxacin 250mg Tab	MIN	1.2038	1.2038	YES	NO	NO
02248263	LEVOFLOXACIN	Novo-Levofloxacin 500mg Tab	NOP	1.3718	1.3718	YES	NO	NO
02248262	LEVOFLOXACIN	Novo-Levofloxacin 250mg Tab	NOP	1.2038	1.2038	YES	NO	NO
02285649	LEVOFLOXACIN	Novo-Levofloxacin (Off-Formulary Interchangeable) 750mg Tab	NOP	6.5484	N/A	YES	NO	NO
02492741	LEVOFLOXACIN	Riva-Levofloxacin (Off-Formulary Interchangeable) 750mg Tab	RIA	6.5484	N/A	YES	NO	NO
02492725	LEVOFLOXACIN	Riva-Levofloxacin 250mg Tab	RIA	1.2038	1.2038	YES	NO	NO
02492733	LEVOFLOXACIN	Riva-Levofloxacin 500mg Tab	RIA	1.3718	1.3718	YES	NO	NO
02298635	LEVOFLOXACIN	Sandoz Levofloxacin 250mg Tab	SDZ	1.2038	1.2038	YES	NO	NO
02298651	LEVOFLOXACIN	Sandoz Levofloxacin (Off-Formulary Interchangeable) 750mg Tab	SDZ	6.5484	N/A	YES	NO	NO
02298643	LEVOFLOXACIN	Sandoz Levofloxacin 500mg Tab	SDZ	1.3718	1.3718	YES	NO	NO
02459523	LEVONORGESTREL	Kyleena 19.5mg Insert	BAY	348.6100	348.6100	NO	NO	NO
02243005	LEVONORGESTREL	Mirena 52mg Insert	BAY	372.5500	372.5500	NO	NO	NO
02433532	LEVONORGESTREL	Backup Plan Onestep 1.5mg Tab-1 Tab Pk	APX	8.6000	8.6000	YES	NO	NO
02425009	LEVONORGESTREL	Contingency One 1.5mg Tab-1 Tab Pk	MYL	8.6000	8.6000	YES	NO	NO
02293854	LEVONORGESTREL	Plan B 1.5mg Tab-1 Tab Pk	TBP	17.2000	8.6000	YES	NO	NO
02550733	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.088mg Tab	APX	0.0646	0.0646	YES	NO	NO
02534703	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.3mg Tab	APX	0.0797	0.0797	YES	NO	NO
02550806	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.2mg Tab	APX	0.0526	0.0526	YES	NO	NO
02550792	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.175mg Tab	APX	0.0740	0.0740	YES	NO	NO
02550784	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.15mg Tab	APX	0.0495	0.0495	YES	NO	NO
02550768	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.125mg Tab	APX	0.0690	0.0690	YES	NO	NO
02550741	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.112mg Tab	APX	0.0682	0.0682	YES	NO	NO
02534681	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.1mg Tab	APX	0.0460	0.0460	YES	NO	NO
02550776	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine (Off-Formulary Interchangeable) 0.137mg Tab	APX	0.1906	N/A	YES	NO	NO
02550709	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.025mg Tab	APX	0.0597	0.0597	YES	NO	NO
02550717	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.05mg Tab	APX	0.0373	0.0373	YES	NO	NO
02550725	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.075mg Tab	APX	0.0646	0.0646	YES	NO	NO
02213192	LEVOTHYROXINE (SODIUM)	Eltroxin 0.05mg Tab	ASN	0.0373	0.0373	YES	NO	NO
02213222	LEVOTHYROXINE (SODIUM)	Eltroxin 0.2mg Tab	ASN	0.0526	0.0526	YES	NO	NO
02213214	LEVOTHYROXINE (SODIUM)	Eltroxin 0.15mg Tab	ASN	0.0495	0.0495	YES	NO	NO
02213206	LEVOTHYROXINE (SODIUM)	Eltroxin 0.1mg Tab	ASN	0.0460	0.0460	YES	NO	NO
02233852	LEVOTHYROXINE (SODIUM)	Synthroid (Off-Formulary Interchangeable) 0.137mg Tab	BGP	N/A	N/A	YES	NO	NO
02172062	LEVOTHYROXINE (SODIUM)	Synthroid 0.025mg Tab	ABB	0.1129	0.0597	YES	NO	NO
02172070	LEVOTHYROXINE (SODIUM)	Synthroid 0.05mg Tab	ABB	0.0775	0.0373	YES	NO	NO
02172127	LEVOTHYROXINE (SODIUM)	Synthroid 0.15mg Tab	ABB	0.1028	0.0495	YES	NO	NO
02172089	LEVOTHYROXINE (SODIUM)	Synthroid 0.075mg Tab	ABB	0.1220	0.0646	YES	NO	NO
02172143	LEVOTHYROXINE (SODIUM)	Synthroid 0.2mg Tab	ABB	0.1092	0.0526	YES	NO	NO
02172097	LEVOTHYROXINE (SODIUM)	Synthroid 0.088mg Tab	ABB	0.1220	0.0646	YES	NO	NO
02172100	LEVOTHYROXINE (SODIUM)	Synthroid 0.1mg Tab	ABB	0.0956	0.0460	YES	NO	NO
02172119	LEVOTHYROXINE (SODIUM)	Synthroid 0.125mg Tab	ABB	0.1304	0.0690	YES	NO	NO
02172151	LEVOTHYROXINE (SODIUM)	Synthroid 0.3mg Tab	ABB	0.1506	0.0797	YES	NO	NO
02172135	LEVOTHYROXINE (SODIUM)	Synthroid 0.175mg Tab	ABB	0.1398	0.0740	YES	NO	NO
02171228	LEVOTHYROXINE (SODIUM)	Synthroid 0.112mg Tab	ABB	0.1289	0.0682	YES	NO	NO
02370921	LINAGLIPTIN	Trajenta 5mg Tab	BOE	2.6954	2.6954	NO	NO	YES
02403269	LINAGLIPTIN & METFORMIN	Jentadueto 2.5mg & 850mg Tab	BOE	1.4132	1.4132	NO	NO	YES
02403250	LINAGLIPTIN & METFORMIN	Jentadueto 2.5mg & 500mg Tab	BOE	1.4132	1.4132	NO	NO	YES
02403277	LINAGLIPTIN & METFORMIN	Jentadueto 2.5mg & 1000mg Tab	BOE	1.4132	1.4132	NO	NO	YES
02481278	LINEZOLID	Linezolid Injection (Off-Formulary Interchangeable) 2mg/mL Inj-300mL Pk	JPC	88.7400	88.7400	YES	NO	NO
02243685	LINEZOLID	Zyvoxam (Off-Formulary Interchangeable) 2mg/mL Inj-300mL Pk	PFI	N/A	N/A	YES	NO	NO
02426552	LINEZOLID	Apo-Linezolid 600mg Tab	APX	19.3041	19.3041	YES	YES	NO
02520354	LINEZOLID	Jamp Linezolid 600mg Tab	JPC	19.3041	19.3041	YES	YES	NO
02422689	LINEZOLID	Sandoz Linezolid 600mg Tab	SDZ	19.3041	19.3041	YES	YES	NO
02243684	LINEZOLID	Zyvoxam (Not a Benefit) 600mg Tab	PFI	N/A	N/A	YES	NO	NO
01919458	LIOTHYRONINE (SODIUM)	Cytomel (Off-Formulary Interchangeable) 5mcg Tab	SKB	N/A	N/A	YES	NO	NO
01919466	LIOTHYRONINE (SODIUM)	Cytomel (Off-Formulary Interchangeable) 25mcg Tab	SKB	N/A	N/A	YES	NO	NO
02494345	LIOTHYRONINE (SODIUM)	Teva-Liothyronine (Off-Formulary Interchangeable) 25mcg Tab	TEV	1.2595	N/A	YES	NO	NO
02494337	LIOTHYRONINE (SODIUM)	Teva-Liothyronine (Off-Formulary Interchangeable) 5mcg Tab	TEV	1.1587	N/A	YES	NO	NO
02494639	LIPASE & AMYLASE & PROTEASE	Creon Minimicrospheres 35 35000 & 35700 & 2240 Units	BGP	0.9531	0.9531	NO	YES	NO
02546671	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Capsules 40mg Cap	APX	0.9857	0.9857	YES	NO	YES
02546698	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Capsules 50mg Cap	APX	1.1246	1.1246	YES	NO	YES
02546701	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Capsules 60mg Cap	APX	1.2634	1.2634	YES	NO	YES
02546728	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Capsules (Off-Formulary Interchangeable) 70mg Cap	APX	4.6968	N/A	YES	NO	YES
02546655	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Capsules 20mg Cap	APX	0.7081	0.7081	YES	NO	YES
02546647	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Capsules 10mg Cap	APX	0.5692	0.5692	YES	NO	YES
02546663	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Capsules 30mg Cap	APX	0.8469	0.8469	YES	NO	YES
02546248	LISDEXAMFETAMINE DIMESYLATE	Sandoz Lisdexamfetamine Capsules 10mg Cap	SDZ	0.5692	0.5692	YES	NO	YES
02546256	LISDEXAMFETAMINE DIMESYLATE	Sandoz Lisdexamfetamine Capsules 20mg Cap	SDZ	0.7081	0.7081	YES	NO	YES
02546264	LISDEXAMFETAMINE DIMESYLATE	Sandoz Lisdexamfetamine Capsules 30mg Cap	SDZ	0.8469	0.8469	YES	NO	YES
02546272	LISDEXAMFETAMINE DIMESYLATE	Sandoz Lisdexamfetamine Capsules 40mg Cap	SDZ	0.9857	0.9857	YES	NO	YES
02546280	LISDEXAMFETAMINE DIMESYLATE	Sandoz Lisdexamfetamine Capsules 50mg Cap	SDZ	1.1246	1.1246	YES	NO	YES
02546299	LISDEXAMFETAMINE DIMESYLATE	Sandoz Lisdexamfetamine Capsules 60mg Cap	SDZ	1.2634	1.2634	YES	NO	YES
02546302	LISDEXAMFETAMINE DIMESYLATE	Sandoz Lisdexamfetamine Capsules (Off-Formulary Interchangeable) 70mg Cap	SDZ	4.6968	N/A	YES	NO	YES
02545942	LISDEXAMFETAMINE DIMESYLATE	Teva Lisdexamfetamine (Off-Formulary Interchangeable) 70mg Cap	TEV	4.6968	N/A	YES	NO	YES
02545896	LISDEXAMFETAMINE DIMESYLATE	Teva-Lisdexamfetamine 30mg Cap	TEV	0.8469	0.8469	YES	NO	YES
02545934	LISDEXAMFETAMINE DIMESYLATE	Teva-Lisdexamfetamine 60mg Cap	TEV	1.2634	1.2634	YES	NO	YES
02545926	LISDEXAMFETAMINE DIMESYLATE	Teva-Lisdexamfetamine 50mg Cap	TEV	1.1246	1.1246	YES	NO	YES
02545888	LISDEXAMFETAMINE DIMESYLATE	Teva-Lisdexamfetamine 20mg Cap	TEV	0.7081	0.7081	YES	NO	YES
02545918	LISDEXAMFETAMINE DIMESYLATE	Teva-Lisdexamfetamine 40mg Cap	TEV	0.9857	0.9857	YES	NO	YES
02545861	LISDEXAMFETAMINE DIMESYLATE	Teva-Lisdexamfetamine 10mg Cap	TEV	0.5692	0.5692	YES	NO	YES
02458071	LISDEXAMFETAMINE DIMESYLATE	Vyvanse (Off-Formulary Interchangeable) 70mg Cap	TAK	N/A	N/A	YES	NO	YES
02347172	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 60mg Cap	TAK	5.2505	1.2634	YES	NO	YES
02322978	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 50mg Cap	TAK	4.6736	1.1246	YES	NO	YES
02347164	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 40mg Cap	TAK	4.0966	0.9857	YES	NO	YES
02322951	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 30mg Cap	TAK	3.5196	0.8469	YES	NO	YES
02347156	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 20mg Cap	TAK	2.9426	0.7081	YES	NO	YES
02439603	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 10mg Cap	TAK	2.3656	0.5692	YES	NO	YES
02534487	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Chewable Tablets 50mg Chew Tab	APX	2.2491	2.2491	YES	NO	YES
02534495	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Chewable Tablets 60mg Chew Tab	APX	2.5268	2.5268	YES	NO	YES
02534444	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Chewable Tablets 10mg Chew Tab	APX	1.1385	1.1385	YES	NO	YES
02534479	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Chewable Tablets 40mg Chew Tab	APX	1.9715	1.9715	YES	NO	YES
02534452	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Chewable Tablets 20mg Chew Tab	APX	1.4161	1.4161	YES	NO	YES
02534460	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Chewable Tablets 30mg Chew Tab	APX	1.6938	1.6938	YES	NO	YES
02533367	LISDEXAMFETAMINE DIMESYLATE	Taro-Lisdexamfetamine Chewable Tablets 30mg Chew Tab	TAR	1.6938	1.6938	YES	NO	YES
02533359	LISDEXAMFETAMINE DIMESYLATE	Taro-Lisdexamfetamine Chewable Tablets 20mg Chew Tab	TAR	1.4161	1.4161	YES	NO	YES
02533340	LISDEXAMFETAMINE DIMESYLATE	Taro-Lisdexamfetamine Chewable Tablets 10mg Chew Tab	TAR	1.1385	1.1385	YES	NO	YES
02533391	LISDEXAMFETAMINE DIMESYLATE	Taro-Lisdexamfetamine Chewable Tablets 60mg Chew Tab	TAR	2.5268	2.5268	YES	NO	YES
02533383	LISDEXAMFETAMINE DIMESYLATE	Taro-Lisdexamfetamine Chewable Tablets 50mg Chew Tab	TAR	2.2491	2.2491	YES	NO	YES
02533375	LISDEXAMFETAMINE DIMESYLATE	Taro-Lisdexamfetamine Chewable Tablets 40mg Chew Tab	TAR	1.9715	1.9715	YES	NO	YES
02490269	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 50mg Chew Tab	TAK	4.6736	2.2491	YES	NO	YES
02490277	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 60mg Chew Tab	TAK	5.2505	2.5268	YES	NO	YES
02490234	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 20mg Chew Tab	TAK	2.9426	1.4161	YES	NO	YES
02490226	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 10mg Chew Tab	TAK	2.3656	1.1385	YES	NO	YES
02490250	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 40mg Chew Tab	TAK	4.0966	1.9715	YES	NO	YES
02490242	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 30mg Chew Tab	TAK	3.5196	1.6938	YES	NO	YES
02217481	LISINOPRIL	Apo-Lisinopril 5mg Tab	APX	0.1347	0.1347	YES	NO	NO
09854010	LISINOPRIL	Apo-Lisinopril 20mg Tab	APX	0.2063	0.2063	YES	NO	NO
02217503	LISINOPRIL	Apo-Lisinopril 10mg Tab	APX	0.1619	0.1619	YES	NO	NO
02217511	LISINOPRIL	Apo-Lisinopril 20mg Tab	APX	0.1945	0.1945	YES	NO	NO
09853960	LISINOPRIL	Apo-Lisinopril 10mg Tab	APX	0.1716	0.1716	YES	NO	NO
09853685	LISINOPRIL	Apo-Lisinopril 5mg Tab	APX	0.1428	0.1428	YES	NO	NO
02394472	LISINOPRIL	Auro-Lisinopril 5mg Tab	AUR	0.1347	0.1347	YES	NO	NO
02394499	LISINOPRIL	Auro-Lisinopril 20mg Tab	AUR	0.1945	0.1945	YES	NO	NO
02394480	LISINOPRIL	Auro-Lisinopril 10mg Tab	AUR	0.1619	0.1619	YES	NO	NO
02271478	LISINOPRIL	Co Lisinopril 20mg Tab	COB	0.1945	0.1945	YES	NO	NO
02271451	LISINOPRIL	Co Lisinopril 10mg Tab	COB	0.1619	0.1619	YES	NO	NO
02271443	LISINOPRIL	Co Lisinopril 5mg Tab	COB	0.1347	0.1347	YES	NO	NO
02361566	LISINOPRIL	Jamp-Lisinopril 20mg Tab	JPC	0.1945	0.1945	YES	NO	NO
02361531	LISINOPRIL	Jamp-Lisinopril 5mg Tab	JPC	0.1347	0.1347	YES	NO	NO
02361558	LISINOPRIL	Jamp-Lisinopril 10mg Tab	JPC	0.1619	0.1619	YES	NO	NO
02525208	LISINOPRIL	Lisinopril 20mg Tab	SAI	0.1945	0.1945	YES	NO	NO
02386259	LISINOPRIL	Lisinopril 20mg Tab	SIV	0.1945	0.1945	YES	NO	NO
02525194	LISINOPRIL	Lisinopril 10mg Tab	SAI	0.1619	0.1619	YES	NO	NO
02386240	LISINOPRIL	Lisinopril 10mg Tab	SIV	0.1619	0.1619	YES	NO	NO
02525186	LISINOPRIL	Lisinopril 5mg Tab	SAI	0.1347	0.1347	YES	NO	NO
02386232	LISINOPRIL	Lisinopril 5mg Tab	SIV	0.1347	0.1347	YES	NO	NO
00839418	LISINOPRIL	Prinivil 20mg Tab	MFC	1.1408	0.2063	YES	NO	NO
00839388	LISINOPRIL	Prinivil (Not a Benefit) 5mg Tab	MFC	N/A	N/A	YES	NO	NO
00839396	LISINOPRIL	Prinivil 10mg Tab	MFC	0.9489	0.1716	YES	NO	NO
02294249	LISINOPRIL	Ran-Lisinopril 10mg Tab	RAN	0.1619	0.1619	YES	NO	NO
02294230	LISINOPRIL	Ran-Lisinopril 5mg Tab	RAN	0.1347	0.1347	YES	NO	NO
02294257	LISINOPRIL	Ran-Lisinopril 20mg Tab	RAN	0.1945	0.1945	YES	NO	NO
02289202	LISINOPRIL	Sandoz Lisinopril 10mg Tab	SDZ	0.1619	0.1619	YES	NO	NO
09857286	LISINOPRIL	Sandoz Lisinopril 10mg Tab	SDZ	0.1716	0.1716	YES	NO	NO
09857287	LISINOPRIL	Sandoz Lisinopril 20mg Tab	SDZ	0.2063	0.2063	YES	NO	NO
02289199	LISINOPRIL	Sandoz Lisinopril 5mg Tab	SDZ	0.1347	0.1347	YES	NO	NO
02289229	LISINOPRIL	Sandoz Lisinopril 20mg Tab	SDZ	0.1945	0.1945	YES	NO	NO
09857272	LISINOPRIL	Sandoz Lisinopril 5mg Tab	SDZ	0.1428	0.1428	YES	NO	NO
02285061	LISINOPRIL	Teva-Lisinopril (Type P) 5mg Tab	TEV	0.1428	0.1428	YES	NO	NO
02285096	LISINOPRIL	Teva-Lisinopril (Type P) 20mg Tab	TEV	0.2063	0.2063	YES	NO	NO
02285088	LISINOPRIL	Teva-Lisinopril (Type P) 10mg Tab	TEV	0.1716	0.1716	YES	NO	NO
02285118	LISINOPRIL	Teva-Lisinopril (Type Z) 5mg Tab	TEV	0.1347	0.1347	YES	NO	NO
02285126	LISINOPRIL	Teva-Lisinopril (Type Z) 10mg Tab	TEV	0.1619	0.1619	YES	NO	NO
02285134	LISINOPRIL	Teva-Lisinopril (Type Z) 20mg Tab	TEV	0.1945	0.1945	YES	NO	NO
02049384	LISINOPRIL	Zestril 20mg Tab	AZC	0.8330	0.1945	YES	NO	NO
02049333	LISINOPRIL	Zestril 5mg Tab	AZC	0.5770	0.1347	YES	NO	NO
02049376	LISINOPRIL	Zestril 10mg Tab	AZC	0.6935	0.1619	YES	NO	NO
02362961	LISINOPRIL & HYDROCHLOROTHIAZIDE	Lisinopril/HCTZ (Type Z) (Off-Formulary Interchangeable) 20mg & 25mg Tab	SAI	0.7011	N/A	YES	NO	NO
02362953	LISINOPRIL & HYDROCHLOROTHIAZIDE	Lisinopril/HCTZ (Type Z) 20mg & 12.5mg Tab	SAI	0.2504	0.2504	YES	NO	NO
02362945	LISINOPRIL & HYDROCHLOROTHIAZIDE	Lisinopril/HCTZ (Type Z) 10mg & 12.5mg Tab	SAI	0.2084	0.2084	YES	NO	NO
00884421	LISINOPRIL & HYDROCHLOROTHIAZIDE	Prinzide (Off-Formulary Interchangeable) 20mg/25mg Tab	MFC	N/A	N/A	YES	NO	NO
02108194	LISINOPRIL & HYDROCHLOROTHIAZIDE	Prinzide (Not a Benefit) 10mg & 12.5mg Tab	MFC	N/A	N/A	YES	NO	NO
00884413	LISINOPRIL & HYDROCHLOROTHIAZIDE	Prinzide (Not a Benefit) 20mg & 12.5mg Tab	MFC	N/A	N/A	YES	NO	NO
02302381	LISINOPRIL & HYDROCHLOROTHIAZIDE	Sandoz Lisinopril HCT (Off-Formulary Interchangeable) 20mg & 25mg Tab	SDZ	0.7011	N/A	YES	NO	NO
02302365	LISINOPRIL & HYDROCHLOROTHIAZIDE	Sandoz Lisinopril HCT 10mg & 12.5mg Tab	SDZ	0.2084	0.2084	YES	NO	NO
02302373	LISINOPRIL & HYDROCHLOROTHIAZIDE	Sandoz Lisinopril HCT 20mg & 12.5mg Tab	SDZ	0.2504	0.2504	YES	NO	NO
02302144	LISINOPRIL & HYDROCHLOROTHIAZIDE	Teva-Lisinopril/HCTZ (Type P) 20mg & 12.5mg Tab	TEV	0.4006	0.4006	YES	NO	NO
02302152	LISINOPRIL & HYDROCHLOROTHIAZIDE	Teva-Lisinopril/HCTZ (Type P) (Off-Formulary Interchangeable) 20mg/25mg Tab	TEV	0.7011	N/A	YES	NO	NO
02302136	LISINOPRIL & HYDROCHLOROTHIAZIDE	Teva-Lisinopril/HCTZ (Type P) 10mg & 12.5mg Tab	TEV	0.3334	0.3334	YES	NO	NO
02301776	LISINOPRIL & HYDROCHLOROTHIAZIDE	Teva-Lisinopril/HCTZ (Type Z) 20mg & 12.5mg Tab	TEV	0.2504	0.2504	YES	NO	NO
02301784	LISINOPRIL & HYDROCHLOROTHIAZIDE	Teva-Lisinopril/HCTZ (Type Z) (Off-Formulary Interchangeable) 20mg & 25mg Tab	TEV	0.7011	N/A	YES	NO	NO
02301768	LISINOPRIL & HYDROCHLOROTHIAZIDE	Teva-Lisinopril/HCTZ (Type Z) 10mg & 12.5mg Tab	TEV	0.2084	0.2084	YES	NO	NO
02045737	LISINOPRIL & HYDROCHLOROTHIAZIDE	Zestoretic 20mg & 12.5mg Tab	AZC	1.1159	0.2504	YES	NO	NO
02103729	LISINOPRIL & HYDROCHLOROTHIAZIDE	Zestoretic 10mg & 12.5mg Tab	AZC	0.9286	0.2084	YES	NO	NO
02045729	LISINOPRIL & HYDROCHLOROTHIAZIDE	Zestoretic (Off-Formulary Interchangeable) 20mg & 25mg Tab	AZC	N/A	N/A	YES	NO	NO
09857532	LITHIUM CARBONATE	Apo-Lithium Carbonate 150mg Cap	APX	0.0667	0.0667	YES	NO	NO
02242838	LITHIUM CARBONATE	Apo-Lithium Carbonate 300mg Cap	APX	0.0657	0.0657	YES	NO	NO
09857540	LITHIUM CARBONATE	Apo-Lithium Carbonate 300mg Cap	APX	0.0657	0.0657	YES	NO	NO
02242837	LITHIUM CARBONATE	Apo-Lithium Carbonate 150mg Cap	APX	0.0667	0.0667	YES	NO	NO
00236683	LITHIUM CARBONATE	Carbolith 300mg Cap	VAL	0.1212	0.0657	YES	NO	NO
00461733	LITHIUM CARBONATE	Carbolith 150mg Cap	VAL	0.1560	0.0667	YES	NO	NO
00406775	LITHIUM CARBONATE	Lithane 300mg Cap	SLP	0.1892	0.0657	YES	NO	NO
02013231	LITHIUM CARBONATE	Lithane 150mg Cap	SLP	0.1892	0.0667	YES	NO	NO
02216140	LITHIUM CARBONATE	PMS-Lithium Carbonate 300mg Cap	PMS	0.0657	0.0657	YES	NO	NO
02216132	LITHIUM CARBONATE	PMS-Lithium Carbonate 150mg Cap	PMS	0.0667	0.0667	YES	NO	NO
00590665	LITHIUM CARBONATE	Duralith (Off-Formulary Interchangeable) 300mg ER Tab	JNO	N/A	N/A	YES	NO	NO
02266695	LITHIUM CARBONATE	Lithmax (Off-Formulary Interchangeable) 300mg ER Tab	AAP	0.2880	0.2880	YES	NO	NO
00893560	LODOXAMIDE TROMETHAMINE	Alomide 0.1% Oph Sol	NOV	1.4890	1.4890	NO	NO	YES
00360414	LOMUSTINE (CCNU)	CeeNU 100mg Cap	BQU	22.4550	22.4550	NO	NO	NO
00360422	LOMUSTINE (CCNU)	CeeNU 40mg Cap	BQU	13.6025	13.6025	NO	NO	NO
00360430	LOMUSTINE (CCNU)	CeeNU 10mg Cap	BQU	7.8900	7.8900	NO	NO	NO
02212005	LOPERAMIDE HCL	Apo-Loperamide 2mg Caplet	APX	0.0952	0.0952	YES	YES	NO
00860743	LOPERAMIDE HCL	Imodium (Not a Benefit) 2mg Caplet	JAN	N/A	N/A	YES	NO	NO
02228351	LOPERAMIDE HCL	PMS-Loperamide 2mg Caplet	PMS	0.0952	0.0952	YES	YES	NO
02132591	LOPERAMIDE HCL	Teva-Loperamide 2mg Caplet	TEV	0.0952	0.0952	YES	YES	NO
02243644	LOPINAVIR & RITONAVIR	Kaletra 80mg/mL & 20mg/mL O/L	ABV	2.3688	2.3688	NO	NO	NO
02312301	LOPINAVIR & RITONAVIR	Kaletra 100mg & 25mg Tab	ABV	2.9317	2.9317	NO	NO	NO
02285533	LOPINAVIR & RITONAVIR	Kaletra 200mg & 50mg Tab	ABV	5.8633	5.8633	NO	NO	NO
02243880	LORATADINE	Apo-Loratadine (Off-Formulary Interchangeable) 10mg Tab	APX	0.6267	0.6267	YES	NO	NO
00782696	LORATADINE	Claritin (Off-Formulary Interchangeable) 10mg Tab	SCP	N/A	N/A	YES	NO	NO
02041405	LORAZEPAM	Ativan (Not a Benefit) 4mg/mL Inj Sol (with preservative)	WAY	N/A	N/A	YES	NO	NO
02243278	LORAZEPAM	Lorazepam Injection USP 4mg/mL Inj Sol (with preservative)	SDZ	21.2000	21.2000	YES	YES	NO
02041472	LORAZEPAM	Ativan (Off-Formulary Interchangeable) 2mg SL Tab	PFI	N/A	N/A	YES	NO	NO
02041456	LORAZEPAM	Ativan (Off-Formulary Interchangeable) 0.5mg SL Tab	PFI	N/A	N/A	YES	NO	NO
02041464	LORAZEPAM	Ativan (Off-Formulary Interchangeable) 1mg SL Tab	PFI	N/A	N/A	YES	NO	NO
02410761	LORAZEPAM	Lorazepam Sublingual (Off-Formulary Interchangeable) 2mg SL Tab	AAP	0.2152	N/A	YES	NO	NO
02410745	LORAZEPAM	Lorazepam Sublingual (Off-Formulary Interchangeable) 0.5mg SL Tab	AAP	0.1099	N/A	YES	NO	NO
02410753	LORAZEPAM	Lorazepam Sublingual (Off-Formulary Interchangeable) 1mg SL Tab	AAP	0.1385	N/A	YES	NO	NO
00655759	LORAZEPAM	Apo-Lorazepam 1mg Tab	APX	0.0447	0.0447	YES	NO	NO
00655767	LORAZEPAM	Apo-Lorazepam 2mg Tab	APX	0.0699	0.0699	YES	NO	NO
00655740	LORAZEPAM	Apo-Lorazepam 0.5mg Tab	APX	0.0359	0.0359	YES	NO	NO
02041448	LORAZEPAM	Ativan 2mg Tab	PFI	0.0885	0.0699	YES	NO	NO
02041413	LORAZEPAM	Ativan 0.5mg Tab	PFI	0.0479	0.0359	YES	NO	NO
02041421	LORAZEPAM	Ativan 1mg Tab	PFI	0.0565	0.0447	YES	NO	NO
00728209	LORAZEPAM	PMS-Lorazepam 2mg Tab	PMS	0.0699	0.0699	YES	NO	NO
00728195	LORAZEPAM	PMS-Lorazepam 1mg Tab	PMS	0.0447	0.0447	YES	NO	NO
00728187	LORAZEPAM	PMS-Lorazepam 0.5mg Tab	PMS	0.0359	0.0359	YES	NO	NO
00637750	LORAZEPAM	Teva-Lorazepam 2mg Tab	TEV	0.0699	0.0699	YES	NO	NO
00637742	LORAZEPAM	Teva-Lorazepam 1mg Tab	TEV	0.0447	0.0447	YES	NO	NO
00711101	LORAZEPAM	Teva-Lorazepam 0.5mg Tab	TEV	0.0359	0.0359	YES	NO	NO
02379058	LOSARTAN POTASSIUM	Apo-Losartan 25mg Tab	APX	0.3148	0.3147	YES	NO	NO
02353504	LOSARTAN POTASSIUM	Apo-Losartan 50mg Tab	APX	0.3148	0.3147	YES	NO	NO
02353512	LOSARTAN POTASSIUM	Apo-Losartan 100mg Tab	APX	0.3148	0.3147	YES	NO	NO
02403331	LOSARTAN POTASSIUM	Auro-Losartan 50mg Tab	AUR	0.3147	0.3147	YES	NO	NO
02403358	LOSARTAN POTASSIUM	Auro-Losartan 100mg Tab	AUR	0.3147	0.3147	YES	NO	NO
02403323	LOSARTAN POTASSIUM	Auro-Losartan 25mg Tab	AUR	0.3147	0.3147	YES	NO	NO
02445980	LOSARTAN POTASSIUM	Bio-Losartan 100mg Tab	BMP	0.3147	0.3147	YES	NO	NO
02445972	LOSARTAN POTASSIUM	Bio-Losartan 50mg Tab	BMP	0.3147	0.3147	YES	NO	NO
02445964	LOSARTAN POTASSIUM	Bio-Losartan 25mg Tab	BMP	0.3147	0.3147	YES	NO	NO
02354829	LOSARTAN POTASSIUM	Co Losartan 25mg Tab	COB	0.3148	0.3147	YES	NO	NO
02354845	LOSARTAN POTASSIUM	Co Losartan 100mg Tab	COB	0.3148	0.3147	YES	NO	NO
02354837	LOSARTAN POTASSIUM	Co Losartan 50mg Tab	COB	0.3148	0.3147	YES	NO	NO
02182882	LOSARTAN POTASSIUM	Cozaar 100mg Tab	OCI	1.9924	0.3147	YES	NO	NO
02182874	LOSARTAN POTASSIUM	Cozaar 50mg Tab	OCI	1.9924	0.3147	YES	NO	NO
02182815	LOSARTAN POTASSIUM	Cozaar 25mg Tab	OCI	1.9924	0.3147	YES	NO	NO
02398850	LOSARTAN POTASSIUM	Jamp-Losartan 100mg Tab	JPC	0.3147	0.3147	YES	NO	NO
02398834	LOSARTAN POTASSIUM	Jamp-Losartan 25mg Tab	JPC	0.3147	0.3147	YES	NO	NO
02398842	LOSARTAN POTASSIUM	Jamp-Losartan 50mg Tab	JPC	0.3147	0.3147	YES	NO	NO
02388790	LOSARTAN POTASSIUM	Losartan 25mg Tab	SIV	0.3147	0.3147	YES	NO	NO
02388863	LOSARTAN POTASSIUM	Losartan 25mg Tab	SAI	0.3147	0.3147	YES	NO	NO
02388898	LOSARTAN POTASSIUM	Losartan 100mg Tab	SAI	0.3147	0.3147	YES	NO	NO
02388871	LOSARTAN POTASSIUM	Losartan 50mg Tab	SAI	0.3147	0.3147	YES	NO	NO
02388812	LOSARTAN POTASSIUM	Losartan 100mg Tab	SIV	0.3147	0.3147	YES	NO	NO
02388804	LOSARTAN POTASSIUM	Losartan 50mg Tab	SIV	0.3147	0.3147	YES	NO	NO
02405733	LOSARTAN POTASSIUM	Mint-Losartan 25mg Tab	MIN	0.3147	0.3147	YES	NO	NO
02405741	LOSARTAN POTASSIUM	Mint-Losartan 50mg Tab	MIN	0.3147	0.3147	YES	NO	NO
02405768	LOSARTAN POTASSIUM	Mint-Losartan 100mg Tab	MIN	0.3147	0.3147	YES	NO	NO
02309750	LOSARTAN POTASSIUM	PMS-Losartan 25mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02309777	LOSARTAN POTASSIUM	PMS-Losartan 100mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02309769	LOSARTAN POTASSIUM	PMS-Losartan 50mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02404478	LOSARTAN POTASSIUM	Ran-Losartan 50mg Tab	RAN	0.3147	0.3147	YES	NO	NO
02404486	LOSARTAN POTASSIUM	Ran-Losartan 100mg Tab	RAN	0.3147	0.3147	YES	NO	NO
02404451	LOSARTAN POTASSIUM	Ran-Losartan 25mg Tab	RAN	0.3147	0.3147	YES	NO	NO
02313340	LOSARTAN POTASSIUM	Sandoz Losartan 50mg Tab	SDZ	0.3147	0.3147	YES	NO	NO
02313359	LOSARTAN POTASSIUM	Sandoz Losartan 100mg Tab	SDZ	0.3147	0.3147	YES	NO	NO
02313332	LOSARTAN POTASSIUM	Sandoz Losartan 25mg Tab	SDZ	0.3147	0.3147	YES	NO	NO
02424967	LOSARTAN POTASSIUM	Septa-Losartan 25mg Tab	SET	0.3147	0.3147	YES	NO	NO
02424983	LOSARTAN POTASSIUM	Septa-Losartan 100mg Tab	SET	0.3147	0.3147	YES	NO	NO
02424975	LOSARTAN POTASSIUM	Septa-Losartan 50mg Tab	SET	0.3147	0.3147	YES	NO	NO
02357968	LOSARTAN POTASSIUM	Teva-Losartan 50mg Tab	TEV	0.3148	0.3147	YES	NO	NO
02380838	LOSARTAN POTASSIUM	Teva-Losartan 25mg Tab	TEV	0.3148	0.3147	YES	NO	NO
02357976	LOSARTAN POTASSIUM	Teva-Losartan 100mg Tab	TEV	0.3148	0.3147	YES	NO	NO
02371251	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Apo-Losartan/HCTZ 100mg & 25mg Tab	APX	0.3148	0.3147	YES	NO	NO
02371235	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Apo-Losartan/HCTZ 50mg & 12.5mg Tab	APX	0.3148	0.3147	YES	NO	NO
02371243	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Apo-Losartan/HCTZ 100mg & 12.5mg Tab	APX	0.3082	0.3082	YES	NO	NO
02423642	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Auro-Losartan HCT 50mg & 12.5mg Tab	AUR	0.3147	0.3147	YES	NO	NO
02423650	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Auro-Losartan HCT 100mg & 12.5mg Tab	AUR	0.3082	0.3082	YES	NO	NO
02423669	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Auro-Losartan HCT 100mg & 25mg Tab	AUR	0.3147	0.3147	YES	NO	NO
02388286	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Co Losartan/HCT 100mg & 25mg Tab	COB	0.3147	0.3147	YES	NO	NO
02388251	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Co Losartan/HCT 50mg & 12.5mg Tab	COB	0.3147	0.3147	YES	NO	NO
02388278	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Co Losartan/HCT 100mg & 12.5mg Tab	COB	0.3082	0.3082	YES	NO	NO
02297841	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Hyzaar 100mg & 12.5mg Tab	OCI	1.9508	0.3082	YES	NO	NO
02230047	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Hyzaar 50mg & 12.5mg Tab	OCI	1.9924	0.3147	YES	NO	NO
02241007	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Hyzaar DS 100mg & 25mg Tab	OCI	1.9924	0.3147	YES	NO	NO
02408252	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Jamp-Losartan HCTZ 100mg & 25mg Tab	JPC	0.3147	0.3147	YES	NO	NO
02408244	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Jamp-Losartan HCTZ 50mg & 12.5mg Tab	JPC	0.3147	0.3147	YES	NO	NO
02388979	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Losartan HCT 100mg & 12.5mg Tab	SIV	0.3082	0.3082	YES	NO	NO
02388987	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Losartan HCT 100mg & 25mg Tab	SIV	0.3147	0.3147	YES	NO	NO
02388960	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Losartan HCT 50mg & 12.5mg Tab	SIV	0.3147	0.3147	YES	NO	NO
02427656	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Losartan/HCTZ 100mg & 12.5mg Tab	SAI	0.3082	0.3082	YES	NO	NO
02427664	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Losartan/HCTZ 100mg & 25mg Tab	SAI	0.3147	0.3147	YES	NO	NO
02427648	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Losartan/HCTZ 50mg & 12.5mg Tab	SAI	0.3147	0.3147	YES	NO	NO
02389665	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Mint-Losartan/HCTZ 100mg & 12.5mg Tab	MIN	0.3082	0.3082	YES	NO	NO
02389657	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Mint-Losartan/HCTZ 50mg & 12.5mg Tab	MIN	0.3147	0.3147	YES	NO	NO
02389673	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Mint-Losartan/HCTZ DS 100mg & 25mg Tab	MIN	0.3147	0.3147	YES	NO	NO
02392232	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	PMS-Losartan-HCTZ 100mg & 12.5mg Tab	PMS	0.3082	0.3082	YES	NO	NO
02392240	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	PMS-Losartan-HCTZ 100mg & 25mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02392224	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	PMS-Losartan-HCTZ 50mg & 12.5mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02313375	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Sandoz Losartan HCT 50mg & 12.5mg Tab	SDZ	0.3147	0.3147	YES	NO	NO
02362449	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Sandoz Losartan HCT 100mg & 12.5mg Tab	SDZ	0.3082	0.3082	YES	NO	NO
02313383	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Sandoz Losartan HCT DS 100mg & 25mg Tab	SDZ	0.3147	0.3147	YES	NO	NO
02428547	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Septa-Losartan HCTZ 100mg & 25mg Tab	SET	0.3147	0.3147	YES	NO	NO
02428539	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Septa-Losartan HCTZ 50mg & 12.5mg Tab	SET	0.3147	0.3147	YES	NO	NO
02358263	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Teva-Losartan/HCTZ 50mg & 12.5mg Tab	TEV	0.3148	0.3147	YES	NO	NO
02377144	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Teva-Losartan/HCTZ 100mg & 12.5mg Tab	TEV	0.3082	0.3082	YES	NO	NO
02377152	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Teva-Losartan/HCTZ 100mg & 25mg Tab	TEV	0.3148	0.3147	YES	NO	NO
02220180	LOVASTATIN	Lovastatin 40mg Tab	AAP	2.1793	2.1793	YES	NO	NO
02220172	LOVASTATIN	Lovastatin 20mg Tab	AAP	1.1931	1.1931	YES	NO	NO
00795860	LOVASTATIN	Mevacor (Not a Benefit) 20mg Tab	MFC	N/A	N/A	YES	NO	NO
00795852	LOVASTATIN	Mevacor (Not a Benefit) 40mg Tab	MFC	N/A	N/A	YES	NO	NO
02170035	LOXAPINE SUCCINATE	Loxapac (Not a Benefit) 50mg Tab	WAY	N/A	N/A	YES	NO	NO
02170019	LOXAPINE SUCCINATE	Loxapac (Not a Benefit) 5mg Tab	WAY	N/A	N/A	YES	NO	NO
02170132	LOXAPINE SUCCINATE	Loxapac (Not a Benefit) 25mg Tab	WAY	N/A	N/A	YES	NO	NO
02170027	LOXAPINE SUCCINATE	Loxapac (Not a Benefit) 10mg Tab	WAY	N/A	N/A	YES	NO	NO
02230838	LOXAPINE SUCCINATE	Xylac 10mg Tab	PEN	0.3233	0.3233	YES	NO	NO
02230837	LOXAPINE SUCCINATE	Xylac 5mg Tab	PEN	0.1801	0.1801	YES	NO	NO
02230839	LOXAPINE SUCCINATE	Xylac 25mg Tab	PEN	0.5012	0.5012	YES	NO	NO
02230840	LOXAPINE SUCCINATE	Xylac 50mg Tab	PEN	0.6197	0.6197	YES	NO	NO
02514028	LURASIDONE HYDROCHLORIDE	Auro-Lurasidone 80mg Tab	AUR	1.2250	1.2250	YES	NO	YES
02513986	LURASIDONE HYDROCHLORIDE	Auro-Lurasidone 20mg Tab	AUR	1.2250	1.2250	YES	NO	YES
02514001	LURASIDONE HYDROCHLORIDE	Auro-Lurasidone 60mg Tab	AUR	1.2250	1.2250	YES	NO	YES
02513994	LURASIDONE HYDROCHLORIDE	Auro-Lurasidone 40mg Tab	AUR	1.2250	1.2250	YES	NO	YES
02514036	LURASIDONE HYDROCHLORIDE	Auro-Lurasidone 120mg Tab	AUR	1.2250	1.2250	YES	NO	YES
02516438	LURASIDONE HYDROCHLORIDE	Jamp Lurasidone 20mg Tab	JPC	1.2250	1.2250	YES	NO	YES
02516454	LURASIDONE HYDROCHLORIDE	Jamp Lurasidone 60mg Tab	JPC	1.2250	1.2250	YES	NO	YES
02516446	LURASIDONE HYDROCHLORIDE	Jamp Lurasidone 40mg Tab	JPC	1.2250	1.2250	YES	NO	YES
02516470	LURASIDONE HYDROCHLORIDE	Jamp Lurasidone 120mg Tab	JPC	1.2250	1.2250	YES	NO	YES
02516462	LURASIDONE HYDROCHLORIDE	Jamp Lurasidone 80mg Tab	JPC	1.2250	1.2250	YES	NO	YES
02422050	LURASIDONE HYDROCHLORIDE	Latuda 20mg Tab	SUO	4.2500	1.2250	YES	NO	YES
02387786	LURASIDONE HYDROCHLORIDE	Latuda 120mg Tab	SUO	4.2500	1.2250	YES	NO	YES
02387778	LURASIDONE HYDROCHLORIDE	Latuda 80mg Tab	SUO	4.5000	1.2250	YES	NO	YES
02413361	LURASIDONE HYDROCHLORIDE	Latuda 60mg Tab	SUO	4.9000	1.2250	YES	NO	YES
02387751	LURASIDONE HYDROCHLORIDE	Latuda 40mg Tab	SUO	4.9000	1.2250	YES	NO	YES
02548615	LURASIDONE HYDROCHLORIDE	Lurasidone 80mg Tab	SAI	1.2250	1.2250	YES	NO	YES
02548593	LURASIDONE HYDROCHLORIDE	Lurasidone 40mg Tab	SAI	1.2250	1.2250	YES	NO	YES
02548585	LURASIDONE HYDROCHLORIDE	Lurasidone 20mg Tab	SAI	1.2250	1.2250	YES	NO	YES
02548607	LURASIDONE HYDROCHLORIDE	Lurasidone 60mg Tab	SAI	1.2250	1.2250	YES	NO	YES
02522322	LURASIDONE HYDROCHLORIDE	NRA-Lurasidone 40mg Tab	NRA	1.2250	1.2250	YES	NO	YES
02522314	LURASIDONE HYDROCHLORIDE	NRA-Lurasidone 20mg Tab	NRA	1.2250	1.2250	YES	NO	YES
02522330	LURASIDONE HYDROCHLORIDE	NRA-Lurasidone 60mg Tab	NRA	1.2250	1.2250	YES	NO	YES
02522349	LURASIDONE HYDROCHLORIDE	NRA-Lurasidone 80mg Tab	NRA	1.2250	1.2250	YES	NO	YES
02505878	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 20mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02505908	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 80mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02505894	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 60mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02505886	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 40mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02505916	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 120mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02521105	LURASIDONE HYDROCHLORIDE	Sandoz Lurasidone 60mg Tab	SDZ	1.2250	1.2250	YES	NO	YES
02521091	LURASIDONE HYDROCHLORIDE	Sandoz Lurasidone 40mg Tab	SDZ	1.2250	1.2250	YES	NO	YES
02521075	LURASIDONE HYDROCHLORIDE	Sandoz Lurasidone 20mg Tab	SDZ	1.2250	1.2250	YES	NO	YES
02521113	LURASIDONE HYDROCHLORIDE	Sandoz Lurasidone 80mg Tab	SDZ	1.2250	1.2250	YES	NO	YES
02521121	LURASIDONE HYDROCHLORIDE	Sandoz Lurasidone 120mg Tab	SDZ	1.2250	1.2250	YES	NO	YES
02504499	LURASIDONE HYDROCHLORIDE	Taro-Lurasidone 20mg Tab	TAR	1.2250	1.2250	YES	NO	YES
02504510	LURASIDONE HYDROCHLORIDE	Taro-Lurasidone 60mg Tab	TAR	1.2250	1.2250	YES	NO	YES
02504529	LURASIDONE HYDROCHLORIDE	Taro-Lurasidone 80mg Tab	TAR	1.2250	1.2250	YES	NO	YES
02504537	LURASIDONE HYDROCHLORIDE	Taro-Lurasidone 120mg Tab	TAR	1.2250	1.2250	YES	NO	YES
02504502	LURASIDONE HYDROCHLORIDE	Taro-Lurasidone 40mg Tab	TAR	1.2250	1.2250	YES	NO	YES
02254794	MAGNESIUM OXIDE & CITRIC ACID & SODIUM PICOSULFATE	Pico-Salax 3.5g & 12g & 10mg Pd for Sol-12g Sachet	FEI	14.5808	12.3500	YES	NO	NO
02317966	MAGNESIUM OXIDE & CITRIC ACID & SODIUM PICOSULFATE	Purg-Odan 3.5g & 12g & 10mg Pd for Sol-12g Sachet	ODN	12.3500	12.3500	YES	NO	NO
02299844	MARAVIROC	Celsentri 150mg Tab	VIH	21.6208	21.6208	NO	NO	NO
02299852	MARAVIROC	Celsentri 300mg Tab	VIH	21.6208	21.6208	NO	NO	NO
00556734	MEBENDAZOLE	Vermox 100mg Tab	JAN	10.3400	10.3400	NO	NO	NO
00220442	MECLIZINE HCL	Bonamine 25mg Tab	PFI	0.2919	0.2919	NO	NO	NO
09858134	MEDROXYPROGESTERONE ACETATE	Depo-Provera (Temporary Benefit) 150mg/mL Inj Sol-1mL Pref Syr	PFI	31.6900	31.6900	NO	NO	NO
02523493	MEDROXYPROGESTERONE ACETATE	Depo-Provera (Temporary Benefit) 150mg/mL Inj Sol-1mL Pref Syr	PFI	34.1400	34.1400	NO	NO	NO
02244727	MEDROXYPROGESTERONE ACETATE	AA-Medroxy 5mg Tab	AAP	0.2365	0.2365	YES	NO	NO
02267640	MEDROXYPROGESTERONE ACETATE	AA-Medroxy 100mg Tab	AAP	1.2057	1.2057	YES	NO	NO
02244726	MEDROXYPROGESTERONE ACETATE	AA-Medroxy 2.5mg Tab	AAP	0.1183	0.1183	YES	NO	NO
02277298	MEDROXYPROGESTERONE ACETATE	AA-Medroxy 10mg Tab	AAP	0.1670	0.1670	YES	NO	NO
00729973	MEDROXYPROGESTERONE ACETATE	Provera 10mg Tab	PFI	1.0271	0.1670	YES	NO	NO
00030937	MEDROXYPROGESTERONE ACETATE	Provera 5mg Tab	PFI	0.5274	0.2365	YES	NO	NO
00708917	MEDROXYPROGESTERONE ACETATE	Provera 2.5mg Tab	PFI	0.2567	0.1183	YES	NO	NO
00030945	MEDROXYPROGESTERONE ACETATE	Provera (Not a Benefit) 100mg Tab	PFI	N/A	N/A	YES	NO	NO
02221292	MEDROXYPROGESTERONE ACETATE	Teva-Medroxyprogesterone 5mg Tab	TEV	0.2365	0.2365	YES	NO	NO
02221284	MEDROXYPROGESTERONE ACETATE	Teva-Medroxyprogesterone 2.5mg Tab	TEV	0.1183	0.1183	YES	NO	NO
02221306	MEDROXYPROGESTERONE ACETATE	Teva-Medroxyprogesterone 10mg Tab	TEV	0.1670	0.1670	YES	NO	NO
02229452	MEFENAMIC ACID	Mefenamic 250mg Cap	AAP	0.4988	0.4988	YES	NO	YES
00155225	MEFENAMIC ACID	Ponstan (Not a Benefit) 250mg Cap	AAP	N/A	N/A	YES	NO	YES
02018055	MEFLOQUINE HCL	Lariam (Off-Formulary Interchangeable) 250mg Tab	HLR	N/A	N/A	YES	NO	NO
02244366	MEFLOQUINE HCL	Mefloquine (Off-Formulary Interchangeable) 250mg Tab	AAP	3.6950	3.6950	YES	NO	NO
00386391	MEGESTROL ACETATE	Megace (Not a Benefit) 40mg Tab	BQU	N/A	N/A	YES	NO	NO
00731323	MEGESTROL ACETATE	Megace (Not a Benefit) 160mg Tab	BQU	N/A	N/A	YES	NO	NO
02195917	MEGESTROL ACETATE	Megestrol 40mg Tab	AAP	1.3340	1.3340	YES	NO	NO
02195925	MEGESTROL ACETATE	Megestrol 160mg Tab	AAP	5.8151	5.8151	YES	NO	NO
02248974	MELOXICAM	Apo-Meloxicam 15mg Tab	APX	0.2311	0.2311	YES	NO	YES
02248973	MELOXICAM	Apo-Meloxicam 7.5mg Tab	APX	0.2003	0.2003	YES	NO	YES
02390892	MELOXICAM	Auro-Meloxicam 15mg Tab	AUR	0.2311	0.2311	YES	NO	YES
02390884	MELOXICAM	Auro-Meloxicam 7.5mg Tab	AUR	0.2003	0.2003	YES	NO	YES
02250012	MELOXICAM	Co Meloxicam 7.5mg Tab	COB	0.2003	0.2003	YES	NO	YES
02250020	MELOXICAM	Co Meloxicam 15mg Tab	COB	0.2311	0.2311	YES	NO	YES
02353148	MELOXICAM	Meloxicam 7.5mg Tab	SAI	0.2003	0.2003	YES	NO	YES
02353156	MELOXICAM	Meloxicam 15mg Tab	SAI	0.2311	0.2311	YES	NO	YES
02242785	MELOXICAM	Mobicox (Not a Benefit) 7.5mg Tab	BOE	N/A	N/A	YES	NO	YES
02242786	MELOXICAM	Mobicox (Not a Benefit) 15mg Tab	BOE	N/A	N/A	YES	NO	YES
02248267	MELOXICAM	PMS-Meloxicam 7.5mg Tab	PMS	0.2003	0.2003	YES	NO	YES
02248268	MELOXICAM	PMS-Meloxicam 15mg Tab	PMS	0.2311	0.2311	YES	NO	YES
02258315	MELOXICAM	Teva-Meloxicam 7.5mg Tab	TEV	0.2003	0.2003	YES	NO	YES
02258323	MELOXICAM	Teva-Meloxicam 15mg Tab	TEV	0.2311	0.2311	YES	NO	YES
00004715	MELPHALAN	Alkeran 2mg Tab	ASN	2.4112	2.4112	NO	NO	NO
02366487	MEMANTINE HCL	Apo-Memantine (Off-Formulary Interchangeable) 10mg Tab	APX	1.6357	N/A	YES	NO	NO
02324067	MEMANTINE HCL	Co Memantine (Off-Formulary Interchangeable) 10mg Tab	COB	1.6357	N/A	YES	NO	NO
02260638	MEMANTINE HCL	Ebixa (Off-Formulary Interchangeable) 10mg Tab	VLH	N/A	N/A	YES	NO	NO
02409895	MEMANTINE HCL	Med-Memantine (Off-Formulary Interchangeable) 10mg Tab	GMP	1.6357	N/A	YES	NO	NO
02446049	MEMANTINE HCL	Memantine (Off-Formulary Interchangeable) 10mg Tab	SIV	1.6357	N/A	YES	NO	NO
02443082	MEMANTINE HCL	Memantine (Off-Formulary Interchangeable) 10mg Tab	SAI	1.6357	N/A	YES	NO	NO
02531887	MEMANTINE HCL	Mint-Memantine (Off-Formulary Interchangeable) 10mg Tab	MIN	1.6357	N/A	YES	NO	NO
02321130	MEMANTINE HCL	PMS-Memantine (Off-Formulary Interchangeable) 10mg Tab	PMS	1.6357	N/A	YES	NO	NO
02421364	MEMANTINE HCL	Ran-Memantine (Off-Formulary Interchangeable) 10mg Tab	RAN	1.6357	N/A	YES	NO	NO
02320908	MEMANTINE HCL	Ratio-Memantine (Off-Formulary Interchangeable) 10mg Tab	RPH	1.6357	N/A	YES	NO	NO
02375532	MEMANTINE HCL	Sandoz Memantine FCT (Off-Formulary Interchangeable) 10mg Tab	SDZ	1.6357	N/A	YES	NO	NO
02415275	MERCAPTOPURINE	Mercaptopurine Tablets USP 50mg Tab	STE	2.8610	2.8610	YES	NO	YES
00004723	MERCAPTOPURINE	Purinethol 50mg Tab	NOP	2.8610	2.8610	YES	NO	YES
02378795	MEROPENEM	Meropenem for Injection (Off-Formulary Interchangeable) 1g/Vial Pd for Inj Sol	SDZ	47.9900	47.9900	YES	NO	NO
02493330	MEROPENEM	Meropenem for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol	STE	23.9950	23.9950	YES	NO	NO
02378787	MEROPENEM	Meropenem for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol	SDZ	23.9950	23.9950	YES	NO	NO
02493349	MEROPENEM	Meropenem for Injection (Off-Formulary Interchangeable) 1g/Vial Pd for Inj Sol	STE	47.9900	47.9900	YES	NO	NO
02536374	MEROPENEM	Meropenem for Injection (Off-Formulary Interchangeable) 1g/Vial Pd for Inj Sol	JPC	47.9900	47.9900	YES	NO	NO
02218496	MEROPENEM	Merrem (Off-Formulary Interchangeable) 1g/Vial Pd for Inj Sol	PFI	N/A	N/A	YES	NO	NO
02218488	MEROPENEM	Merrem (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol	PFI	N/A	N/A	YES	NO	NO
02421518	MEROPENEM	Taro-Meropenem (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol	SPC	23.9950	23.9950	YES	NO	NO
02421526	MEROPENEM	Taro-Meropenem (Off-Formulary Interchangeable) 1g/Vial Pd for Inj Sol	SPC	47.9900	47.9900	YES	NO	NO
02545012	MESALAZINE	Mezera 1g DR Tab	AVP	1.2756	1.2756	NO	NO	NO
02529610	MESALAZINE	Octasa 1600mg DR Tab	TIP	2.3740	2.3740	NO	NO	NO
02465752	MESALAZINE	Octasa 800mg DR Tab	TIP	1.1358	1.1358	NO	NO	NO
02460653	METFORMIN HCL	Apo-Metformin ER (Off-Formulary Interchangeable) 1000mg ER Tab	APX	1.3233	N/A	YES	NO	NO
02305062	METFORMIN HCL	Apo-Metformin ER (Off-Formulary Interchangeable) 500mg ER Tab	APX	0.6584	N/A	YES	NO	NO
02268493	METFORMIN HCL	Glumetza (Off-Formulary Interchangeable) 500mg ER Tab	BIO	N/A	N/A	YES	NO	NO
02300451	METFORMIN HCL	Glumetza (Off-Formulary Interchangeable) 1000mg ER Tab	VAL	N/A	N/A	YES	NO	NO
02550512	METFORMIN HCL	Mar-Metformin XR (Off-Formulary Interchangeable) 1000mg ER Tab	MAR	1.3233	N/A	YES	NO	NO
02550504	METFORMIN HCL	Mar-Metformin XR (Off-Formulary Interchangeable) 500mg ER Tab	MAR	0.6584	N/A	YES	NO	NO
02547317	METFORMIN HCL	Mint-Metformin XR (Off-Formulary Interchangeable) 1000mg ER Tab	MIN	1.3233	N/A	YES	NO	NO
02547309	METFORMIN HCL	Mint-Metformin XR (Off-Formulary Interchangeable) 500mg ER Tab	MIN	0.6584	N/A	YES	NO	NO
02552027	METFORMIN HCL	Taro-Metformin XR (Off-Formulary Interchangeable) 500mg ER Tab	TAR	0.6584	N/A	YES	NO	NO
02167786	METFORMIN HCL	Apo-Metformin 500mg Tab	APX	0.0247	0.0247	YES	NO	NO
02229785	METFORMIN HCL	Apo-Metformin (Off-Formulary Interchangeable) 850mg Tab	APX	0.2090	N/A	YES	NO	NO
02438275	METFORMIN HCL	Auro-Metformin 500mg Tab	AUR	0.0247	0.0247	YES	NO	NO
02438283	METFORMIN HCL	Auro-Metformin (Off-Formulary Interchangeable) 850mg Tab	AUR	0.2090	N/A	YES	NO	NO
02421836	METFORMIN HCL	Ecl-Metformin (Off-Formulary Interchangeable) 850mg Tab	ECL	0.2090	N/A	YES	NO	NO
02099233	METFORMIN HCL	Glucophage 500mg Tab	SAV	0.2821	0.0247	YES	NO	NO
02162849	METFORMIN HCL	Glucophage (Off-Formulary Interchangeable) 850mg Tab	SAV	N/A	N/A	YES	NO	NO
02380218	METFORMIN HCL	Jamp-Metformin (Off-Formulary Interchangeable) 850mg Tab	JPC	0.2090	N/A	YES	NO	NO
02380196	METFORMIN HCL	Jamp-Metformin 500mg Tab	JPC	0.0247	0.0247	YES	NO	NO
02380730	METFORMIN HCL	Jamp-Metformin Blackberry (Off-Formulary Interchangeable) 850mg Tab	JPC	0.2090	N/A	YES	NO	NO
02547775	METFORMIN HCL	M-Metformin (Off-Formulary Interchangeable) 850mg Tab	MAT	0.2090	N/A	YES	NO	NO
02547767	METFORMIN HCL	M-Metformin 500mg Tab	MAT	0.0247	0.0247	YES	NO	NO
02378620	METFORMIN HCL	Mar-Metformin 500mg Tab	MAR	0.0247	0.0247	YES	NO	NO
02378639	METFORMIN HCL	Mar-Metformin (Off-Formulary Interchangeable) 850mg Tab	MAR	0.2090	N/A	YES	NO	NO
02353385	METFORMIN HCL	Metformin (Off-Formulary Interchangeable) 850mg Tab	SAI	0.2090	N/A	YES	NO	NO
02353377	METFORMIN HCL	Metformin 500mg Tab	SAI	0.0247	0.0247	YES	NO	NO
02385368	METFORMIN HCL	Metformin FC (Off-Formulary Interchangeable) 850mg Tab	SIV	0.2090	N/A	YES	NO	NO
02385341	METFORMIN HCL	Metformin FC 500mg Tab	SIV	0.0247	0.0247	YES	NO	NO
02388766	METFORMIN HCL	Mint-Metformin 500mg Tab	MIN	0.0247	0.0247	YES	NO	NO
02388774	METFORMIN HCL	Mint-Metformin (Off-Formulary Interchangeable) 850mg Tab	MIN	0.2090	N/A	YES	NO	NO
02536447	METFORMIN HCL	NRA-Metformin (Off-Formulary Interchangeable) 850mg Tab	NRA	0.2090	N/A	YES	NO	NO
02536439	METFORMIN HCL	NRA-Metformin 500mg Tab	NRA	0.0247	0.0247	YES	NO	NO
02045710	METFORMIN HCL	Novo-Metformin 500mg Tab	NOP	0.0247	0.0247	YES	NO	NO
02223562	METFORMIN HCL	PMS-Metformin 500mg Tab	PMS	0.0247	0.0247	YES	NO	NO
02242589	METFORMIN HCL	PMS-Metformin (Off-Formulary Interchangeable) 850mg Tab	PMS	0.2090	N/A	YES	NO	NO
02520311	METFORMIN HCL	PMSC-Metformin (Off-Formulary Interchangeable) 850mg Tab	PMS	0.2090	N/A	YES	NO	NO
02520303	METFORMIN HCL	PMSC-Metformin 500mg Tab	PMS	0.0247	0.0247	YES	NO	NO
02531909	METFORMIN HCL	PRZ-Metformin (Off-Formulary Interchangeable) 850mg Tab	PRZ	0.2090	N/A	YES	NO	NO
02531895	METFORMIN HCL	PRZ-Metformin 500mg Tab	PRZ	0.0247	0.0247	YES	NO	NO
02269031	METFORMIN HCL	Ran-Metformin 500mg Tab	RAN	0.0247	0.0247	YES	NO	NO
02269058	METFORMIN HCL	Ran-Metformin (Off-Formulary Interchangeable) 850mg Tab	RAN	0.2090	N/A	YES	NO	NO
02242974	METFORMIN HCL	Ratio-Metformin 500mg Tab	RPH	0.0247	0.0247	YES	NO	NO
02242931	METFORMIN HCL	Ratio-Metformin (Off-Formulary Interchangeable) 850mg Tab	RPH	0.2090	N/A	YES	NO	NO
02246821	METFORMIN HCL	Sandoz Metformin FC (Off-Formulary Interchangeable) 850mg Tab	SDZ	0.2090	N/A	YES	NO	NO
02246820	METFORMIN HCL	Sandoz Metformin FC 500mg Tab	SDZ	0.0247	0.0247	YES	NO	NO
02379767	METFORMIN HCL	Septa-Metformin 500mg Tab	SET	0.0247	0.0247	YES	NO	NO
02257734	METFORMIN HCL	Teva-Metformin (Off-Formulary Interchangeable) 850mg Tab	TEV	0.2090	N/A	YES	NO	NO
02257726	METFORMIN HCL	Teva-Metformin 500mg Tab	TEV	0.0247	0.0247	YES	NO	NO
02244290	METHADONE HCL	Metadol-D 10mg/mL Oral Concentrate	PAL	0.1607	0.1607	NO	NO	YES
02394596	METHADONE HCL	Methadose 10mg/mL Oral Concentrate (Cherry Flavour)	MAL	0.0525	0.0525	YES	NO	YES
02495872	METHADONE HCL	Odan-Methadone 10mg/mL Oral Concentrate (Cherry Flavour)	ODN	0.0525	0.0525	YES	NO	YES
02495783	METHADONE HCL	Jamp Methadone Oral Concentrate 10mg/mL Oral Concentrate (Unflavoured)	JPC	0.0525	0.0525	YES	NO	YES
02394618	METHADONE HCL	Methadose 10mg/mL Oral Concentrate (Unflavoured)	MAL	0.0525	0.0525	YES	NO	YES
02495880	METHADONE HCL	Odan-Methadone 10mg/mL Oral Concentrate (Unflavoured)	ODN	0.0525	0.0525	YES	NO	YES
02533650	METHADONE HCL	Apo-Methadone (Off-Formulary Interchangeable) 5mg Tab	APX	0.3417	0.3417	YES	NO	YES
02533669	METHADONE HCL	Apo-Methadone (Off-Formulary Interchangeable) 10mg Tab	APX	0.5466	0.5466	YES	NO	YES
02533677	METHADONE HCL	Apo-Methadone (Off-Formulary Interchangeable) 25mg Tab	APX	1.0157	1.0157	YES	NO	YES
02533642	METHADONE HCL	Apo-Methadone (Off-Formulary Interchangeable) 1mg Tab	APX	0.1026	0.1026	YES	NO	YES
02247699	METHADONE HCL	Metadol (Off-Formulary Interchangeable) 5mg Tab	PMS	0.4659	0.3417	YES	NO	YES
02247700	METHADONE HCL	Metadol (Off-Formulary Interchangeable) 10mg Tab	PMS	0.7454	0.5466	YES	NO	YES
02247701	METHADONE HCL	Metadol (Off-Formulary Interchangeable) 25mg Tab	PMS	1.3850	1.0157	YES	NO	YES
02247698	METHADONE HCL	Metadol (Off-Formulary Interchangeable) 1mg Tab	PMS	0.1399	0.1026	YES	NO	YES
02245882	METHAZOLAMIDE	Methazolamide 50mg Tab	AAP	0.4913	0.4913	YES	NO	NO
02238071	METHAZOLAMIDE	Neptazane (Not a Benefit) 50mg Tab	WAY	N/A	N/A	YES	NO	NO
02490633	METHIMAZOLE	Jamp Methimazole (Off-Formulary Interchangeable) 10mg Tab	JPC	0.5181	N/A	YES	NO	NO
02490625	METHIMAZOLE	Jamp Methimazole 5mg Tab	JPC	0.1531	0.1531	YES	NO	NO
02480115	METHIMAZOLE	Mar-Methimazole (Off-Formulary Interchangeable) 10mg Tab	MAR	0.5181	N/A	YES	NO	NO
02480107	METHIMAZOLE	Mar-Methimazole 5mg Tab	MAR	0.1531	0.1531	YES	NO	NO
00015741	METHIMAZOLE	Tapazole 5mg Tab	PAL	0.3696	0.1531	YES	NO	NO
02296039	METHIMAZOLE	Tapazole (Off-Formulary Interchangeable) 10mg Tab	PAL	N/A	N/A	YES	NO	NO
02182777	METHOTREXATE	Methotrexate 50mg/2mL Inj Sol-2mL Pk	MAY	8.9200	8.9200	YES	NO	NO
02170671	METHOTREXATE	Methotrexate (Not a Benefit) 50mg/2mL Inj Sol-2mL Pk	WAY	N/A	N/A	YES	NO	NO
02464365	METHOTREXATE	Methotrexate Injection BP 50mg/2mL Inj Sol-2mL Pk	ACH	8.9200	8.9200	YES	NO	NO
02182947	METHOTREXATE	Methotrexate Sodium 20mg/2mL Inj Sol-2mL Pk	MAY	12.5000	12.5000	NO	NO	NO
02491338	METHOTREXATE	Methotrexate Subcutaneous 17.5mg/0.35mL Inj Sol-Pref Syr	ACH	16.0000	16.0000	YES	NO	NO
02491354	METHOTREXATE	Methotrexate Subcutaneous 22.5mg/0.45mL Inj Sol-Pref Syr	ACH	17.5000	17.5000	YES	NO	NO
02491362	METHOTREXATE	Methotrexate Subcutaneous 25mg/0.5mL Inj Sol-Pref Syr	ACH	19.5000	19.5000	YES	NO	NO
02491346	METHOTREXATE	Methotrexate Subcutaneous 20mg/0.4mL Inj Sol-Pref Syr	ACH	17.5000	17.5000	YES	NO	NO
02491311	METHOTREXATE	Methotrexate Subcutaneous 15mg/0.3mL Inj Sol-Pref Syr	ACH	16.3800	16.3800	YES	NO	NO
02454777	METHOTREXATE	Metoject Subcutaneous 22.5mg/0.45mL Inj Sol-Pref Syr	MDX	17.5000	17.5000	YES	NO	NO
02454831	METHOTREXATE	Metoject Subcutaneous 10mg/0.2mL Inj Sol-Pref Syr	MDX	16.3000	16.3000	YES	NO	NO
02454750	METHOTREXATE	Metoject Subcutaneous 12.5mg/0.25mL Inj Sol-Pref Syr	MDX	17.1600	17.1600	YES	NO	NO
02454858	METHOTREXATE	Metoject Subcutaneous 15mg/0.3mL Inj Sol-Pref Syr	MDX	16.3800	16.3800	YES	NO	NO
02454769	METHOTREXATE	Metoject Subcutaneous 17.5mg/0.35mL Inj Sol-Pref Syr	MDX	16.0000	16.0000	YES	NO	NO
02454866	METHOTREXATE	Metoject Subcutaneous 20mg/0.4mL Inj Sol-Pref Syr	MDX	17.5000	17.5000	YES	NO	NO
02454874	METHOTREXATE	Metoject Subcutaneous 25mg/0.5mL Inj Sol-Pref Syr	MDX	19.5000	19.5000	YES	NO	NO
02539640	METHOTREXATE	PMS-Methotrexate Injection 20mg/0.4mL Inj Sol-Pref Syr	PMS	17.5000	17.5000	YES	NO	NO
02539667	METHOTREXATE	PMS-Methotrexate Injection 25mg/0.5mL Inj Sol-Pref Syr	PMS	19.5000	19.5000	YES	NO	NO
02539616	METHOTREXATE	PMS-Methotrexate Injection 12.5mg/0.25mL Inj Sol-Pref Syr	PMS	17.1600	17.1600	YES	NO	NO
02539624	METHOTREXATE	PMS-Methotrexate Injection 15mg/0.3mL Inj Sol-Pref Syr	PMS	16.3800	16.3800	YES	NO	NO
02539608	METHOTREXATE	PMS-Methotrexate Injection 10mg/0.2mL Inj Sol-Pref Syr	PMS	16.3020	16.3000	YES	NO	NO
02539659	METHOTREXATE	PMS-Methotrexate Injection 22.5mg/0.45mL Inj Sol-Pref Syr	PMS	17.5000	17.5000	YES	NO	NO
02539632	METHOTREXATE	PMS-Methotrexate Injection 17.5mg/0.35mL Inj Sol-Pref Syr	PMS	16.0000	16.0000	YES	NO	NO
02509067	METHOTREXATE	Ach-Methotrexate 2.5mg Tab	ACH	0.2513	0.2513	YES	NO	NO
02182963	METHOTREXATE	Apo-Methotrexate 2.5mg Tab	APX	0.2513	0.2513	YES	NO	NO
02524023	METHOTREXATE	Auro-Methotrexate 2.5mg Tab	AUR	0.2513	0.2513	YES	NO	NO
02534916	METHOTREXATE	M-Methotrexate 2.5mg Tab	MAT	0.2513	0.2513	YES	NO	NO
02170698	METHOTREXATE	PMS-Methotrexate 2.5mg Tab	PMS	0.2513	0.2513	YES	NO	NO
01927698	METHOTRIMEPRAZINE	Nozinan 25mg/mL Inj Sol-1mL Pk	NEU	4.1626	4.1626	NO	NO	NO
02238404	METHOTRIMEPRAZINE	Methoprazine 5mg Tab	AAP	0.1043	0.1043	YES	NO	NO
02238405	METHOTRIMEPRAZINE	Methoprazine 25mg Tab	AAP	0.2681	0.2681	YES	NO	NO
02238406	METHOTRIMEPRAZINE	Methoprazine 50mg Tab	AAP	0.4060	0.4060	YES	NO	NO
02238403	METHOTRIMEPRAZINE	Methoprazine 2mg Tab	AAP	0.0721	0.0721	YES	NO	NO
01927647	METHOTRIMEPRAZINE	Nozinan (Not a Benefit) 2mg Tab	AVE	N/A	N/A	YES	NO	NO
01927671	METHOTRIMEPRAZINE	Nozinan (Not a Benefit) 50mg Tab	SAV	N/A	N/A	YES	NO	NO
01927663	METHOTRIMEPRAZINE	Nozinan (Not a Benefit) 25mg Tab	SAV	N/A	N/A	YES	NO	NO
01927655	METHOTRIMEPRAZINE	Nozinan (Not a Benefit) 5mg Tab	SAV	N/A	N/A	YES	NO	NO
00000809	METHYLCELLULOSE	Isopto Tears 0.5% Oph-Sol	ALC	0.5147	0.5147	NO	YES	NO
00000817	METHYLCELLULOSE	Isopto Tears 1% Oph-Sol	ALC	0.5147	0.5147	NO	YES	NO
00016578	METHYLDOPA	Aldomet (Not a Benefit) 250mg Tab	MSD	N/A	N/A	YES	NO	NO
00016551	METHYLDOPA	Aldomet (Not a Benefit) 125mg Tab	MSD	N/A	N/A	YES	NO	NO
00016586	METHYLDOPA	Aldomet (Not a Benefit) 500mg Tab	MSD	N/A	N/A	YES	NO	NO
00360260	METHYLDOPA	Methyldopa 250mg Tab	AAP	0.1579	0.1579	YES	NO	NO
00360252	METHYLDOPA	Methyldopa 125mg Tab	AAP	0.1009	0.1009	YES	NO	NO
00426830	METHYLDOPA	Methyldopa 500mg Tab	AAP	0.2588	0.2588	YES	NO	NO
02470292	METHYLPHENIDATE HCL	Foquest 25mg CR Cap	ELV	2.9050	2.9050	NO	NO	YES
02470306	METHYLPHENIDATE HCL	Foquest 35mg CR Cap	ELV	3.1950	3.1950	NO	NO	YES
02470314	METHYLPHENIDATE HCL	Foquest 45mg CR Cap	ELV	3.4725	3.4725	NO	NO	YES
02470322	METHYLPHENIDATE HCL	Foquest 55mg CR Cap	ELV	3.7580	3.7580	NO	NO	YES
02470330	METHYLPHENIDATE HCL	Foquest 70mg CR Cap	ELV	4.1880	4.1880	NO	NO	YES
02470349	METHYLPHENIDATE HCL	Foquest 85mg CR Cap	ELV	4.6080	4.6080	NO	NO	YES
02470357	METHYLPHENIDATE HCL	Foquest 100mg CR Cap	ELV	5.0230	5.0230	NO	NO	YES
02277166	METHYLPHENIDATE HCL	Biphentin 10mg ER Cap	ELV	1.0074	0.5128	YES	NO	YES
02277174	METHYLPHENIDATE HCL	Biphentin 30mg ER Cap	ELV	2.5581	1.3021	YES	NO	YES
02277212	METHYLPHENIDATE HCL	Biphentin 80mg ER Cap	ELV	6.0670	3.0883	YES	NO	YES
02277204	METHYLPHENIDATE HCL	Biphentin 60mg ER Cap	ELV	4.6017	2.3425	YES	NO	YES
02277190	METHYLPHENIDATE HCL	Biphentin 50mg ER Cap	ELV	3.9544	2.0130	YES	NO	YES
02277182	METHYLPHENIDATE HCL	Biphentin 40mg ER Cap	ELV	3.2588	1.6588	YES	NO	YES
02277158	METHYLPHENIDATE HCL	Biphentin 20mg ER Cap	ELV	1.8615	0.9477	YES	NO	YES
02277131	METHYLPHENIDATE HCL	Biphentin 15mg ER Cap	ELV	1.4447	0.7354	YES	NO	YES
02537036	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 80mg ER Cap	PMS	3.0883	3.0883	YES	NO	YES
02536986	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 30mg ER Cap	PMS	1.3021	1.3021	YES	NO	YES
02537001	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 50mg ER Cap	PMS	2.0130	2.0130	YES	NO	YES
02536978	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 20mg ER Cap	PMS	0.9477	0.9477	YES	NO	YES
02537028	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 60mg ER Cap	PMS	2.3425	2.3425	YES	NO	YES
02536943	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 10mg ER Cap	PMS	0.5128	0.5128	YES	NO	YES
02536951	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 15mg ER Cap	PMS	0.7354	0.7354	YES	NO	YES
02536994	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 40mg ER Cap	PMS	1.6588	1.6588	YES	NO	YES
02266687	METHYLPHENIDATE HCL	Apo-Methylphenidate SR 20mg ER Tab	APX	0.6796	0.6796	YES	NO	YES
00632775	METHYLPHENIDATE HCL	Ritalin SR (Not a Benefit) 20mg ER Tab	NOV	N/A	N/A	YES	NO	YES
02441934	METHYLPHENIDATE HCL	Act Methylphenidate ER 18mg SR Tab	TEV	1.0493	1.0493	YES	NO	YES
02441942	METHYLPHENIDATE HCL	Act Methylphenidate ER 27mg SR Tab	TEV	1.2109	1.2109	YES	NO	YES
02441950	METHYLPHENIDATE HCL	Act Methylphenidate ER 36mg SR Tab	TEV	1.3726	1.3726	YES	NO	YES
02441969	METHYLPHENIDATE HCL	Act Methylphenidate ER 54mg SR Tab	TEV	1.6958	1.6958	YES	NO	YES
02452758	METHYLPHENIDATE HCL	Apo-Methylphenidate ER 27mg SR Tab	APX	1.2109	1.2109	YES	NO	YES
02452766	METHYLPHENIDATE HCL	Apo-Methylphenidate ER 36mg SR Tab	APX	1.3726	1.3726	YES	NO	YES
02330377	METHYLPHENIDATE HCL	Apo-Methylphenidate ER 54mg SR Tab	APX	1.6958	1.6958	YES	NO	YES
02452731	METHYLPHENIDATE HCL	Apo-Methylphenidate ER 18mg SR Tab	APX	1.0493	1.0493	YES	NO	YES
02250241	METHYLPHENIDATE HCL	Concerta 27mg SR Tab	JAN	3.8076	1.2109	YES	NO	YES
02247734	METHYLPHENIDATE HCL	Concerta 54mg SR Tab	JAN	5.3326	1.6958	YES	NO	YES
02247732	METHYLPHENIDATE HCL	Concerta 18mg SR Tab	JAN	3.2995	1.0493	YES	NO	YES
02247733	METHYLPHENIDATE HCL	Concerta 36mg SR Tab	JAN	4.3163	1.3726	YES	NO	YES
02249324	METHYLPHENIDATE HCL	Apo-Methylphenidate 10mg Tab	APX	0.2216	0.2216	YES	NO	YES
02249332	METHYLPHENIDATE HCL	Apo-Methylphenidate (Off-Formulary Interchangeable) 20mg Tab	APX	0.3536	N/A	YES	NO	YES
00584991	METHYLPHENIDATE HCL	PMS-Methylphenidate 10mg Tab	PMS	0.2216	0.2216	YES	NO	YES
00585009	METHYLPHENIDATE HCL	PMS-Methylphenidate (Off-Formulary Interchangeable) 20mg Tab	PMS	0.3536	N/A	YES	NO	YES
00005606	METHYLPHENIDATE HCL	Ritalin 10mg Tab	NOV	0.4556	0.2216	YES	NO	YES
00005614	METHYLPHENIDATE HCL	Ritalin (Off-Formulary Interchangeable) 20mg Tab	NOV	N/A	N/A	YES	NO	YES
00030988	METHYLPREDNISOLONE	Medrol 4mg Tab	PFI	0.5364	0.5364	NO	NO	NO
00030759	METHYLPREDNISOLONE ACETATE	Depo-Medrol 40mg/mL Inj Susp-1mL Pk	PFI	6.7480	6.7480	NO	NO	NO
00030767	METHYLPREDNISOLONE ACETATE	Depo-Medrol 80mg/mL Inj Susp-1mL Pk	PFI	12.9359	12.9359	NO	NO	NO
01934325	METHYLPREDNISOLONE ACETATE	Depo-Medrol 100mg/5mL Inj Susp-5mL Pk	PFI	15.0900	15.0900	NO	NO	NO
02185431	METOCLOPRAMIDE HCL	Metoclopramide HCL Injection 5mg/mL Inj Sol (Preservative Free)	SDZ	2.3748	2.3748	YES	YES	NO
02537397	METOCLOPRAMIDE HCL	Metoclopramide Hydrochloride Injection 5mg/mL Inj Sol (Preservative Free)	JPC	2.3748	2.3748	YES	YES	NO
02517795	METOCLOPRAMIDE HCL	Mar-Metoclopramide 5mg Tab	MAR	0.0514	0.0514	YES	NO	NO
02099195	METOCLOPRAMIDE HCL	Maxeran (Not a Benefit) 5mg Tab	HMR	N/A	N/A	YES	NO	NO
02099209	METOCLOPRAMIDE HCL	Maxeran (Not a Benefit) 10mg Tab	HMR	N/A	N/A	YES	NO	NO
02230431	METOCLOPRAMIDE HCL	PMS-Metoclopramide Tablets 5mg Tab	PMS	0.0514	0.0514	YES	NO	NO
02548755	METOCLOPRAMIDE HCL	PRZ-Metoclopramide 10mg Tab	PRZ	0.1513	0.1513	YES	NO	NO
00888400	METOLAZONE	Zaroxolyn 2.5mg Tab	SAV	0.2294	0.2294	NO	NO	NO
02285169	METOPROLOL TARTRATE	AA-Metoprolol SR 100mg LA Tab	AAP	0.1415	0.1415	YES	NO	NO
02285177	METOPROLOL TARTRATE	AA-Metoprolol SR 200mg LA Tab	AAP	0.2568	0.2568	YES	NO	NO
00658855	METOPROLOL TARTRATE	Lopresor SR (Not a Benefit) 100mg LA Tab	NOV	N/A	N/A	YES	NO	NO
00534560	METOPROLOL TARTRATE	Lopresor SR (Not a Benefit) 200mg LA Tab	NOV	N/A	N/A	YES	NO	NO
02481324	METOPROLOL TARTRATE	AG-Metoprolol-L 100mg Tab	ANG	0.1361	0.1361	YES	NO	NO
02481316	METOPROLOL TARTRATE	AG-Metoprolol-L 50mg Tab	ANG	0.0624	0.0624	YES	NO	NO
00618632	METOPROLOL TARTRATE	Apo-Metoprolol 50mg Tab	APX	0.0624	0.0624	YES	NO	NO
00618640	METOPROLOL TARTRATE	Apo-Metoprolol 100mg Tab	APX	0.1361	0.1361	YES	NO	NO
00749354	METOPROLOL TARTRATE	Apo-Metoprolol (Type L) 50mg Tab	APX	0.0624	0.0624	YES	NO	NO
00751170	METOPROLOL TARTRATE	Apo-Metoprolol (Type L) 100mg Tab	APX	0.1361	0.1361	YES	NO	NO
00402605	METOPROLOL TARTRATE	Betaloc (Not a Benefit) 50mg Tab	AZC	N/A	N/A	YES	NO	NO
00402540	METOPROLOL TARTRATE	Betaloc (Not a Benefit) 100mg Tab	AZC	N/A	N/A	YES	NO	NO
02356848	METOPROLOL TARTRATE	Jamp-Metoprolol-L 100mg Tab	JPC	0.1361	0.1361	YES	NO	NO
02356821	METOPROLOL TARTRATE	Jamp-Metoprolol-L 50mg Tab	JPC	0.0624	0.0624	YES	NO	NO
00397423	METOPROLOL TARTRATE	Lopresor (Not a Benefit) 50mg Tab	NOV	N/A	N/A	YES	NO	NO
00397431	METOPROLOL TARTRATE	Lopresor (Not a Benefit) 100mg Tab	NOV	N/A	N/A	YES	NO	NO
02350394	METOPROLOL TARTRATE	Metoprolol 50mg Tab	SAI	0.0624	0.0624	YES	NO	NO
02350408	METOPROLOL TARTRATE	Metoprolol 100mg Tab	SAI	0.1361	0.1361	YES	NO	NO
02442124	METOPROLOL TARTRATE	Metoprolol-L 50mg Tab	SIV	0.0624	0.0624	YES	NO	NO
02442132	METOPROLOL TARTRATE	Metoprolol-L 100mg Tab	SIV	0.1361	0.1361	YES	NO	NO
02230803	METOPROLOL TARTRATE	PMS-Metoprolol-L 50mg Tab	PMS	0.0624	0.0624	YES	NO	NO
02230804	METOPROLOL TARTRATE	PMS-Metoprolol-L 100mg Tab	PMS	0.1361	0.1361	YES	NO	NO
02354187	METOPROLOL TARTRATE	Sandoz Metoprolol (Type L) 50mg Tab	SDZ	0.0624	0.0624	YES	NO	NO
02354195	METOPROLOL TARTRATE	Sandoz Metoprolol (Type L) 100mg Tab	SDZ	0.1361	0.1361	YES	NO	NO
00648035	METOPROLOL TARTRATE	Teva-Metoprolol 50mg Tab	TEV	0.0624	0.0624	YES	NO	NO
00648043	METOPROLOL TARTRATE	Teva-Metoprolol 100mg Tab	TEV	0.1361	0.1361	YES	NO	NO
00842648	METOPROLOL TARTRATE	Teva-Metoprolol (Uncoated) 50mg Tab	TEV	0.0624	0.0624	YES	NO	NO
00842656	METOPROLOL TARTRATE	Teva-Metoprolol (Uncoated) 100mg Tab	TEV	0.1361	0.1361	YES	NO	NO
02248562	METRONIDAZOLE	Apo-Metronidazole 500mg Cap	APX	0.2739	0.2739	YES	NO	NO
02470284	METRONIDAZOLE	Auro-Metronidazole 500mg Cap	AUR	0.2739	0.2739	YES	NO	NO
01926853	METRONIDAZOLE	Flagyl (Not a Benefit) 500mg Cap	SAC	N/A	N/A	YES	NO	NO
02519755	METRONIDAZOLE	M-Metronidazole 500mg Cap	MAT	0.2739	0.2739	YES	NO	NO
02518767	METRONIDAZOLE	Metronidazole 500mg Cap	JPC	0.2739	0.2739	YES	NO	NO
02534592	METRONIDAZOLE	Metronidazole 500mg Cap	SAI	0.2739	0.2739	YES	NO	NO
00783137	METRONIDAZOLE	PMS-Metronidazole 500mg Cap	PMS	0.2739	0.2739	YES	NO	NO
00545066	METRONIDAZOLE	Apo-Metronidazole Tablets 250mg Tab	APX	0.0572	0.0572	YES	NO	NO
01926896	METRONIDAZOLE	Flagyl (Not a Benefit) 250mg Tab	RPP	N/A	N/A	YES	NO	NO
02535807	METRONIDAZOLE	Mint-Metronidazole 250mg Tab	MIN	0.0572	0.0572	YES	NO	NO
02156091	METRONIDAZOLE	Noritate 1% Top Cr	VAL	0.7989	0.7989	NO	NO	NO
02297809	METRONIDAZOLE	Metrogel 1% Top Gel	GAC	0.7235	0.7235	NO	NO	NO
01926861	METRONIDAZOLE	Flagyl 10% Vag Cr-App	SAV	0.2740	0.2740	NO	NO	NO
01926845	METRONIDAZOLE & NYSTATIN	Flagystatin 500mg & 100000U/g Vag Cr-App	SAV	0.6076	0.6076	NO	NO	NO
01926829	METRONIDAZOLE & NYSTATIN	Flagystatin 500mg & 100000U Vag Sup	SAV	3.6980	3.6980	NO	NO	NO
00599956	MEXILETINE HCL	Mexitil (Not a Benefit) 100mg Cap	BOE	N/A	N/A	YES	NO	NO
00599964	MEXILETINE HCL	Mexitil (Not a Benefit) 200mg Cap	BOE	N/A	N/A	YES	NO	NO
02536846	MEXILETINE HCL	Mint-Mexiletine 100mg Cap	MIN	0.7346	0.7346	YES	NO	NO
02536854	MEXILETINE HCL	Mint-Mexiletine 200mg Cap	MIN	0.9837	0.9837	YES	NO	NO
02230359	MEXILETINE HCL	Teva-Mexiletine 100mg Cap	TEV	0.7346	0.7346	YES	NO	NO
02230360	MEXILETINE HCL	Teva-Mexiletine 200mg Cap	TEV	0.9837	0.9837	YES	NO	NO
02524953	MICAFUNGIN SODIUM	Micafungin Sodium for Injection (Off-Formulary Interchangeable) 50mg/Vial Inj Pd-10mL Vial Pk	JUN	93.1000	93.1000	YES	NO	NO
02524961	MICAFUNGIN SODIUM	Micafungin Sodium for Injection (Off-Formulary Interchangeable) 100mg/Vial Inj Pd-10mL Vial Pk	JUN	186.2000	186.2000	YES	NO	NO
02311054	MICAFUNGIN SODIUM	Mycamine (Off-Formulary Interchangeable) 100mg/Vial Inj Pd-10mL Vial Pk	SDZ	N/A	N/A	YES	NO	NO
02294222	MICAFUNGIN SODIUM	Mycamine (Off-Formulary Interchangeable) 50mg/Vial Inj Pd-10mL Vial Pk	SDZ	N/A	N/A	YES	NO	NO
02085852	MICONAZOLE NITRATE	Micatin 2% Cr	WEL	0.2970	0.2970	NO	NO	YES
02242905	MIDAZOLAM	Midazolam Injection 5mg/mL Inj Sol (with Preservative)	FKC	4.1000	4.1000	YES	YES	NO
02240286	MIDAZOLAM	Midazolam Injection 5mg/mL Inj Sol (with Preservative)	SDZ	4.1000	4.1000	YES	YES	NO
00766011	MIDAZOLAM	Versed (Not a Benefit) 5mg/mL Inj Sol (with Preservative)	HLR	N/A	N/A	YES	NO	NO
01934392	MIDODRINE HCL	Amatine (Not a Benefit) 2.5mg Tab	SHI	N/A	N/A	YES	NO	NO
01934406	MIDODRINE HCL	Amatine (Not a Benefit) 5mg Tab	SHI	N/A	N/A	YES	NO	NO
02278677	MIDODRINE HCL	Apo-Midodrine 2.5mg Tab	APX	0.1153	0.1153	YES	YES	NO
02278685	MIDODRINE HCL	Apo-Midodrine 5mg Tab	APX	0.1921	0.1921	YES	YES	NO
02517701	MIDODRINE HCL	Jamp Midodrine 2.5mg Tab	JPC	0.1153	0.1153	YES	YES	NO
02517728	MIDODRINE HCL	Jamp Midodrine 5mg Tab	JPC	0.1921	0.1921	YES	YES	NO
02473992	MIDODRINE HCL	Mar-Midodrine 5mg Tab	MAR	0.1921	0.1921	YES	YES	NO
02473984	MIDODRINE HCL	Mar-Midodrine 2.5mg Tab	MAR	0.1153	0.1153	YES	YES	NO
02533200	MIDODRINE HCL	Midodrine 2.5mg Tab	SAI	0.1153	0.1153	YES	YES	NO
02533219	MIDODRINE HCL	Midodrine 5mg Tab	SAI	0.1921	0.1921	YES	YES	NO
02456257	MIGLUSTAT	Sandoz Miglustat (Off-Formulary Interchangeable) 100mg Cap	SDZ	81.4125	81.4125	YES	NO	NO
02250519	MIGLUSTAT	Zavesca (Off-Formulary Interchangeable) 100mg Cap	ACT	128.9600	81.4125	YES	NO	NO
00107875	MINERAL OIL	Fleet Enema Mineral Oil 100% Enema	CBF	0.0452	0.0452	NO	NO	NO
02173514	MINOCYCLINE HCL	Minocin (Not a Benefit) 50mg Cap	STI	N/A	N/A	YES	NO	NO
02173506	MINOCYCLINE HCL	Minocin (Not a Benefit) 100mg Cap	STI	N/A	N/A	YES	NO	NO
02084090	MINOCYCLINE HCL	Minocycline 50mg Cap	AAP	0.5616	0.5616	YES	NO	NO
02084104	MINOCYCLINE HCL	Minocycline 100mg Cap	AAP	1.0836	1.0836	YES	NO	NO
00514500	MINOXIDIL	Loniten 10mg Tab	PFI	1.1884	1.1884	NO	NO	NO
00514497	MINOXIDIL	Loniten 2.5mg Tab	PFI	0.5387	0.5387	NO	NO	NO
02402882	MIRABEGRON	Myrbetriq 50mg ER Tab	ASE	1.4600	1.4600	NO	YES	NO
02402874	MIRABEGRON	Myrbetriq 25mg ER Tab	ASE	1.4600	1.4600	NO	YES	NO
02299836	MIRTAZAPINE	Auro-Mirtazapine OD 45mg Orally Disintegrating Tab	AUR	1.2132	1.2132	YES	NO	NO
02299828	MIRTAZAPINE	Auro-Mirtazapine OD 30mg Orally Disintegrating Tab	AUR	0.8087	0.8087	YES	NO	NO
02299801	MIRTAZAPINE	Auro-Mirtazapine OD 15mg Orally Disintegrating Tab	AUR	0.4046	0.4046	YES	NO	NO
02248544	MIRTAZAPINE	Remeron RD 45mg Orally Disintegrating Tab	OCI	1.6580	1.2132	YES	NO	NO
02248542	MIRTAZAPINE	Remeron RD 15mg Orally Disintegrating Tab	OCI	0.5529	0.4046	YES	NO	NO
02248543	MIRTAZAPINE	Remeron RD 30mg Orally Disintegrating Tab	OCI	1.1052	0.8087	YES	NO	NO
02286629	MIRTAZAPINE	Apo-Mirtazapine 30mg Tab	APX	0.3100	0.3100	YES	NO	NO
02411709	MIRTAZAPINE	Auro-Mirtazapine 30mg Tab	AUR	0.3100	0.3100	YES	NO	NO
02411717	MIRTAZAPINE	Auro-Mirtazapine (Off-Formulary Interchangeable) 45mg Tab	AUR	1.1250	N/A	YES	NO	NO
02411695	MIRTAZAPINE	Auro-Mirtazapine (Off-Formulary Interchangeable) 15mg Tab	AUR	0.3750	N/A	YES	NO	NO
02532689	MIRTAZAPINE	Mirtazapine (Off-Formulary Interchangeable) 15mg Tab	SAI	0.3750	N/A	YES	NO	NO
02496666	MIRTAZAPINE	Mirtazapine (Off-Formulary Interchangeable) 15mg Tab	SIV	0.3750	N/A	YES	NO	NO
02370689	MIRTAZAPINE	Mirtazapine 30mg Tab	SAI	0.3100	0.3100	YES	NO	NO
02496674	MIRTAZAPINE	Mirtazapine 30mg Tab	SIV	0.3100	0.3100	YES	NO	NO
02496682	MIRTAZAPINE	Mirtazapine (Off-Formulary Interchangeable) 45mg Tab	SIV	1.1250	N/A	YES	NO	NO
02256118	MIRTAZAPINE	Mylan-Mirtazapine 30mg Tab	MYL	0.3100	0.3100	YES	NO	NO
02534932	MIRTAZAPINE	NRA-Mirtazapine 30mg Tab	NRA	0.3100	0.3100	YES	NO	NO
02248762	MIRTAZAPINE	PMS-Mirtazapine 30mg Tab	PMS	0.3100	0.3100	YES	NO	NO
02243910	MIRTAZAPINE	Remeron 30mg Tab	OCI	1.8987	0.3100	YES	NO	NO
02243909	MIRTAZAPINE	Remeron (Off-Formulary Interchangeable) 15mg Tab	ORG	N/A	N/A	YES	NO	NO
02243911	MIRTAZAPINE	Remeron (Off-Formulary Interchangeable) 45mg Tab	ORG	N/A	N/A	YES	NO	NO
02250608	MIRTAZAPINE	Sandoz Mirtazapine 30mg Tab	SDZ	0.3100	0.3100	YES	NO	NO
02541572	MIRTAZAPINE	Teva-Mirtazapine (Off-Formulary Interchangeable) 15mg Tab	TEV	0.3750	N/A	YES	NO	NO
02259354	MIRTAZAPINE	Teva-Mirtazapine 30mg Tab	TEV	0.3100	0.3100	YES	NO	NO
02541580	MIRTAZAPINE	Teva-Mirtazapine (Off-Formulary Interchangeable) 45mg Tab	TEV	1.1250	N/A	YES	NO	NO
00813966	MISOPROSTOL	Cytotec (Not a Benefit) 100mcg Tab	SEA	N/A	N/A	YES	NO	NO
00632600	MISOPROSTOL	Cytotec (Not a Benefit) 200mcg Tab	SEA	N/A	N/A	YES	NO	NO
02244022	MISOPROSTOL	Misoprostol 100mcg Tab	AAP	0.2636	0.2636	YES	NO	NO
02244023	MISOPROSTOL	Misoprostol 200mcg Tab	AAP	0.4389	0.4389	YES	NO	NO
00463221	MITOTANE	Lysodren 500mg Tab	HRA	9.7900	9.7900	NO	NO	NO
02439255	MIXED SALT AMPHETAMINE	Act Amphetamine XR 15mg ER Cap	ACV	0.6838	0.6838	YES	NO	YES
02439247	MIXED SALT AMPHETAMINE	Act Amphetamine XR 10mg ER Cap	ACV	0.6105	0.6105	YES	NO	YES
02439239	MIXED SALT AMPHETAMINE	Act Amphetamine XR 5mg ER Cap	ACV	0.5372	0.5372	YES	NO	YES
02439298	MIXED SALT AMPHETAMINE	Act Amphetamine XR 30mg ER Cap	ACV	0.9038	0.9038	YES	NO	YES
02439271	MIXED SALT AMPHETAMINE	Act Amphetamine XR 25mg ER Cap	ACV	0.8305	0.8305	YES	NO	YES
02439263	MIXED SALT AMPHETAMINE	Act Amphetamine XR 20mg ER Cap	ACV	0.7572	0.7572	YES	NO	YES
02248808	MIXED SALT AMPHETAMINE	Adderall XR 5mg ER Cap	TAK	2.4898	0.5372	YES	NO	YES
02248811	MIXED SALT AMPHETAMINE	Adderall XR 20mg ER Cap	TAK	3.5092	0.7572	YES	NO	YES
02248812	MIXED SALT AMPHETAMINE	Adderall XR 25mg ER Cap	TAK	3.8489	0.8305	YES	NO	YES
02248813	MIXED SALT AMPHETAMINE	Adderall XR 30mg ER Cap	TAK	4.1888	0.9038	YES	NO	YES
02248809	MIXED SALT AMPHETAMINE	Adderall XR 10mg ER Cap	TAK	2.8296	0.6105	YES	NO	YES
02248810	MIXED SALT AMPHETAMINE	Adderall XR 15mg ER Cap	TAK	3.1694	0.6838	YES	NO	YES
02445549	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 30mg ER Cap	APX	0.9038	0.9038	YES	NO	YES
02445506	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 10mg ER Cap	APX	0.6105	0.6105	YES	NO	YES
02445530	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 25mg ER Cap	APX	0.8305	0.8305	YES	NO	YES
02445522	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 20mg ER Cap	APX	0.7572	0.7572	YES	NO	YES
02445492	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 5mg ER Cap	APX	0.5372	0.5372	YES	NO	YES
02445514	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 15mg ER Cap	APX	0.6838	0.6838	YES	NO	YES
02440377	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 10mg ER Cap	PMS	0.6105	0.6105	YES	NO	YES
02440385	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 15mg ER Cap	PMS	0.6838	0.6838	YES	NO	YES
02440415	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 30mg ER Cap	PMS	0.9038	0.9038	YES	NO	YES
02440393	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 20mg ER Cap	PMS	0.7572	0.7572	YES	NO	YES
02440369	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 5mg ER Cap	PMS	0.5372	0.5372	YES	NO	YES
02457342	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 30mg ER Cap	SDZ	0.9038	0.9038	YES	NO	YES
02457326	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 20mg ER Cap	SDZ	0.7572	0.7572	YES	NO	YES
02457318	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 15mg ER Cap	SDZ	0.6838	0.6838	YES	NO	YES
02457296	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 10mg ER Cap	SDZ	0.6105	0.6105	YES	NO	YES
02457288	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 5mg ER Cap	SDZ	0.5372	0.5372	YES	NO	YES
02457334	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 25mg ER Cap	SDZ	0.8305	0.8305	YES	NO	YES
00899348	MOCLOBEMIDE	Manerix (Not a Benefit) 100mg Tab	HLR	N/A	N/A	YES	NO	NO
00899356	MOCLOBEMIDE	Manerix 150mg Tab	MAB	0.8946	0.5295	YES	NO	NO
02166747	MOCLOBEMIDE	Manerix 300mg Tab	MAB	1.7570	1.0399	YES	NO	NO
02240456	MOCLOBEMIDE	Moclobemide 300mg Tab	AAP	1.0399	1.0399	YES	NO	NO
02232150	MOCLOBEMIDE	Moclobemide 150mg Tab	AAP	0.5295	0.5295	YES	NO	NO
02232148	MOCLOBEMIDE	Moclobemide 100mg Tab	AAP	0.3400	0.3400	YES	NO	NO
02239665	MODAFINIL	Alertec (Off-Formulary Interchangeable) 100mg Tab	BJH	1.8270	0.9293	YES	NO	YES
02285398	MODAFINIL	Apo-Modafinil (Off-Formulary Interchangeable) 100mg Tab	APX	0.9293	0.9293	YES	NO	YES
02430487	MODAFINIL	Auro-Modafinil (Off-Formulary Interchangeable) 100mg Tab	AUR	0.9293	0.9293	YES	NO	YES
02503727	MODAFINIL	Jamp Modafinil (Off-Formulary Interchangeable) 100mg Tab	JPC	0.9293	0.9293	YES	NO	YES
02432560	MODAFINIL	Mar-Modafinil (Off-Formulary Interchangeable) 100mg Tab	MAR	0.9293	0.9293	YES	NO	YES
02530244	MODAFINIL	Modafinil (Off-Formulary Interchangeable) 100mg Tab	SAI	0.9293	0.9293	YES	NO	YES
02420260	MODAFINIL	Teva-Modafinil (Off-Formulary Interchangeable) 100mg Tab	TEV	0.9293	0.9293	YES	NO	YES
00851744	MOMETASONE FUROATE	Elocom 0.1% Cr	OCI	0.7393	0.5542	YES	NO	NO
02367157	MOMETASONE FUROATE	Taro-Mometasone 0.1% Cr	TAR	0.5542	0.5542	YES	NO	NO
00871095	MOMETASONE FUROATE	Elocom 0.1% Lot	OCI	0.5255	0.3627	YES	NO	NO
02266385	MOMETASONE FUROATE	Taro-Mometasone 0.1% Lot	TAR	0.3627	0.3627	YES	NO	NO
02403587	MOMETASONE FUROATE	Apo-Mometasone (Off-Formulary Interchangeable) 50mcg/Dose Nas Sp-140 Dose Pk	APX	21.6900	N/A	YES	NO	YES
02519127	MOMETASONE FUROATE	Mometasone (Off-Formulary Interchangeable) 50mcg/Dose Nas Sp-140 Dose Pk	SAI	21.6900	N/A	YES	NO	YES
02551756	MOMETASONE FUROATE	Mometasone (Off-Formulary Interchangeable) 50mcg/Dose Nas Sp-140 Dose Pk	SIV	21.6860	N/A	YES	NO	YES
02238465	MOMETASONE FUROATE	Nasonex (Off-Formulary Interchangeable) 50mcg/Dose Nas Sp-140 Dose Pk	OCI	N/A	N/A	YES	NO	YES
02449811	MOMETASONE FUROATE	Sandoz Mometasone (Off-Formulary Interchangeable) 50mcg/Dose Nas Sp-140 Dose Pk	SDZ	21.6860	N/A	YES	NO	YES
02475863	MOMETASONE FUROATE	Teva-Mometasone (Off-Formulary Interchangeable) 50mcg/Dose Nas Sp-140 Dose Pk	TEV	21.6900	N/A	YES	NO	YES
00851736	MOMETASONE FUROATE	Elocom 0.1% Oint	OCI	0.7342	0.2252	YES	NO	NO
02248130	MOMETASONE FUROATE	Ratio-Mometasone 0.1% Oint	RPH	0.2252	0.2252	YES	NO	NO
02243596	MOMETASONE FUROATE	Asmanex Twisthaler 400mcg/Metered Dose Pd Inh-30 Dose Pk	OCI	42.4320	42.4320	NO	NO	YES
09857431	MOMETASONE FUROATE	Asmanex Twisthaler 400mcg/Metered Dose Pd Inh-60 Dose Pk	OCI	84.8280	84.8280	NO	NO	YES
02243595	MOMETASONE FUROATE	Asmanex Twisthaler 200mcg/Metered Dose Pd Inh-60 Dose Pk	OCI	42.4320	42.4320	NO	NO	YES
02361760	MOMETASONE FUROATE & FORMOTEROL FUMARATE DIHYDRATE	Zenhale 200mcg & 5mcg Metered Dose Inh-120 Dose Pk	OCI	149.3300	149.3300	NO	YES	NO
02361752	MOMETASONE FUROATE & FORMOTEROL FUMARATE DIHYDRATE	Zenhale 100mcg & 5mcg Metered Dose Inh-120 Dose Pk	OCI	123.2300	123.2300	NO	YES	NO
02377608	MONTELUKAST SODIUM	Apo-Montelukast 4mg Chew Tab	APX	0.2758	0.2758	YES	YES	NO
02377616	MONTELUKAST SODIUM	Apo-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	APX	1.2075	1.2075	YES	NO	NO
02422867	MONTELUKAST SODIUM	Auro-Montelukast Chewable Tablet 4mg Chew Tab	AUR	0.2758	0.2758	YES	YES	NO
02422875	MONTELUKAST SODIUM	Auro-Montelukast Chewable Tablet (Off-Formulary Interchangeable) 5mg Chew Tab	AUR	1.2077	1.2077	YES	NO	NO
02514877	MONTELUKAST SODIUM	Jamp Montelukast Chewable Tablets 4mg Chew Tab	JPC	0.2758	0.2758	YES	YES	NO
02514885	MONTELUKAST SODIUM	Jamp Montelukast Chewable Tablets (Off-Formulary Interchangeable) 5mg Chew Tab	JPC	1.2075	1.2075	YES	NO	NO
02442353	MONTELUKAST SODIUM	Jamp-Montelukast 4mg Chew Tab	JPC	0.2758	0.2758	YES	YES	NO
02442361	MONTELUKAST SODIUM	Jamp-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	JPC	1.2075	1.2075	YES	NO	NO
02399873	MONTELUKAST SODIUM	Mar-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	MAR	1.2075	1.2075	YES	NO	NO
02399865	MONTELUKAST SODIUM	Mar-Montelukast 4mg Chew Tab	MAR	0.2758	0.2758	YES	YES	NO
02408627	MONTELUKAST SODIUM	Mint-Montelukast 4mg Chew Tab	MIN	0.2758	0.2758	YES	YES	NO
02408635	MONTELUKAST SODIUM	Mint-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	MIN	1.2075	1.2075	YES	NO	NO
02382466	MONTELUKAST SODIUM	Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	SIV	1.2075	1.2075	YES	NO	NO
02382458	MONTELUKAST SODIUM	Montelukast 4mg Chew Tab	SIV	0.2758	0.2758	YES	YES	NO
02379325	MONTELUKAST SODIUM	Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	SAI	1.2075	1.2075	YES	NO	NO
02522101	MONTELUKAST SODIUM	Nat-Montelukast 4mg Chew Tab	NAT	0.2758	0.2758	YES	YES	NO
02522128	MONTELUKAST SODIUM	Nat-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	NAT	1.2077	1.2077	YES	NO	NO
02354985	MONTELUKAST SODIUM	PMS-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	PMS	1.2075	1.2075	YES	NO	NO
02354977	MONTELUKAST SODIUM	PMS-Montelukast 4mg Chew Tab	PMS	0.2758	0.2758	YES	YES	NO
02402807	MONTELUKAST SODIUM	Ran-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	RAN	1.2075	1.2075	YES	NO	NO
02330385	MONTELUKAST SODIUM	Sandoz Montelukast 4mg Chew Tab	SDZ	0.2758	0.2758	YES	YES	NO
02330393	MONTELUKAST SODIUM	Sandoz Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	SDZ	1.2075	1.2075	YES	NO	NO
02243602	MONTELUKAST SODIUM	Singulair 4mg Chew Tab	OCI	1.7622	0.2758	YES	YES	NO
02238216	MONTELUKAST SODIUM	Singulair (Off-Formulary Interchangeable) 5mg Chew Tab	OCI	N/A	N/A	YES	NO	NO
02355507	MONTELUKAST SODIUM	Teva-Montelukast 4mg Chew Tab	TEV	0.2758	0.2758	YES	YES	NO
02355515	MONTELUKAST SODIUM	Teva-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	TEV	1.2077	1.2077	YES	NO	NO
02358611	MONTELUKAST SODIUM	Sandoz Montelukast (Off-Formulary Interchangeable) 4mg Gran Pk	SDZ	1.3440	N/A	YES	NO	NO
02247997	MONTELUKAST SODIUM	Singulair (Off-Formulary Interchangeable) 4mg Gran Pk	OCI	N/A	N/A	YES	NO	NO
02379236	MONTELUKAST SODIUM	Ach-Montelukast (Off-Formulary Interchangeable) 10mg Tab	ACH	1.7735	1.7735	YES	NO	NO
02374609	MONTELUKAST SODIUM	Apo-Montelukast (Off-Formulary Interchangeable) 10mg Tab	APX	1.7735	1.7735	YES	NO	NO
02401274	MONTELUKAST SODIUM	Auro-Montelukast (Off-Formulary Interchangeable) 10mg Tab	AUR	1.7735	1.7735	YES	NO	NO
02391422	MONTELUKAST SODIUM	Jamp-Montelukast (Off-Formulary Interchangeable) 10mg Tab	JPC	1.7735	1.7735	YES	NO	NO
02488183	MONTELUKAST SODIUM	M-Montelukast (Off-Formulary Interchangeable) 10mg Tab	MAT	1.7735	1.7735	YES	NO	NO
02399997	MONTELUKAST SODIUM	Mar-Montelukast (Off-Formulary Interchangeable) 10mg Tab	MAR	1.7735	1.7735	YES	NO	NO
02408643	MONTELUKAST SODIUM	Mint-Montelukast (Off-Formulary Interchangeable) 10mg Tab	MIN	1.7735	1.7735	YES	NO	NO
02382474	MONTELUKAST SODIUM	Montelukast (Off-Formulary Interchangeable) 10mg Tab	SIV	1.7735	1.7735	YES	NO	NO
02379333	MONTELUKAST SODIUM	Montelukast (Off-Formulary Interchangeable) 10mg Tab	SAI	1.7735	1.7735	YES	NO	NO
02489821	MONTELUKAST SODIUM	NRA-Montelukast (Off-Formulary Interchangeable) 10mg Tab	NRA	1.7735	1.7735	YES	NO	NO
02522136	MONTELUKAST SODIUM	Nat-Montelukast (Off-Formulary Interchangeable) 10mg Tab	NAT	1.7737	1.7737	YES	NO	NO
02373947	MONTELUKAST SODIUM	PMS-Montelukast FC (Off-Formulary Interchangeable) 10mg Tab	PMS	1.7735	1.7735	YES	NO	NO
02389517	MONTELUKAST SODIUM	Ran-Montelukast (Off-Formulary Interchangeable) 10mg Tab	RAN	1.7735	1.7735	YES	NO	NO
02328593	MONTELUKAST SODIUM	Sandoz Montelukast (Off-Formulary Interchangeable) 10mg Tab	SDZ	1.7735	1.7735	YES	NO	NO
02238217	MONTELUKAST SODIUM	Singulair (Off-Formulary Interchangeable) 10mg Tab	OCI	N/A	N/A	YES	NO	NO
02355523	MONTELUKAST SODIUM	Teva-Montelukast (Off-Formulary Interchangeable) 10mg Tab	TEV	1.7737	1.7737	YES	NO	NO
02019930	MORPHINE SULFATE	M-Eslon 10mg ER Cap	ETH	0.3416	0.3416	NO	NO	YES
02177749	MORPHINE SULFATE	M-Eslon 15mg ER Cap	ETH	0.3941	0.3941	NO	NO	YES
02019949	MORPHINE SULFATE	M-Eslon 30mg ER Cap	ETH	0.5875	0.5875	NO	NO	YES
02019957	MORPHINE SULFATE	M-Eslon 60mg ER Cap	ETH	1.0457	1.0457	NO	NO	YES
02019965	MORPHINE SULFATE	M-Eslon 100mg ER Cap	ETH	2.2554	2.2554	NO	NO	YES
00392588	MORPHINE SULFATE	Morphine Sulfate 10mg/mL Inj Sol Amp	SDZ	2.3860	2.3860	NO	NO	YES
00392561	MORPHINE SULFATE	Morphine Sulfate 15mg/mL Inj Sol Amp	SDZ	2.0940	2.0940	YES	NO	YES
00850330	MORPHINE SULFATE	Morphine Sulfate Injection USP (Not a Benefit) 15mg/mL Inj Sol Amp	HOS	N/A	N/A	YES	NO	YES
02242484	MORPHINE SULFATE	Morphine Sulfate Injection USP 2mg/mL Inj Sol Amp	SDZ	2.2510	2.2510	NO	NO	YES
00617288	MORPHINE SULFATE	Morphine HP-50 50mg/mL Inj Sol-1mL Pk	SDZ	6.8195	6.8195	NO	NO	YES
02184435	MORPHINE SULFATE	Kadian 20mg SR Cap	BGP	0.9029	0.9029	NO	NO	YES
02184451	MORPHINE SULFATE	Kadian 100mg SR Cap	BGP	2.9793	2.9793	NO	NO	YES
02242163	MORPHINE SULFATE	Kadian 10mg SR Cap	BGP	0.4648	0.4648	NO	NO	YES
02184443	MORPHINE SULFATE	Kadian 50mg SR Cap	BGP	1.7080	1.7080	NO	NO	YES
02014327	MORPHINE SULFATE	MS Contin (Off-Formulary Interchangeable) 200mg SR Tab	PFP	7.4705	4.5738	YES	NO	YES
02014319	MORPHINE SULFATE	MS Contin 100mg SR Tab	PFP	4.0069	1.5395	YES	NO	YES
02014300	MORPHINE SULFATE	MS Contin 60mg SR Tab	PFP	2.6322	1.2180	YES	NO	YES
02014297	MORPHINE SULFATE	MS Contin 30mg SR Tab	PFP	1.4931	0.6580	YES	NO	YES
02015439	MORPHINE SULFATE	MS Contin 15mg SR Tab	PFP	0.9878	0.4145	YES	NO	YES
02478889	MORPHINE SULFATE	Sandoz Morphine SR 100mg SR Tab	SDZ	1.5395	1.5395	YES	NO	YES
02244790	MORPHINE SULFATE	Sandoz Morphine SR 15mg SR Tab	SDZ	0.4145	0.4145	YES	NO	YES
02244791	MORPHINE SULFATE	Sandoz Morphine SR 30mg SR Tab	SDZ	0.6580	0.6580	YES	NO	YES
02244792	MORPHINE SULFATE	Sandoz Morphine SR 60mg SR Tab	SDZ	1.2180	1.2180	YES	NO	YES
02478897	MORPHINE SULFATE	Sandoz Morphine SR (Off-Formulary Interchangeable) 200mg SR Tab	SDZ	4.5738	4.5738	YES	NO	YES
02302772	MORPHINE SULFATE	Teva-Morphine SR 30mg SR Tab	TEV	0.6580	0.6580	YES	NO	YES
02302802	MORPHINE SULFATE	Teva-Morphine SR (Off-Formulary Interchangeable) 200mg SR Tab	TEV	4.5737	4.5737	YES	NO	YES
02302764	MORPHINE SULFATE	Teva-Morphine SR 15mg SR Tab	TEV	0.4145	0.4145	YES	NO	YES
02302780	MORPHINE SULFATE	Teva-Morphine SR 60mg SR Tab	TEV	1.2180	1.2180	YES	NO	YES
02302799	MORPHINE SULFATE	Teva-Morphine SR 100mg SR Tab	TEV	1.5395	1.5395	YES	NO	YES
02014238	MORPHINE SULFATE	MS-IR 20mg Tab	PFP	0.4605	0.4605	NO	NO	YES
02014254	MORPHINE SULFATE	MS-IR 30mg Tab	PFP	0.5912	0.5912	NO	NO	YES
02549794	MORPHINE SULFATE	PMS-Morphine Sulfate 5mg Tab	PMS	0.0709	0.0709	YES	NO	YES
02549808	MORPHINE SULFATE	PMS-Morphine Sulfate 10mg Tab	PMS	0.1096	0.1096	YES	NO	YES
00594644	MORPHINE SULFATE	Statex 10mg Tab	PPI	0.1096	0.1096	YES	NO	YES
00594652	MORPHINE SULFATE	Statex 5mg Tab	PPI	0.0709	0.0709	YES	NO	YES
02484757	MOXIFLOXACIN HYDROCHLORIDE	AG-Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	ANG	11.2700	N/A	YES	NO	NO
02404656	MOXIFLOXACIN HYDROCHLORIDE	Act Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	ACV	11.2700	N/A	YES	NO	NO
02406373	MOXIFLOXACIN HYDROCHLORIDE	Apo-Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	APX	11.2700	N/A	YES	NO	NO
02472120	MOXIFLOXACIN HYDROCHLORIDE	Jamp-Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	JPC	11.2700	N/A	YES	NO	NO
02529076	MOXIFLOXACIN HYDROCHLORIDE	Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	SAI	11.2700	N/A	YES	NO	NO
02432218	MOXIFLOXACIN HYDROCHLORIDE	PMS-Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	PMS	11.2701	N/A	YES	NO	NO
02411520	MOXIFLOXACIN HYDROCHLORIDE	Sandoz Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	SDZ	11.2700	N/A	YES	NO	NO
02252260	MOXIFLOXACIN HYDROCHLORIDE	Vigamox (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	NOV	N/A	N/A	YES	NO	NO
02478137	MOXIFLOXACIN HYDROCHLORIDE	AG-Moxifloxacin 400mg Tab	ANG	1.5230	1.5230	YES	NO	NO
02404923	MOXIFLOXACIN HYDROCHLORIDE	Apo-Moxifloxacin 400mg Tab	APX	1.5230	1.5230	YES	NO	NO
02432242	MOXIFLOXACIN HYDROCHLORIDE	Auro-Moxifloxacin 400mg Tab	AUR	1.5230	1.5230	YES	NO	NO
02242965	MOXIFLOXACIN HYDROCHLORIDE	Avelox (Not a Benefit) 400mg Tab	BAY	N/A	N/A	YES	NO	NO
02443929	MOXIFLOXACIN HYDROCHLORIDE	Jamp-Moxifloxacin 400mg Tab	JPC	1.5230	1.5230	YES	NO	NO
02447061	MOXIFLOXACIN HYDROCHLORIDE	Jamp-Moxifloxacin Tablets 400mg Tab	JPC	1.5230	1.5230	YES	NO	NO
02472791	MOXIFLOXACIN HYDROCHLORIDE	M-Moxifloxacin 400mg Tab	MAT	1.5230	1.5230	YES	NO	NO
02447053	MOXIFLOXACIN HYDROCHLORIDE	Mar-Moxifloxacin 400mg Tab	MAR	1.5230	1.5230	YES	NO	NO
02457814	MOXIFLOXACIN HYDROCHLORIDE	Med-Moxifloxacin 400mg Tab	GMP	1.5230	1.5230	YES	NO	NO
02520710	MOXIFLOXACIN HYDROCHLORIDE	Moxifloxacin 400mg Tab	SAI	1.5230	1.5230	YES	NO	NO
02383381	MOXIFLOXACIN HYDROCHLORIDE	Sandoz Moxifloxacin 400mg Tab	SDZ	1.5230	1.5230	YES	NO	NO
02375702	MOXIFLOXACIN HYDROCHLORIDE	Teva-Moxifloxacin 400mg Tab	TEV	1.5230	1.5230	YES	NO	NO
02535718	MULTIVITAMINS	Pregnancy Multivitamin (Off-Formulary Interchangeable) Tab	JPC	0.3125	N/A	YES	NO	NO
02537478	MULTIVITAMINS	Pregnancy Multivitamin Folic 5 (Off-Formulary Interchangeable) Tab	JPC	0.5025	N/A	YES	NO	NO
02451573	MULTIVITAMINS	Pregvit (Off-Formulary Interchangeable) Tab	DUI	N/A	N/A	YES	NO	NO
02451581	MULTIVITAMINS	Pregvit Folic 5 (Off-Formulary Interchangeable) Tab	DUI	N/A	N/A	YES	NO	NO
02100606	MULTIVITAMINS FOR INFUSION	Multi-12 Inj-2x5mL Vial Pk	SDZ	23.0000	23.0000	NO	NO	NO
02242529	MULTIVITAMINS FOR INFUSION	Multi 12/K1 Pediatric Inj-4mL+1mL Vial Pk	SDZ	41.8000	41.8000	NO	NO	NO
01916947	MUPIROCIN	Bactroban (Not a Benefit) 2% Oint	GCH	N/A	N/A	YES	NO	NO
02279983	MUPIROCIN	Taro-Mupirocin 2% Oint	TAR	0.5069	0.5069	YES	NO	NO
02483459	MUPIROCIN CALCIUM	Stramucin 2% w/w Cr	GLP	1.6000	1.6000	NO	NO	NO
02352559	MYCOPHENOLATE MOFETIL	Apo-Mycophenolate 250mg Cap	APX	0.3712	0.3712	YES	NO	NO
02192748	MYCOPHENOLATE MOFETIL	CellCept 250mg Cap	HLR	2.2370	0.3712	YES	NO	NO
02386399	MYCOPHENOLATE MOFETIL	Jamp-Mycophenolate Capsules 250mg Cap	JPC	0.3712	0.3712	YES	NO	NO
02457369	MYCOPHENOLATE MOFETIL	Mycophenolate Mofetil 250mg Cap	SAI	0.3712	0.3712	YES	NO	NO
02383780	MYCOPHENOLATE MOFETIL	Mycophenolate Mofetil Capsules 250mg Cap	ACH	0.3712	0.3712	YES	NO	NO
02320630	MYCOPHENOLATE MOFETIL	Sandoz Mycophenolate Mofetil 250mg Cap	SDZ	0.3712	0.3712	YES	NO	NO
02364883	MYCOPHENOLATE MOFETIL	Teva-Mycophenolate 250mg Cap	TEV	0.3712	0.3712	YES	NO	NO
02242145	MYCOPHENOLATE MOFETIL	CellCept 200mg/mL Pd for Oral Susp-175mL Pk	HLR	350.8000	244.7025	YES	YES	NO
02522233	MYCOPHENOLATE MOFETIL	Mar-Mycophenolate Mofetil 200mg/mL Pd for Oral Susp-175mL Pk	MAR	244.7025	244.7025	YES	YES	NO
02378574	MYCOPHENOLATE MOFETIL	Ach-Mycophenolate 500mg Tab	ACH	0.7423	0.7423	YES	NO	NO
02352567	MYCOPHENOLATE MOFETIL	Apo-Mycophenolate 500mg Tab	APX	0.7423	0.7423	YES	NO	NO
02237484	MYCOPHENOLATE MOFETIL	CellCept 500mg Tab	HLR	4.4740	0.7423	YES	NO	NO
02380382	MYCOPHENOLATE MOFETIL	Jamp-Mycophenolate 500mg Tab	JPC	0.7423	0.7423	YES	NO	NO
02457377	MYCOPHENOLATE MOFETIL	Mycophenolate Mofetil 500mg Tab	SAI	0.7423	0.7423	YES	NO	NO
02313855	MYCOPHENOLATE MOFETIL	Sandoz Mycophenolate Mofetil 500mg Tab	SDZ	0.7423	0.7423	YES	NO	NO
02348675	MYCOPHENOLATE MOFETIL	Teva-Mycophenolate 500mg Tab	TEV	0.7423	0.7423	YES	NO	NO
02372738	MYCOPHENOLATE SODIUM	Apo-Mycophenolic Acid 180mg Ent Tab	APX	0.4994	0.4994	YES	NO	NO
02372746	MYCOPHENOLATE SODIUM	Apo-Mycophenolic Acid 360mg Ent Tab	APX	0.9988	0.9988	YES	NO	NO
02518538	MYCOPHENOLATE SODIUM	Jamp Mycophenolic Acid 180mg Ent Tab	JPC	0.4994	0.4994	YES	NO	NO
02518511	MYCOPHENOLATE SODIUM	Jamp Mycophenolic Acid 360mg Ent Tab	JPC	0.9988	0.9988	YES	NO	NO
02511673	MYCOPHENOLATE SODIUM	Mar-Mycophenolic Acid 180mg Ent Tab	MAR	0.4994	0.4994	YES	NO	NO
02511681	MYCOPHENOLATE SODIUM	Mar-Mycophenolic Acid 360mg Ent Tab	MAR	0.9988	0.9988	YES	NO	NO
02264560	MYCOPHENOLATE SODIUM	Myfortic 180mg Ent Tab	NOV	1.9977	0.4994	YES	NO	NO
02264579	MYCOPHENOLATE SODIUM	Myfortic 360mg Ent Tab	NOV	3.9953	0.9988	YES	NO	NO
02312263	NABILONE	Cesamet (Off-Formulary Interchangeable) 0.25mg Cap	VAL	N/A	N/A	YES	NO	NO
02256193	NABILONE	Cesamet 0.5mg Cap	VAL	4.1793	1.8886	YES	NO	NO
00548375	NABILONE	Cesamet 1mg Cap	VAL	8.3582	3.6669	YES	NO	NO
02380919	NABILONE	PMS-Nabilone 1mg Cap	PMS	3.6669	3.6669	YES	NO	NO
02380900	NABILONE	PMS-Nabilone 0.5mg Cap	PMS	1.8886	1.8886	YES	NO	NO
02380897	NABILONE	PMS-Nabilone (Off-Formulary Interchangeable) 0.25mg Cap	PMS	1.4660	N/A	YES	NO	NO
02358077	NABILONE	Ran-Nabilone (Off-Formulary Interchangeable) 0.25mg Cap	RAN	1.3962	N/A	YES	NO	NO
02384892	NABILONE	Teva-Nabilone 1mg Cap	TEV	3.6669	3.6669	YES	NO	NO
02392925	NABILONE	Teva-Nabilone (Off-Formulary Interchangeable) 0.25mg Cap	TEV	1.3962	N/A	YES	NO	NO
02384884	NABILONE	Teva-Nabilone 0.5mg Cap	TEV	1.8886	1.8886	YES	NO	NO
02238639	NABUMETONE	Nabumetone (Off-Formulary Interchangeable) 500mg Tab	AAP	0.7363	N/A	YES	NO	YES
02083531	NABUMETONE	Relafen (Off-Formulary Interchangeable) 500mg Tab	GSK	N/A	N/A	YES	NO	YES
00782475	NADOLOL	Apo-Nadolol 160mg Tab	APX	1.2046	1.2046	YES	NO	NO
00782467	NADOLOL	Apo-Nadolol 80mg Tab	APX	0.3410	0.3410	YES	NO	NO
00782505	NADOLOL	Apo-Nadolol 40mg Tab	APX	0.2375	0.2375	YES	NO	NO
00607126	NADOLOL	Corgard (Not a Benefit) 40mg Tab	BQU	N/A	N/A	YES	NO	NO
00463256	NADOLOL	Corgard (Not a Benefit) 80mg Tab	BQU	N/A	N/A	YES	NO	NO
00523372	NADOLOL	Corgard (Not a Benefit) 160mg Tab	BQU	N/A	N/A	YES	NO	NO
02496380	NADOLOL	Mint-Nadolol 40mg Tab	MIN	0.2375	0.2375	YES	NO	NO
02496399	NADOLOL	Mint-Nadolol 80mg Tab	MIN	0.3410	0.3410	YES	NO	NO
09853936	NADROPARIN CALCIUM	Fraxiparine 9500IU/mL Pref Syr-0.3mL Pk	ASN	5.4150	5.4150	NO	YES	NO
09853944	NADROPARIN CALCIUM	Fraxiparine 9500IU/mL Pref Syr-0.4mL Pk	ASN	6.8400	6.8400	NO	YES	NO
09853952	NADROPARIN CALCIUM	Fraxiparine 9500IU/mL Pref Syr-0.6mL Pk	ASN	9.0580	9.0580	NO	YES	NO
02240114	NADROPARIN CALCIUM	Fraxiparine Forte 19000IU/mL Pref Syr-0.6mL Pk	ASN	18.1170	18.1170	NO	YES	NO
09854100	NADROPARIN CALCIUM	Fraxiparine Forte 19000IU/mL Pref Syr-0.8mL Pk	ASN	18.1170	18.1170	NO	YES	NO
09853987	NADROPARIN CALCIUM	Fraxiparine 9500IU/mL Pref Syr-1.0mL Pk	ASN	9.0580	9.0580	NO	YES	NO
09854118	NADROPARIN CALCIUM	Fraxiparine Forte 19000IU/mL Pref Syr-1.0mL Pk	ASN	18.1170	18.1170	NO	YES	NO
02444275	NALTREXONE HCL	Apo-Naltrexone 50mg Tab	APX	2.8075	2.8075	YES	YES	NO
02451883	NALTREXONE HCL	Naltrexone Hydrochloride Tablets USP 50mg Tab	STN	2.8075	2.8075	YES	YES	NO
02213826	NALTREXONE HCL	Revia 50mg Tab	TEV	2.8075	2.8075	YES	YES	NO
00001147	NAPHAZOLINE HCL	Albalon (Not a Benefit) 0.1% Oph Sol	ALL	N/A	N/A	YES	NO	NO
00390283	NAPHAZOLINE HCL	Naphcon Forte (Not a Benefit) 0.1% Oph Sol	ALC	N/A	N/A	YES	NO	NO
00759880	NAPHAZOLINE HCL	Vasocon (Not a Benefit) 0.1% Oph Sol	IOB	N/A	N/A	YES	NO	NO
02246699	NAPROXEN	Apo-Naproxen EC (Off-Formulary Interchangeable) 250mg Ent Tab	APX	0.2835	N/A	YES	NO	YES
02246700	NAPROXEN	Apo-Naproxen EC (Off-Formulary Interchangeable) 375mg Ent Tab	APX	0.3675	N/A	YES	NO	YES
02246701	NAPROXEN	Apo-Naproxen EC (Off-Formulary Interchangeable) 500mg Ent Tab	APX	0.6894	N/A	YES	NO	YES
02162415	NAPROXEN	Naprosyn E (Off-Formulary Interchangeable) 375mg Ent Tab	HLR	N/A	N/A	YES	NO	YES
02162423	NAPROXEN	Naprosyn E (Off-Formulary Interchangeable) 500mg Ent Tab	HLR	N/A	N/A	YES	NO	YES
02162792	NAPROXEN	Naprosyn E (Off-Formulary Interchangeable) 250mg Ent Tab	HLR	N/A	N/A	YES	NO	YES
02294702	NAPROXEN	PMS-Naproxen EC (Off-Formulary Interchangeable) 375mg Ent Tab	PMS	0.3675	N/A	YES	NO	YES
02294710	NAPROXEN	PMS-Naproxen EC (Off-Formulary Interchangeable) 500mg Ent Tab	PMS	0.6894	N/A	YES	NO	YES
02243313	NAPROXEN	Teva-Naproxen EC (Off-Formulary Interchangeable) 375mg Ent Tab	TEV	0.3675	N/A	YES	NO	YES
02243314	NAPROXEN	Teva-Naproxen EC (Off-Formulary Interchangeable) 500mg Ent Tab	TEV	0.6894	N/A	YES	NO	YES
02243312	NAPROXEN	Teva-Naproxen EC (Off-Formulary Interchangeable) 250mg Ent Tab	TEV	0.2835	N/A	YES	NO	YES
02162431	NAPROXEN	Pediapharm Naproxen Suspension 25mg/mL O/L	MPI	0.0949	0.0949	NO	NO	YES
02162458	NAPROXEN	Naprosyn (Not a Benefit) 500mg Sup	HLR	N/A	N/A	YES	NO	YES
02017237	NAPROXEN	PMS-Naproxen 500mg Sup	PMS	0.9567	0.9567	YES	NO	YES
00522678	NAPROXEN	Apo-Naproxen 125mg Tab	APX	0.0781	0.0781	YES	NO	YES
00522651	NAPROXEN	Apo-Naproxen 250mg Tab	APX	0.1068	0.1068	YES	NO	YES
00592277	NAPROXEN	Apo-Naproxen 500mg Tab	APX	0.2244	0.2244	YES	NO	YES
00600806	NAPROXEN	Apo-Naproxen 375mg Tab	APX	0.1458	0.1458	YES	NO	YES
02162482	NAPROXEN	Naprosyn (Not a Benefit) 375mg Tab	HLR	N/A	N/A	YES	NO	YES
00299413	NAPROXEN	Naprosyn (Not a Benefit) 125mg Tab	SYN	N/A	N/A	YES	NO	YES
02162490	NAPROXEN	Naprosyn (Not a Benefit) 500mg Tab	HLR	N/A	N/A	YES	NO	YES
02162474	NAPROXEN	Naprosyn (Not a Benefit) 250mg Tab	HLR	N/A	N/A	YES	NO	YES
00589861	NAPROXEN	Teva-Naproxen 500mg Tab	TEV	0.2244	0.2244	YES	NO	YES
00565350	NAPROXEN	Teva-Naproxen 250mg Tab	TEV	0.1068	0.1068	YES	NO	YES
00627097	NAPROXEN	Teva-Naproxen 375mg Tab	TEV	0.1458	0.1458	YES	NO	YES
02458608	NAPROXEN & ESOMEPRAZOLE MAGNESIUM	Mylan-Naproxen & Esomeprazole MR (Off-Formulary Interchangeable) 375mg & 20mg MR Tab	MYL	0.9308	N/A	YES	NO	YES
02443449	NAPROXEN & ESOMEPRAZOLE MAGNESIUM	Mylan-Naproxen & Esomeprazole MR (Off-Formulary Interchangeable) 500mg & 20mg MR Tab	MYL	0.9274	N/A	YES	NO	YES
02361728	NAPROXEN & ESOMEPRAZOLE MAGNESIUM	Vimovo (Off-Formulary Interchangeable) 500mg & 20mg MR Tab	XED	N/A	N/A	YES	NO	YES
02361701	NAPROXEN & ESOMEPRAZOLE MAGNESIUM	Vimovo (Off-Formulary Interchangeable) 375mg & 20mg MR Tab	XED	N/A	N/A	YES	NO	YES
02162725	NAPROXEN SODIUM	Anaprox (Off-Formulary Interchangeable) 275mg Tab	HLR	N/A	N/A	YES	NO	YES
02162717	NAPROXEN SODIUM	Anaprox DS (Off-Formulary Interchangeable) 550mg Tab	HLR	N/A	N/A	YES	NO	YES
00784354	NAPROXEN SODIUM	Apo-Napro-Na (Off-Formulary Interchangeable) 275mg Tab	APX	0.3422	N/A	YES	NO	YES
01940309	NAPROXEN SODIUM	Apo-Napro-Na DS (Off-Formulary Interchangeable) 550mg Tab	APX	0.6667	N/A	YES	NO	YES
00778389	NAPROXEN SODIUM	Teva-Naproxen Sodium (Off-Formulary Interchangeable) 275mg Tab	TEV	0.3422	N/A	YES	NO	YES
02026600	NAPROXEN SODIUM	Teva-Naproxen Sodium DS (Off-Formulary Interchangeable) 550mg Tab	TEV	0.6667	N/A	YES	NO	YES
02237820	NARATRIPTAN HYDROCHLORIDE	Amerge (Off-Formulary Interchangeable) 1mg Tab	GSK	N/A	N/A	YES	NO	NO
02237821	NARATRIPTAN HYDROCHLORIDE	Amerge (Off-Formulary Interchangeable) 2.5mg Tab	GSK	N/A	N/A	YES	NO	NO
02365502	NARATRIPTAN HYDROCHLORIDE	Apo-Naratriptan (Off-Formulary Interchangeable) 2.5mg Tab	APX	8.2125	8.2125	YES	NO	NO
02322323	NARATRIPTAN HYDROCHLORIDE	Sandoz Naratriptan (Off-Formulary Interchangeable) 2.5mg Tab	SDZ	8.2125	8.2125	YES	NO	NO
02314290	NARATRIPTAN HYDROCHLORIDE	Teva-Naratriptan (Off-Formulary Interchangeable) 1mg Tab	TEV	12.4990	12.4990	YES	NO	NO
02314304	NARATRIPTAN HYDROCHLORIDE	Teva-Naratriptan (Off-Formulary Interchangeable) 2.5mg Tab	TEV	8.2125	8.2125	YES	NO	NO
02238617	NELFINAVIR MESYLATE	Viracept 250mg Tab	PFI	2.1814	2.1814	NO	NO	NO
02248761	NELFINAVIR MESYLATE	Viracept 625mg Tab	PFI	5.4642	5.4642	NO	NO	NO
02468735	NETUPITANT & PALONOSETRON HYDROCHLORIDE	Akynzeo 300mg & 0.5mg Cap	KNT	144.0075	144.0075	NO	YES	NO
02427931	NEVIRAPINE	Apo-Nevirapine XR 400mg ER Tab	APX	1.8519	1.8519	YES	NO	NO
02367289	NEVIRAPINE	Viramune XR (Not a Benefit) 400mg ER Tab	BOE	N/A	N/A	YES	NO	NO
02318601	NEVIRAPINE	Auro-Nevirapine 200mg Tab	AUR	1.2346	1.2346	YES	NO	NO
02405776	NEVIRAPINE	Jamp Nevirapine 200mg Tab	JPC	1.2346	1.2346	YES	NO	NO
02387727	NEVIRAPINE	Mylan-Nevirapine 200mg Tab	MYL	1.2346	1.2346	YES	NO	NO
02352893	NEVIRAPINE	Teva-Nevirapine 200mg Tab	TEV	1.2346	1.2346	YES	NO	NO
02238748	NEVIRAPINE	Viramune (Not a Benefit) 200mg Tab	BOE	N/A	N/A	YES	NO	NO
00268593	NICOTINIC ACID	Niacin-ICN (Not a Benefit) 50mg Tab	VAL	N/A	N/A	YES	NO	YES
00274496	NICOTINIC ACID	Novo-Niacin (Not a Benefit) 50mg Tab	NOP	N/A	N/A	YES	NO	YES
02155877	NIFEDIPINE	Adalat (Not a Benefit) 10mg Cap	BAH	N/A	N/A	YES	NO	YES
02155869	NIFEDIPINE	Adalat (Not a Benefit) 5mg Cap	BAH	N/A	N/A	YES	NO	NO
00725110	NIFEDIPINE	Nifedipine 5mg Cap	AAP	0.3679	0.3679	YES	NO	NO
00755907	NIFEDIPINE	Nifedipine 10mg Cap	AAP	0.4877	0.4877	YES	NO	YES
02155990	NIFEDIPINE	Adalat XL (Not a Benefit) 60mg ER Tab	BAY	N/A	N/A	YES	NO	NO
02155907	NIFEDIPINE	Adalat XL 30mg ER Tab	BAY	0.6171	0.6171	YES	NO	NO
02321149	NIFEDIPINE	Mylan-Nifedipine Extended Release 60mg ER Tab	MYL	0.9374	0.9374	YES	NO	NO
02349167	NIFEDIPINE	Mylan-Nifedipine Extended Release 30mg ER Tab	MYL	0.6171	0.6171	YES	NO	NO
02550881	NILOTINIB	Apo-Nilotinib (Off-Formulary Interchangeable) 150mg Cap	APX	16.5570	16.5570	YES	NO	NO
02550903	NILOTINIB	Apo-Nilotinib (Off-Formulary Interchangeable) 200mg Cap	APX	23.0473	23.0473	YES	NO	NO
02556642	NILOTINIB	Reddy-Nilotinib (Off-Formulary Interchangeable) 200mg Cap	DRR	23.0473	23.0473	YES	NO	NO
02556634	NILOTINIB	Reddy-Nilotinib (Off-Formulary Interchangeable) 150mg Cap	DRR	16.5570	16.5570	YES	NO	NO
02315874	NILOTINIB	Tasigna (Off-Formulary Interchangeable) 200mg Cap	NOV	47.0164	23.0473	YES	NO	NO
02368250	NILOTINIB	Tasigna (Off-Formulary Interchangeable) 150mg Cap	NOV	33.7762	16.5570	YES	NO	NO
02325926	NIMODIPINE	Nimotop 30mg Tab	BAH	10.3006	10.3006	NO	YES	NO
02527804	NIRMATRELVIR & RITONAVIR	Paxlovid 150mg & 100mg Tab-20 Pk	PFI	1288.8800	1288.8800	NO	YES	NO
02524031	NIRMATRELVIR & RITONAVIR	Paxlovid 150mg & 100mg Tab-30 Pk	PFI	1288.8800	1288.8800	NO	YES	NO
00511536	NITRAZEPAM	Mogadon 10mg Tab	AAP	0.2732	0.2732	NO	NO	NO
00511528	NITRAZEPAM	Mogadon 5mg Tab	AAP	0.1826	0.1826	NO	NO	NO
02495503	NITROFURANTOIN	Jamp Nitrofurantoin 50mg Cap	JPC	0.2927	0.2927	YES	NO	YES
02495511	NITROFURANTOIN	Jamp Nitrofurantoin 100mg Cap	JPC	0.5499	0.5499	YES	NO	YES
01997637	NITROFURANTOIN	Macrodantin (Not a Benefit) 50mg Cap	PGP	N/A	N/A	YES	NO	YES
01997645	NITROFURANTOIN	Macrodantin (Not a Benefit) 100mg Cap	PGP	N/A	N/A	YES	NO	YES
02231015	NITROFURANTOIN	Teva-Nitrofurantoin 50mg Cap	TEV	0.2927	0.2927	YES	NO	YES
02231016	NITROFURANTOIN	Teva-Nitrofurantoin 100mg Cap	TEV	0.5499	0.5499	YES	NO	YES
00017086	NITROFURANTOIN	Nifuran (Not a Benefit) 50mg Tab	MAN	N/A	N/A	YES	NO	YES
00017094	NITROFURANTOIN	Nifuran (Not a Benefit) 100mg Tab	MAN	N/A	N/A	YES	NO	YES
00312738	NITROFURANTOIN	Nitrofurantoin 100mg Tab	AAP	0.2272	0.2272	YES	NO	YES
00319511	NITROFURANTOIN	Nitrofurantoin 50mg Tab	AAP	0.1703	0.1703	YES	NO	YES
02466392	NITROFURANTOIN MONO/MICRO CRYSTALS	Auro-Nitrofurantoin BID 100mg Cap	AUR	0.3983	0.3983	YES	NO	NO
02063662	NITROFURANTOIN MONO/MICRO CRYSTALS	MacroBID (Not a Benefit) 100mg Cap	WAR	N/A	N/A	YES	NO	NO
02455676	NITROFURANTOIN MONO/MICRO CRYSTALS	PMS-Nitrofurantoin BID 100mg Cap	PMS	0.3983	0.3983	YES	NO	NO
02046156	NITROGLYCERIN	Transderm-Nitro 0.6mg/Hr/30 Sq Cm Patch	NOV	1.0290	1.0290	NO	NO	NO
00852384	NITROGLYCERIN	Transderm-Nitro 0.4mg/Hr/20 Sq Cm Patch	NOV	1.0010	1.0010	NO	NO	NO
02230734	NITROGLYCERIN	Trinipatch 0.6mg/Hr/21 Sq Cm Patch	PPI	0.8773	0.8773	NO	NO	NO
02230733	NITROGLYCERIN	Trinipatch 0.4mg/Hr/14 Sq Cm Patch	PPI	0.8773	0.8773	NO	NO	NO
00037621	NITROGLYCERIN	Nitrostat 0.6mg SL Tab	UJC	0.1847	0.1847	NO	NO	NO
00037613	NITROGLYCERIN	Nitrostat 0.3mg SL Tab	UJC	0.1847	0.1847	NO	NO	NO
09858317	NITROGLYCERIN	Nitrolingual Pumpspray (Temporary Benefit) 0.4mg/Metered Dose Sp-180 Dose Pk	JUN	8.4200	8.4200	NO	NO	NO
09858327	NITROGLYCERIN	Nitrolingual Pumpspray (Temporary Benefit) 0.4mg/Metered Dose Sp-75 Dose Pk	SAC	9.4000	9.4000	NO	NO	NO
02243588	NITROGLYCERIN	Mylan-Nitro Sublingual Spray 0.4mg/Metered Dose Spray-200 Dose Pk	MYL	8.4600	8.4600	YES	NO	NO
01926721	NITROGLYCERIN	Nitrolingual (Not a Benefit) 0.4mg/Metered Dose Spray-200 Dose Pk	AVE	N/A	N/A	YES	NO	NO
02231441	NITROGLYCERIN	Nitrolingual Pump Spray 0.4mg/Metered Dose Spray-200 Dose Pk	SAV	16.0000	8.4200	YES	NO	NO
02238998	NITROGLYCERIN	Rho-Nitro Pumpspray 0.4mg/Metered Dose Spray-200 Dose Pk	SDZ	8.4200	8.4200	YES	NO	NO
02407442	NITROGLYCERIN	Mylan-Nitro 0.2 (Off-Formulary Interchangeable) 0.2mg/Hr Transdermal Patch	MYL	0.4463	N/A	YES	NO	NO
02407450	NITROGLYCERIN	Mylan-Nitro 0.4 0.4mg/Hr Transdermal Patch	MYL	0.5040	0.5040	YES	NO	NO
02407469	NITROGLYCERIN	Mylan-Nitro 0.6 0.6mg/Hr Transdermal Patch	MYL	0.5040	0.5040	YES	NO	NO
02407477	NITROGLYCERIN	Mylan-Nitro 0.8 (Off-Formulary Interchangeable) 0.8mg/Hr Transdermal Patch	MYL	0.8743	N/A	YES	NO	NO
01911929	NITROGLYCERIN	Nitro-Dur 0.6mg/Hr Transdermal Patch	DRR	0.5040	0.5040	YES	NO	NO
01911902	NITROGLYCERIN	Nitro-Dur 0.4mg/Hr Transdermal Patch	DRR	0.5040	0.5040	YES	NO	NO
01911910	NITROGLYCERIN	Nitro-Dur 0.2 (Off-Formulary Interchangeable) 0.2mg/Hr Transdermal Patch	DRR	N/A	N/A	YES	NO	NO
02011271	NITROGLYCERIN	Nitro-Dur 0.8 (Off-Formulary Interchangeable) 0.8mg/Hr Transdermal Patch	DRR	N/A	N/A	YES	NO	NO
00778346	NIZATIDINE	Axid 300mg Cap	PHE	1.5206	1.5206	NO	NO	YES
00778338	NIZATIDINE	Axid 150mg Cap	PEN	0.9047	0.9047	NO	NO	YES
02441306	NORETHINDRONE	Jencycla 0.35mg Tab-28 Pk	LUP	10.9900	10.9900	YES	NO	NO
00037605	NORETHINDRONE	Micronor (Not a Benefit) 0.35mg Tab-28 Pk	JAN	N/A	N/A	YES	NO	NO
02410303	NORETHINDRONE	Movisse 0.35mg Tab-28 Pk	MYL	10.9900	10.9900	YES	NO	NO
02229524	NORFLOXACIN	Norfloxacin 400mg Tab	AAP	1.8586	1.8586	YES	NO	NO
00643025	NORFLOXACIN	Noroxin (Not a Benefit) 400mg Tab	MSD	N/A	N/A	YES	NO	NO
02508087	NORGESTIMATE & ETHINYL ESTRADIOL	Tri-Cira 21 3 Phase Tab-21 Pk	APX	14.3900	14.3900	YES	NO	NO
02028700	NORGESTIMATE & ETHINYL ESTRADIOL	Tri-Cyclen (Not a Benefit) 3 Phase Tab-21 Pk	JAN	N/A	N/A	YES	NO	NO
02258560	NORGESTIMATE & ETHINYL ESTRADIOL	Tri-Cyclen Lo (Not a Benefit) 3 Phase Tab-21 Pk	JAN	N/A	N/A	YES	NO	NO
02486296	NORGESTIMATE & ETHINYL ESTRADIOL	Tri-Jordyna 21 3 Phase Tab-21 Pk	GLP	14.3900	14.3900	YES	NO	NO
02401967	NORGESTIMATE & ETHINYL ESTRADIOL	Tricira Lo (21 Day) 3 Phase Tab-21 Pk	APX	13.3900	13.3900	YES	NO	NO
02508095	NORGESTIMATE & ETHINYL ESTRADIOL	Tri-Cira 28 3 Phase Tab-28 Pk	APX	14.3900	14.3900	YES	NO	NO
02029421	NORGESTIMATE & ETHINYL ESTRADIOL	Tri-Cyclen (Not a Benefit) 3 Phase Tab-28 Pk	JAN	N/A	N/A	YES	NO	NO
02258587	NORGESTIMATE & ETHINYL ESTRADIOL	Tri-Cyclen Lo (Not a Benefit) 3 Phase Tab-28 Pk	JAN	N/A	N/A	YES	NO	NO
02486318	NORGESTIMATE & ETHINYL ESTRADIOL	Tri-Jordyna 28 3 Phase Tab-28 Pk	GLP	14.3900	14.3900	YES	NO	NO
02401975	NORGESTIMATE & ETHINYL ESTRADIOL	Tricira Lo (28 Day) 3 Phase Tab-28 Pk	APX	13.3900	13.3900	YES	NO	NO
00015237	NORTRIPTYLINE	Aventyl 25mg Cap	AAP	0.6054	0.6054	NO	NO	NO
00015229	NORTRIPTYLINE	Aventyl 10mg Cap	AAP	0.2995	0.2995	NO	NO	NO
09857569	NUTRITIONAL PRODUCT	Isosource 1.5 1.5kcal/mL 1500mL Ready-to-Hang	NES	N/A	11.4975	NO	NO	NO
09857559	NUTRITIONAL PRODUCT	Isosource Fibre 1.2 1.2kcal/mL 1500mL Ready-to-hang	NES	N/A	13.8244	NO	NO	NO
09857561	NUTRITIONAL PRODUCT	Isosource Fibre 1.5 1.5kcal/mL 1500mL Ready-to-hang	NES	N/A	17.2564	NO	NO	NO
09858353	NUTRITIONAL PRODUCT	Renastep 2kcal/mL 200mL Pk bottle	VIT	N/A	9.2300	NO	NO	NO
09857566	NUTRITIONAL PRODUCT	Isosource 1.2 1.2Kcal/mL 250mL Tetra Pk	NES	N/A	1.5330	NO	NO	NO
09857568	NUTRITIONAL PRODUCT	Isosource 1.5 1.5kcal/mL 250mL Tetra Pk	NES	N/A	1.9163	NO	NO	NO
09857558	NUTRITIONAL PRODUCT	Isosource Fibre 1.2 1.2kcal/mL 250mL Tetra Pk	NES	N/A	2.3040	NO	NO	NO
09857560	NUTRITIONAL PRODUCT	Isosource Fibre 1.5 1.5kcal/mL 250mL Tetra Pk	NES	N/A	2.8760	NO	NO	NO
09858355	NUTRITIONAL PRODUCT	Peptamen 1.5 with Prebio 1.5kcal/mL Liq - 250mL Tetra Pk	NES	N/A	13.2225	NO	NO	NO
09857562	NUTRITIONAL PRODUCT	Peptamen Junior 1.5 1.5Kcal/mL Liq - 250mL Tetra Pk	NES	N/A	13.2224	NO	NO	NO
09857109	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-1000mL Pk	ABB	N/A	9.1300	NO	NO	NO
09857310	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-1000mL Pk	ABB	N/A	11.5200	NO	NO	NO
09857126	NUTRITIONAL PRODUCT	Peptamen 1.5 1.5kcal/mL Liq-1000mL Pk	NES	N/A	52.8900	NO	NO	NO
09854391	NUTRITIONAL PRODUCT	Perative Liq-1000mL Pk	ROS	N/A	11.4800	NO	NO	NO
09854231	NUTRITIONAL PRODUCT	Compleat 1.06 Liq-1000mL Ready-To-Hang	NES	N/A	7.9700	NO	NO	NO
09854479	NUTRITIONAL PRODUCT	Jevity 1 Cal 1.06kcal/mL Liq-1500mL Pk	ABB	N/A	12.2200	NO	NO	NO
09857117	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-1500mL Pk	ABB	N/A	13.7000	NO	NO	NO
09857312	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-1500mL Pk	ABB	N/A	17.2800	NO	NO	NO
09854452	NUTRITIONAL PRODUCT	Osmolite 1 Cal 1.06kcal/mL Liq-1500mL Pk	ABB	N/A	8.0100	NO	NO	NO
09857095	NUTRITIONAL PRODUCT	Osmolite 1.2 Cal 1.2kcal/mL Liq-1500mL Pk	ABB	N/A	9.0700	NO	NO	NO
09857102	NUTRITIONAL PRODUCT	Peptamen with Prebio 1kcal/mL Liq-1500mL Pk	NES	N/A	52.8900	NO	NO	NO
09858356	NUTRITIONAL PRODUCT	Peptamen 1.5 with Prebio 1.5kcal/mL Liq-1500mL Ready-to-Hang	NES	N/A	79.3351	NO	NO	NO
97984060	NUTRITIONAL PRODUCT	Jevity 1 Cal 1.06kcal/mL Liq-235mL Pk	ABB	N/A	1.9200	NO	NO	NO
09854096	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-235mL Pk	ABB	N/A	2.1700	NO	NO	NO
09857344	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-235mL Pk	ABB	N/A	2.7025	NO	NO	NO
97973165	NUTRITIONAL PRODUCT	Osmolite 1 CAL Liq-235mL Pk	ABB	N/A	1.2600	NO	NO	NO
09854169	NUTRITIONAL PRODUCT	Osmolite 1.2 CAL Liq-235mL Pk	ABB	N/A	1.4400	NO	NO	NO
97984370	NUTRITIONAL PRODUCT	PediaSure Liq-235mL Pk	ABB	N/A	2.4700	NO	NO	NO
09857419	NUTRITIONAL PRODUCT	Pediasure Plus with Fibre 1.5kcal/mL Liq-235mL Pk	ROS	N/A	2.7400	NO	NO	NO
09854371	NUTRITIONAL PRODUCT	Pediasure with Fibre 1kcal/mL Liq-235mL Pk	ROS	N/A	2.4700	NO	NO	NO
09853731	NUTRITIONAL PRODUCT	Suplena Liq-235mL Pk	ABB	N/A	2.0900	NO	NO	NO
09854380	NUTRITIONAL PRODUCT	TwoCal HN 2kcal/mL Liq-235mL Pk	ROS	N/A	2.3688	NO	NO	NO
97904333	NUTRITIONAL PRODUCT	Ensure Plus Liq-235mL Pk Cans	ABB	N/A	1.7900	NO	NO	NO
97982610	NUTRITIONAL PRODUCT	Boost 1.5 Plus Calories 1.5kcal/mL Liq-237mL Pk	NES	N/A	1.7392	NO	NO	NO
09853154	NUTRITIONAL PRODUCT	Boost Fruit Flavoured Beverage Liq-237mL Pk	NES	N/A	1.5300	NO	NO	NO
09857615	NUTRITIONAL PRODUCT	Neocate Splash (Grape Flavour) 1kcal/mL Liq-237mL Pk	NUT	N/A	7.0561	NO	NO	NO
09857604	NUTRITIONAL PRODUCT	Neocate Splash (Tropical Fruit Flavour) 1kcal/mL Liq-237mL Pk	NUT	N/A	7.0561	NO	NO	NO
09857603	NUTRITIONAL PRODUCT	Neocate Splash (Unflavoured) 1kcal/mL Liq-237mL Pk	NUT	N/A	7.0561	NO	NO	NO
09857616	NUTRITIONAL PRODUCT	Neocate Splash(Orange-Pineapple Flavour) 1kcal/mL Liq-237mL Pk	NUT	N/A	7.0561	NO	NO	NO
09854258	NUTRITIONAL PRODUCT	NovaSource Renal Liq-237mL Pk	NES	N/A	2.3940	NO	NO	NO
09854390	NUTRITIONAL PRODUCT	Perative Liq-237mL Pk	ROS	N/A	2.7200	NO	NO	NO
09853170	NUTRITIONAL PRODUCT	Resource 2.0 Liq-237mL Pk	NES	N/A	2.4041	NO	NO	NO
09857142	NUTRITIONAL PRODUCT	Resource Kid Essentials 1.5 1.5kcal/mL Liq-237mL Pk	NES	N/A	2.7480	NO	NO	NO
09857523	NUTRITIONAL PRODUCT	PediaSure Peptide 1 Cal 1.0kcal/mL Liq-237mL Pk Reclosable Plastic Bottle	ABB	N/A	2.6892	NO	NO	NO
09857497	NUTRITIONAL PRODUCT	KetoCal 4:1 (Unflavoured) 1.5kcal/mL Liq-237mL Tetra Pk	NUT	N/A	5.7463	NO	NO	NO
09857388	NUTRITIONAL PRODUCT	KetoCal 4:1 (Vanilla Flavoured) 1.5kcal/mL Liq-237mL Tetra Pk	NUT	N/A	5.7463	NO	NO	NO
09858245	NUTRITIONAL PRODUCT	KetoVie 4:1 Plant Based Protein(Vanilla) 1.50kcal/mL Liq-250mL Carton	CAM	N/A	9.2448	NO	NO	NO
09858161	NUTRITIONAL PRODUCT	KetoVie 4:1 Unflavoured 1.50kcal/mL Liq-250mL Carton Box	CAM	N/A	6.5451	NO	NO	NO
09858166	NUTRITIONAL PRODUCT	KetoVie 3:1 1.04kcal/mL Liq-250mL Carton Box (Unflavoured)	CAM	N/A	6.5451	NO	NO	NO
09857173	NUTRITIONAL PRODUCT	Compleat Junior 1.0 1kcal/mL Liq-250mL Pk	NES	N/A	2.5920	NO	NO	NO
09858139	NUTRITIONAL PRODUCT	KetoVie Peptide 4:1 1.49kcal/mL Liq-250mL Pk	CAM	N/A	9.2448	NO	NO	NO
09854215	NUTRITIONAL PRODUCT	Nutren Junior 1.0 1kcal/mL Liq-250mL Pk	NES	N/A	1.6480	NO	NO	NO
09854223	NUTRITIONAL PRODUCT	Nutren Junior Fibre 1.0 1kcal/mL Liq-250mL Pk	NES	N/A	1.6480	NO	NO	NO
97984779	NUTRITIONAL PRODUCT	Peptamen Liq-250mL Pk	NES	N/A	8.8150	NO	NO	NO
09853090	NUTRITIONAL PRODUCT	Peptamen 1.5 1.5kcal/mL Liq-250mL Pk	NES	N/A	13.2225	NO	NO	NO
09853588	NUTRITIONAL PRODUCT	Peptamen Junior Liq-250mL Pk	NES	N/A	8.8150	NO	NO	NO
09857101	NUTRITIONAL PRODUCT	Peptamen with Prebio 1kcal/mL Liq-250mL Pk	NES	N/A	8.8150	NO	NO	NO
09857427	NUTRITIONAL PRODUCT	Resource Diabetic 1.05 1.06kcal/mL Liq-250mL Pk	NES	N/A	2.0352	NO	NO	NO
97983330	NUTRITIONAL PRODUCT	Compleat 1.06 Liq-250mL Tetra Pk	NES	N/A	2.0300	NO	NO	NO
09858157	NUTRITIONAL PRODUCT	Nutramigen Liquid Concentrate (Temporary Benefit) 68kcal/100mL Liq-384mL Can	MJC	8.3200	8.3200	NO	NO	NO
97973084	NUTRITIONAL PRODUCT	RCF Liq-384mL Pk	ABB	N/A	6.2700	NO	NO	NO
97984558	NUTRITIONAL PRODUCT	Alimentum Liq-4x237mL Pk	ABB	N/A	6.1600	NO	NO	NO
97904473	NUTRITIONAL PRODUCT	MCT Oil 7.7kcal/mL Liq-946mL Pk	NES	N/A	34.4900	NO	NO	NO
09858117	NUTRITIONAL PRODUCT	KetoVie 4:1 1.56kcal/mL Liq-Chocolate Flavour, 250mL Pk	CAM	N/A	6.5451	NO	NO	NO
09858101	NUTRITIONAL PRODUCT	Vital Peptide 1 Cal 1Kcal/mL Liq-Vanilla Flavour, 220mL Pk bottle	ABB	N/A	5.3721	NO	NO	NO
09858102	NUTRITIONAL PRODUCT	Vital Peptide 1.5 Cal 1.5Kcal/mL Liq-Vanilla Flavour, 220mL Pk bottle	ABB	N/A	7.7472	NO	NO	NO
09858118	NUTRITIONAL PRODUCT	KetoVie 4:1 1.44kcal/mL Liq-Vanilla Flavour, 250mL Pk	CAM	N/A	6.5451	NO	NO	NO
09858103	NUTRITIONAL PRODUCT	Vital Peptide 1.5 Cal 1.5Kcal/mL Liq-Vanilla Flavour,1000mL Ready to Hang container	ABB	N/A	35.2145	NO	NO	NO
09857172	NUTRITIONAL PRODUCT	Enfamil EnfaCare A+ 22kcal/30mL Pd for Liq-363g Pk	MJS	N/A	17.3700	NO	NO	NO
09857635	NUTRITIONAL PRODUCT	Beneprotein 810.7143Kcal/227g Pd-227g Pk Canister (Unflavoured)	NES	N/A	12.8904	NO	NO	NO
09857599	NUTRITIONAL PRODUCT	KetoCal 4:1 (Vanilla Flavour) 7.05kcal/g Pd-300g Pk	NUT	N/A	31.8000	NO	NO	NO
09857124	NUTRITIONAL PRODUCT	Similac Advance NeoSure 5.15kcal/g Pd-363g Pk	ABB	N/A	14.9900	NO	NO	NO
09858156	NUTRITIONAL PRODUCT	Gerber Good Start Extensive HA (Temporary Benefit) 4.9301kcal/g Pd-400g Bottle	NEC	17.6200	17.6200	NO	NO	NO
09858159	NUTRITIONAL PRODUCT	Alfamino (Temporary Benefit) 1976Kcal/400g Pd-400g Can	NES	64.0200	64.0200	NO	NO	NO
09858160	NUTRITIONAL PRODUCT	Althera (Temporary Benefit) 2024Kcal/400g Pd-400g Can	NES	18.0700	18.0700	NO	NO	NO
09858140	NUTRITIONAL PRODUCT	Renastart 1976kcal/400g Pd-400g Can	VIT	N/A	42.2750	NO	NO	NO
09857627	NUTRITIONAL PRODUCT	Neocate DHA & ARA 0.2071g/kcal Pd-400g Can Pk	NUT	N/A	62.5600	NO	NO	NO
09857564	NUTRITIONAL PRODUCT	Similac Alimentum 5.17Kcal/g Pd-400g Can Pk	ABB	N/A	16.4700	NO	NO	NO
09858280	NUTRITIONAL PRODUCT	Monogen (Temporary Benefit) 4.41cal/g Pd-400g Can with DHA & ARA (Unflavoured)	NUT	38.3333	38.3333	NO	NO	NO
09858320	NUTRITIONAL PRODUCT	Alfamino Junior 1.0kcal/mL Pd-400g Canister	NES	N/A	64.6759	NO	NO	NO
09857393	NUTRITIONAL PRODUCT	Modulen 1kcal/mL Pd-400g Pk	NES	N/A	29.0000	NO	NO	NO
09857594	NUTRITIONAL PRODUCT	Neocate Junior (Tropical Flavour) 1kcal/mL Pd-400g Pk	NUT	N/A	54.2699	NO	NO	NO
09854207	NUTRITIONAL PRODUCT	Neocate Junior (Unflavoured) 1kcal/mL Pd-400g Pk	NUT	N/A	54.2699	NO	NO	NO
09857369	NUTRITIONAL PRODUCT	PurAmino A+ 5kcal/g Pd-400g Pk	MJN	N/A	55.7900	NO	NO	NO
09858354	NUTRITIONAL PRODUCT	Essential Care Junior (Unflavored) 1.0kcal/mL Pd-400g Pouch Pk	CAM	N/A	57.7800	NO	NO	NO
09857345	NUTRITIONAL PRODUCT	Nutramigen A+ 5kcal/g Pd-454g Pk	MJN	N/A	29.1300	NO	NO	NO
09854401	NUTRITIONAL PRODUCT	Portagen 1.02kcal/mL Pd-454g Pk	MJN	N/A	55.7800	NO	NO	NO
09857565	NUTRITIONAL PRODUCT	Nutramigen A+ with LGG 5Kcal/g Pd-561g Can Pk	MJN	N/A	35.9900	NO	NO	NO
97982830	NUTRITIONAL PRODUCT	Vivonex Plus Pd-79.5g Pk	NES	N/A	7.0300	NO	NO	NO
09857634	NUTRITIONAL PRODUCT	Beneprotein 25Kcal/7g Pd-7g Pk Sachet (Unflavoured)	NES	N/A	0.3975	NO	NO	NO
09853618	NUTRITIONAL PRODUCT	Vivonex T.E.N. Pd-80.4g Pk	NES	N/A	9.7843	NO	NO	NO
97982750	NUTRITIONAL PRODUCT	Tolerex Pd-80g Pk	NES	N/A	5.0460	NO	NO	NO
09858158	NUTRITIONAL PRODUCT	Similac Alimentum (Temporary Benefit) 0.677kcal/mL Pd-946mL Bottle	ABB	5.6278	5.6278	NO	NO	NO
09858121	NUTRITIONAL PRODUCT	Isosource 2.0 2.0kcal/mL Ready-To-Hang 1000mL Pk	NES	N/A	10.0800	NO	NO	NO
09858352	NUTRITIONAL PRODUCT	Pivot 1.5 CAL 1.5Kcal/mL Ready-to-Hang - 1L Pk	ABB	N/A	52.7999	NO	NO	NO
09858351	NUTRITIONAL PRODUCT	Pivot 1.5 CAL 1.5Kcal/mL Tetrapack-237mL Pk	ABB	N/A	12.5135	NO	NO	NO
00029092	NYSTATIN	Mycostatin (Not a Benefit) 100000U/g Cr	BQU	N/A	N/A	YES	NO	YES
00716871	NYSTATIN	Nyaderm 100000U/g Cr	TAR	0.2037	0.2037	YES	NO	YES
02433443	NYSTATIN	Jamp-Nystatin Oral Suspension USP 100000U/mL O/L	JPC	0.0518	0.0518	YES	NO	NO
00248169	NYSTATIN	Mycostatin (Not a Benefit) 100000U/mL O/L	BQU	N/A	N/A	YES	NO	NO
02194201	NYSTATIN	Ratio-Nystatin 100000U/mL O/L	RPH	0.0518	0.0518	YES	NO	NO
00029556	NYSTATIN	Mycostatin (Not a Benefit) 100000U/g Oint	BQU	N/A	N/A	YES	NO	YES
02194228	NYSTATIN	Ratio-Nystatin 100000U/g Oint	RPH	0.1277	0.1277	YES	NO	YES
00295973	NYSTATIN	Mycostatin (Not a Benefit) 25000U/g Vag Cr	BQU	N/A	N/A	YES	NO	YES
00716901	NYSTATIN	Nyaderm 25000U/g Vag Cr	TAR	0.0834	0.0834	YES	NO	YES
02194163	NYSTATIN	Ratio-Nystatin 100000U/g Vag Cr	RPH	0.3191	0.3191	NO	NO	YES
02503786	OCTREOTIDE	Octreotide for Injectable Suspension 30mg Inj Kit Pk	TEV	1642.1400	1642.1400	YES	NO	NO
02503778	OCTREOTIDE	Octreotide for Injectable Suspension 20mg Inj Kit Pk	TEV	1279.9350	1279.9350	YES	NO	NO
02503751	OCTREOTIDE	Octreotide for Injectable Suspension 10mg Inj Kit Pk	TEV	990.6975	990.6975	YES	NO	NO
02239323	OCTREOTIDE	Sandostatin LAR 10mg Inj Kit Pk	NOV	1320.9300	990.6975	YES	NO	NO
02239324	OCTREOTIDE	Sandostatin LAR 20mg Inj Kit Pk	NOV	1706.5800	1279.9350	YES	NO	NO
02239325	OCTREOTIDE	Sandostatin LAR 30mg Inj Kit Pk	NOV	2189.5200	1642.1400	YES	NO	NO
02248641	OCTREOTIDE	Octreotide Acetate Omega 500mcg/mL Inj Sol - 1mL Amp Pk	OMG	40.3019	40.3019	YES	NO	NO
02248639	OCTREOTIDE	Octreotide Acetate Omega 50mcg/mL Inj Sol - 1mL Amp Pk	OMG	4.0080	4.0080	YES	NO	NO
02248640	OCTREOTIDE	Octreotide Acetate Omega 100mcg/mL Inj Sol - 1mL Amp Pk	OMG	7.5660	7.5660	YES	NO	NO
00839213	OCTREOTIDE	Sandostatin (Not a Benefit) 500mcg/mL Inj Sol - 1mL Amp Pk	NOV	N/A	N/A	YES	NO	NO
00839205	OCTREOTIDE	Sandostatin 100mcg/mL Inj Sol - 1mL Amp Pk	NOV	10.0880	7.5660	YES	NO	NO
00839191	OCTREOTIDE	Sandostatin 50mcg/mL Inj Sol - 1mL Amp Pk	NOV	5.3440	4.0080	YES	NO	NO
02248642	OCTREOTIDE	Octreotide Acetate Omega 200mcg/mL Inj Sol - 5mL Vial Pk	OMG	72.7725	72.7725	YES	NO	NO
02049392	OCTREOTIDE	Sandostatin 200mcg/mL Inj Sol - 5mL Vial Pk	NOV	97.0300	72.7725	YES	NO	NO
02143291	OFLOXACIN	Ocuflox 0.3% Oph Sol	ALL	2.8720	2.8720	NO	YES	NO
02327597	OLANZAPINE	Act Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	TEV	7.5978	N/A	YES	NO	NO
02327562	OLANZAPINE	Act Olanzapine ODT 5mg Rapid Dissolve Tab	TEV	0.3574	0.3574	YES	NO	NO
02327589	OLANZAPINE	Act Olanzapine ODT 15mg Rapid Dissolve Tab	TEV	1.0711	1.0711	YES	NO	NO
02327570	OLANZAPINE	Act Olanzapine ODT 10mg Rapid Dissolve Tab	TEV	0.7143	0.7143	YES	NO	NO
02360640	OLANZAPINE	Apo-Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	APX	7.5977	N/A	YES	NO	NO
02360632	OLANZAPINE	Apo-Olanzapine ODT 15mg Rapid Dissolve Tab	APX	1.0711	1.0711	YES	NO	NO
02360624	OLANZAPINE	Apo-Olanzapine ODT 10mg Rapid Dissolve Tab	APX	0.7143	0.7143	YES	NO	NO
02360616	OLANZAPINE	Apo-Olanzapine ODT 5mg Rapid Dissolve Tab	APX	0.3574	0.3574	YES	NO	NO
02448734	OLANZAPINE	Auro-Olanzapine ODT 10mg Rapid Dissolve Tab	AUR	0.7143	0.7143	YES	NO	NO
02448750	OLANZAPINE	Auro-Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	AUR	7.5977	N/A	YES	NO	NO
02448742	OLANZAPINE	Auro-Olanzapine ODT 15mg Rapid Dissolve Tab	AUR	1.0711	1.0711	YES	NO	NO
02448726	OLANZAPINE	Auro-Olanzapine ODT 5mg Rapid Dissolve Tab	AUR	0.3574	0.3574	YES	NO	NO
02406640	OLANZAPINE	Jamp-Olanzapine ODT 15mg Rapid Dissolve Tab	JPC	1.0711	1.0711	YES	NO	NO
02406624	OLANZAPINE	Jamp-Olanzapine ODT 5mg Rapid Dissolve Tab	JPC	0.3574	0.3574	YES	NO	NO
02406659	OLANZAPINE	Jamp-Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	JPC	7.5977	N/A	YES	NO	NO
02406632	OLANZAPINE	Jamp-Olanzapine ODT 10mg Rapid Dissolve Tab	JPC	0.7143	0.7143	YES	NO	NO
02436981	OLANZAPINE	Mint-Olanzapine ODT 15mg Rapid Dissolve Tab	MIN	1.0711	1.0711	YES	NO	NO
02437007	OLANZAPINE	Mint-Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	MIN	7.5977	N/A	YES	NO	NO
02436965	OLANZAPINE	Mint-Olanzapine ODT 5mg Rapid Dissolve Tab	MIN	0.3574	0.3574	YES	NO	NO
02436973	OLANZAPINE	Mint-Olanzapine ODT 10mg Rapid Dissolve Tab	MIN	0.7143	0.7143	YES	NO	NO
02536188	OLANZAPINE	NRA-Olanzapine ODT 5mg Rapid Dissolve Tab	NRA	0.3574	0.3574	YES	NO	NO
02536218	OLANZAPINE	NRA-Olanzapine ODT 15mg Rapid Dissolve Tab	NRA	1.0711	1.0711	YES	NO	NO
02536196	OLANZAPINE	NRA-Olanzapine ODT 10mg Rapid Dissolve Tab	NRA	0.7143	0.7143	YES	NO	NO
02536226	OLANZAPINE	NRA-Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	NRA	7.5977	N/A	YES	NO	NO
02321351	OLANZAPINE	Novo-Olanzapine OD 10mg Rapid Dissolve Tab	NOP	0.7143	0.7143	YES	NO	NO
02321378	OLANZAPINE	Novo-Olanzapine OD 15mg Rapid Dissolve Tab	NOP	1.0711	1.0711	YES	NO	NO
02343673	OLANZAPINE	Olanzapine ODT 10mg Rapid Dissolve Tab	SIV	0.7143	0.7143	YES	NO	NO
02352974	OLANZAPINE	Olanzapine ODT 5mg Rapid Dissolve Tab	SAI	0.3574	0.3574	YES	NO	NO
02352982	OLANZAPINE	Olanzapine ODT 10mg Rapid Dissolve Tab	SAI	0.7143	0.7143	YES	NO	NO
02343703	OLANZAPINE	Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	SIV	7.5977	N/A	YES	NO	NO
02352990	OLANZAPINE	Olanzapine ODT 15mg Rapid Dissolve Tab	SAI	1.0711	1.0711	YES	NO	NO
02343681	OLANZAPINE	Olanzapine ODT 15mg Rapid Dissolve Tab	SIV	1.0711	1.0711	YES	NO	NO
02343665	OLANZAPINE	Olanzapine ODT 5mg Rapid Dissolve Tab	SIV	0.3574	0.3574	YES	NO	NO
02303213	OLANZAPINE	PMS-Olanzapine ODT 15mg Rapid Dissolve Tab	PMS	1.0711	1.0711	YES	NO	NO
02303205	OLANZAPINE	PMS-Olanzapine ODT 10mg Rapid Dissolve Tab	PMS	0.7143	0.7143	YES	NO	NO
02303191	OLANZAPINE	PMS-Olanzapine ODT 5mg Rapid Dissolve Tab	PMS	0.3574	0.3574	YES	NO	NO
02414104	OLANZAPINE	Ran-Olanzapine ODT 10mg Rapid Dissolve Tab	RAN	0.7143	0.7143	YES	NO	NO
02414120	OLANZAPINE	Ran-Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	RAN	7.5979	N/A	YES	NO	NO
02414090	OLANZAPINE	Ran-Olanzapine ODT 5mg Rapid Dissolve Tab	RAN	0.3574	0.3574	YES	NO	NO
02414112	OLANZAPINE	Ran-Olanzapine ODT 15mg Rapid Dissolve Tab	RAN	1.0711	1.0711	YES	NO	NO
02327805	OLANZAPINE	Sandoz Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	SDZ	7.5978	N/A	YES	NO	NO
02327775	OLANZAPINE	Sandoz Olanzapine ODT 5mg Rapid Dissolve Tab	SDZ	0.3574	0.3574	YES	NO	NO
02327783	OLANZAPINE	Sandoz Olanzapine ODT 10mg Rapid Dissolve Tab	SDZ	0.7143	0.7143	YES	NO	NO
02327791	OLANZAPINE	Sandoz Olanzapine ODT 15mg Rapid Dissolve Tab	SDZ	1.0711	1.0711	YES	NO	NO
02243086	OLANZAPINE	Zyprexa Zydis 5mg Rapid Dissolve Tab	LIL	4.4982	0.3574	YES	NO	NO
02243087	OLANZAPINE	Zyprexa Zydis 10mg Rapid Dissolve Tab	LIL	8.9886	0.7143	YES	NO	NO
02243089	OLANZAPINE	Zyprexa Zydis (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	LIL	N/A	N/A	YES	NO	NO
02243088	OLANZAPINE	Zyprexa Zydis 15mg Rapid Dissolve Tab	LIL	13.5861	1.0711	YES	NO	NO
02487616	OLANZAPINE	AG-Olanzapine FC 5mg Tab	ANG	0.3544	0.3544	YES	NO	NO
02487608	OLANZAPINE	AG-Olanzapine FC 2.5mg Tab	ANG	0.1772	0.1772	YES	NO	NO
02487632	OLANZAPINE	AG-Olanzapine FC 10mg Tab	ANG	0.7088	0.7088	YES	NO	NO
02281821	OLANZAPINE	Apo-Olanzapine 10mg Tab	APX	0.7088	0.7088	YES	NO	NO
02281813	OLANZAPINE	Apo-Olanzapine 7.5mg Tab	APX	0.5316	0.5316	YES	NO	NO
02281805	OLANZAPINE	Apo-Olanzapine 5mg Tab	APX	0.3544	0.3544	YES	NO	NO
02333015	OLANZAPINE	Apo-Olanzapine (Off-Formulary Interchangeable) 20mg Tab	APX	10.3093	N/A	YES	NO	NO
02281791	OLANZAPINE	Apo-Olanzapine 2.5mg Tab	APX	0.1772	0.1772	YES	NO	NO
02281848	OLANZAPINE	Apo-Olanzapine 15mg Tab	APX	1.0631	1.0631	YES	NO	NO
02325713	OLANZAPINE	Co Olanzapine (Off-Formulary Interchangeable) 20mg Tab	COB	10.3093	N/A	YES	NO	NO
02325691	OLANZAPINE	Co Olanzapine 15mg Tab	COB	1.0631	1.0631	YES	NO	NO
02325659	OLANZAPINE	Co Olanzapine 2.5mg Tab	COB	0.1772	0.1772	YES	NO	NO
02325683	OLANZAPINE	Co Olanzapine 10mg Tab	COB	0.7088	0.7088	YES	NO	NO
02325667	OLANZAPINE	Co Olanzapine 5mg Tab	COB	0.3544	0.3544	YES	NO	NO
02325675	OLANZAPINE	Co Olanzapine 7.5mg Tab	COB	0.5316	0.5316	YES	NO	NO
02417294	OLANZAPINE	Jamp Olanzapine FC 15mg Tab	JPC	1.0631	1.0631	YES	NO	NO
02417308	OLANZAPINE	Jamp Olanzapine FC (Off-Formulary Interchangeable) 20mg Tab	JPC	10.3093	N/A	YES	NO	NO
02417278	OLANZAPINE	Jamp Olanzapine FC 7.5mg Tab	JPC	0.5316	0.5316	YES	NO	NO
02417251	OLANZAPINE	Jamp Olanzapine FC 5mg Tab	JPC	0.3544	0.3544	YES	NO	NO
02417286	OLANZAPINE	Jamp Olanzapine FC 10mg Tab	JPC	0.7088	0.7088	YES	NO	NO
02417243	OLANZAPINE	Jamp Olanzapine FC 2.5mg Tab	JPC	0.1772	0.1772	YES	NO	NO
02410192	OLANZAPINE	Mint-Olanzapine 15mg Tab	MIN	1.0631	1.0631	YES	NO	NO
02410141	OLANZAPINE	Mint-Olanzapine 2.5mg Tab	MIN	0.1772	0.1772	YES	NO	NO
02410184	OLANZAPINE	Mint-Olanzapine 10mg Tab	MIN	0.7088	0.7088	YES	NO	NO
02410176	OLANZAPINE	Mint-Olanzapine 7.5mg Tab	MIN	0.5316	0.5316	YES	NO	NO
02410168	OLANZAPINE	Mint-Olanzapine 5mg Tab	MIN	0.3544	0.3544	YES	NO	NO
02545616	OLANZAPINE	NRA-Olanzapine 10mg Tab	NRA	0.7088	0.7088	YES	NO	NO
02545624	OLANZAPINE	NRA-Olanzapine 15mg Tab	NRA	1.0631	1.0631	YES	NO	NO
02545608	OLANZAPINE	NRA-Olanzapine 7.5mg Tab	NRA	0.5316	0.5316	YES	NO	NO
02545586	OLANZAPINE	NRA-Olanzapine 2.5mg Tab	NRA	0.1772	0.1772	YES	NO	NO
02545632	OLANZAPINE	NRA-Olanzapine (Off-Formulary Interchangeable) 20mg Tab	NRA	10.3093	N/A	YES	NO	NO
02545594	OLANZAPINE	NRA-Olanzapine 5mg Tab	NRA	0.3544	0.3544	YES	NO	NO
02385872	OLANZAPINE	Olanzapine 5mg Tab	SIV	0.3544	0.3544	YES	NO	NO
02372835	OLANZAPINE	Olanzapine 7.5mg Tab	SAI	0.5316	0.5316	YES	NO	NO
02385880	OLANZAPINE	Olanzapine 7.5mg Tab	SIV	0.5316	0.5316	YES	NO	NO
02385910	OLANZAPINE	Olanzapine (Off-Formulary Interchangeable) 20mg Tab	SIV	10.3093	N/A	YES	NO	NO
02372851	OLANZAPINE	Olanzapine 15mg Tab	SAI	1.0631	1.0631	YES	NO	NO
02385902	OLANZAPINE	Olanzapine 15mg Tab	SIV	1.0631	1.0631	YES	NO	NO
02372819	OLANZAPINE	Olanzapine 2.5mg Tab	SAI	0.1772	0.1772	YES	NO	NO
02385864	OLANZAPINE	Olanzapine 2.5mg Tab	SIV	0.1772	0.1772	YES	NO	NO
02372827	OLANZAPINE	Olanzapine 5mg Tab	SAI	0.3544	0.3544	YES	NO	NO
02372843	OLANZAPINE	Olanzapine 10mg Tab	SAI	0.7088	0.7088	YES	NO	NO
02385899	OLANZAPINE	Olanzapine 10mg Tab	SIV	0.7088	0.7088	YES	NO	NO
02303159	OLANZAPINE	PMS-Olanzapine 5mg Tab	PMS	0.3544	0.3544	YES	NO	NO
02367483	OLANZAPINE	PMS-Olanzapine (Off-Formulary Interchangeable) 20mg Tab	PMS	10.3093	N/A	YES	NO	NO
02303116	OLANZAPINE	PMS-Olanzapine 2.5mg Tab	PMS	0.1772	0.1772	YES	NO	NO
02303167	OLANZAPINE	PMS-Olanzapine 7.5mg Tab	PMS	0.5316	0.5316	YES	NO	NO
02303175	OLANZAPINE	PMS-Olanzapine 10mg Tab	PMS	0.7088	0.7088	YES	NO	NO
02303183	OLANZAPINE	PMS-Olanzapine 15mg Tab	PMS	1.0631	1.0631	YES	NO	NO
02403099	OLANZAPINE	Ran-Olanzapine 10mg Tab	RAN	0.7088	0.7088	YES	NO	NO
02403072	OLANZAPINE	Ran-Olanzapine 5mg Tab	RAN	0.3544	0.3544	YES	NO	NO
02403102	OLANZAPINE	Ran-Olanzapine 15mg Tab	RAN	1.0631	1.0631	YES	NO	NO
02310384	OLANZAPINE	Sandoz Olanzapine 10mg Tab	SDZ	0.7088	0.7088	YES	NO	NO
02310376	OLANZAPINE	Sandoz Olanzapine 7.5mg Tab	SDZ	0.5316	0.5316	YES	NO	NO
02310392	OLANZAPINE	Sandoz Olanzapine 15mg Tab	SDZ	1.0631	1.0631	YES	NO	NO
02310368	OLANZAPINE	Sandoz Olanzapine 5mg Tab	SDZ	0.3544	0.3544	YES	NO	NO
02310341	OLANZAPINE	Sandoz Olanzapine 2.5mg Tab	SDZ	0.1772	0.1772	YES	NO	NO
02276747	OLANZAPINE	Teva-Olanzapine 10mg Tab	TEV	0.7088	0.7088	YES	NO	NO
02276739	OLANZAPINE	Teva-Olanzapine 7.5mg Tab	TEV	0.5316	0.5316	YES	NO	NO
02276720	OLANZAPINE	Teva-Olanzapine 5mg Tab	TEV	0.3544	0.3544	YES	NO	NO
02359707	OLANZAPINE	Teva-Olanzapine (Off-Formulary Interchangeable) 20mg Tab	TEV	10.3093	N/A	YES	NO	NO
02276712	OLANZAPINE	Teva-Olanzapine 2.5mg Tab	TEV	0.1772	0.1772	YES	NO	NO
02276755	OLANZAPINE	Teva-Olanzapine 15mg Tab	TEV	1.0631	1.0631	YES	NO	NO
02238850	OLANZAPINE	Zyprexa 15mg Tab	LIL	13.8011	1.0631	YES	NO	NO
02229285	OLANZAPINE	Zyprexa 10mg Tab	LIL	9.0468	0.7088	YES	NO	NO
02229269	OLANZAPINE	Zyprexa 5mg Tab	LIL	4.5232	0.3544	YES	NO	NO
02229250	OLANZAPINE	Zyprexa 2.5mg Tab	LIL	2.2996	0.1772	YES	NO	NO
02238851	OLANZAPINE	Zyprexa (Off-Formulary Interchangeable) 20mg Tab	LIL	N/A	N/A	YES	NO	NO
02229277	OLANZAPINE	Zyprexa 7.5mg Tab	LIL	6.7850	0.5316	YES	NO	NO
02344327	OLIVE OIL & SOYBEAN OIL	Clinoleic 20% 16% & 4% w/w Inj Emuls-250mL Pk	BAX	25.0000	25.0000	NO	YES	NO
09858109	OLIVE OIL & SOYBEAN OIL	Clinoleic 20% 16% & 4% w/w Inj Emuls-500mL Pk	BAX	30.0000	30.0000	NO	YES	NO
02456338	OLMESARTAN MEDOXOMIL	Ach-Olmesartan 40mg Tab	ACH	0.3019	0.3019	YES	NO	NO
02456311	OLMESARTAN MEDOXOMIL	Ach-Olmesartan 20mg Tab	ACH	0.3019	0.3019	YES	NO	NO
02453460	OLMESARTAN MEDOXOMIL	Apo-Olmesartan 40mg Tab	APX	0.3019	0.3019	YES	NO	NO
02453452	OLMESARTAN MEDOXOMIL	Apo-Olmesartan 20mg Tab	APX	0.3019	0.3019	YES	NO	NO
02443872	OLMESARTAN MEDOXOMIL	Auro-Olmesartan 40mg Tab	AUR	0.3019	0.3019	YES	NO	NO
02443864	OLMESARTAN MEDOXOMIL	Auro-Olmesartan 20mg Tab	AUR	0.3019	0.3019	YES	NO	NO
02469812	OLMESARTAN MEDOXOMIL	GLN-Olmesartan 20mg Tab	GLP	0.3019	0.3019	YES	NO	NO
02469820	OLMESARTAN MEDOXOMIL	GLN-Olmesartan 40mg Tab	GLP	0.3019	0.3019	YES	NO	NO
02461641	OLMESARTAN MEDOXOMIL	Jamp-Olmesartan 20mg Tab	JPC	0.3019	0.3019	YES	NO	NO
02461668	OLMESARTAN MEDOXOMIL	Jamp-Olmesartan 40mg Tab	JPC	0.3019	0.3019	YES	NO	NO
02499258	OLMESARTAN MEDOXOMIL	NRA-Olmesartan 20mg Tab	NRA	0.3019	0.3019	YES	NO	NO
02499266	OLMESARTAN MEDOXOMIL	NRA-Olmesartan 40mg Tab	NRA	0.3019	0.3019	YES	NO	NO
02481065	OLMESARTAN MEDOXOMIL	Olmesartan 40mg Tab	SAI	0.3019	0.3019	YES	NO	NO
02481057	OLMESARTAN MEDOXOMIL	Olmesartan 20mg Tab	SAI	0.3019	0.3019	YES	NO	NO
02318660	OLMESARTAN MEDOXOMIL	Olmetec 20mg Tab	OCI	1.3327	0.3019	YES	NO	NO
02318679	OLMESARTAN MEDOXOMIL	Olmetec 40mg Tab	OCI	1.3327	0.3019	YES	NO	NO
02461315	OLMESARTAN MEDOXOMIL	PMS-Olmesartan 40mg Tab	PMS	0.3019	0.3019	YES	NO	NO
02461307	OLMESARTAN MEDOXOMIL	PMS-Olmesartan 20mg Tab	PMS	0.3019	0.3019	YES	NO	NO
02443422	OLMESARTAN MEDOXOMIL	Sandoz Olmesartan 40mg Tab	SDZ	0.3019	0.3019	YES	NO	NO
02443414	OLMESARTAN MEDOXOMIL	Sandoz Olmesartan 20mg Tab	SDZ	0.3019	0.3019	YES	NO	NO
02442191	OLMESARTAN MEDOXOMIL	Teva-Olmesartan 20mg Tab	TEV	0.3019	0.3019	YES	NO	NO
02442205	OLMESARTAN MEDOXOMIL	Teva-Olmesartan 40mg Tab	TEV	0.3019	0.3019	YES	NO	NO
02468964	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Ach-Olmesartan HCTZ 40mg & 25mg Tab	ACH	0.3019	0.3019	YES	NO	NO
02468956	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Ach-Olmesartan HCTZ 40mg & 12.5mg Tab	ACH	0.3019	0.3019	YES	NO	NO
02468948	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Ach-Olmesartan HCTZ 20mg & 12.5mg Tab	ACH	0.3019	0.3019	YES	NO	NO
02443112	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Act Olmesartan HCT 20mg & 12.5mg Tab	TEV	0.3019	0.3019	YES	NO	NO
02443120	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Act Olmesartan HCT 40mg & 12.5mg Tab	TEV	0.3019	0.3019	YES	NO	NO
02443139	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Act Olmesartan HCT 40mg & 25mg Tab	TEV	0.3019	0.3019	YES	NO	NO
02453622	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Apo-Olmesartan/HCTZ 40mg & 25mg Tab	APX	0.3019	0.3019	YES	NO	NO
02453614	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Apo-Olmesartan/HCTZ 40mg & 12.5mg Tab	APX	0.3019	0.3019	YES	NO	NO
02453606	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Apo-Olmesartan/HCTZ 20mg & 12.5mg Tab	APX	0.3019	0.3019	YES	NO	NO
02476495	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Auro-Olmesartan HCTZ 40mg & 12.5mg Tab	AUR	0.3019	0.3019	YES	NO	NO
02476487	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Auro-Olmesartan HCTZ 20mg & 12.5mg Tab	AUR	0.3019	0.3019	YES	NO	NO
02476509	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Auro-Olmesartan HCTZ 40mg & 25mg Tab	AUR	0.3019	0.3019	YES	NO	NO
02475707	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	GLN-Olmesartan HCTZ 20mg & 12.5mg Tab	GLP	0.3019	0.3019	YES	NO	NO
02475723	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	GLN-Olmesartan HCTZ 40mg & 25mg Tab	GLP	0.3019	0.3019	YES	NO	NO
02475715	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	GLN-Olmesartan HCTZ 40mg & 12.5mg Tab	GLP	0.3019	0.3019	YES	NO	NO
02508303	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	NRA-Olmesartan HCTZ 40mg & 25mg Tab	NRA	0.3019	0.3019	YES	NO	NO
02508281	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	NRA-Olmesartan HCTZ 40mg & 12.5mg Tab	NRA	0.3019	0.3019	YES	NO	NO
02508273	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	NRA-Olmesartan HCTZ 20mg & 12.5mg Tab	NRA	0.3019	0.3019	YES	NO	NO
02509601	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Olmesartan/HCTZ 20mg & 12.5mg Tab	SAI	0.3019	0.3019	YES	NO	NO
02509628	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Olmesartan/HCTZ 40mg & 25mg Tab	SAI	0.3019	0.3019	YES	NO	NO
02509636	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Olmesartan/HCTZ 40mg & 12.5mg Tab	SAI	0.3019	0.3019	YES	NO	NO
02319616	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Olmetec Plus 20mg & 12.5mg Tab	OCI	1.3993	0.3019	YES	NO	NO
02319632	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Olmetec Plus 40mg & 25mg Tab	OCI	1.3993	0.3019	YES	NO	NO
02319624	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Olmetec Plus 40mg & 12.5mg Tab	OCI	1.3993	0.3019	YES	NO	NO
02526484	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	PRZ-Olmesartan/HCTZ 40mg & 25mg Tab	PRZ	0.3019	0.3019	YES	NO	NO
02526476	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	PRZ-Olmesartan/HCTZ 40mg & 12.5mg Tab	PRZ	0.3019	0.3019	YES	NO	NO
02526468	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	PRZ-Olmesartan/HCTZ 20mg & 12.5mg Tab	PRZ	0.3019	0.3019	YES	NO	NO
02404095	OLOPATADINE HCL	Act Olopatadine 0.2% (Off-Formulary Interchangeable) 0.2% Oph Sol-2.5mL Pk	ACV	26.1300	N/A	YES	NO	NO
02402823	OLOPATADINE HCL	Apo-Olopatadine (Off-Formulary Interchangeable) 0.2% Oph Sol-2.5mL Pk	APX	26.1300	N/A	YES	NO	NO
02508605	OLOPATADINE HCL	Mint-Olopatadine 0.2% (Off-Formulary Interchangeable) 0.2% Oph Sol-2.5mL Pk	MIN	26.1300	N/A	YES	NO	NO
02541653	OLOPATADINE HCL	Olopatadine 0.2% (Off-Formulary Interchangeable) 0.2% Oph Sol-2.5mL Pk	SAI	26.1300	N/A	YES	NO	NO
02362171	OLOPATADINE HCL	Pataday (Off-Formulary Interchangeable) 0.2% Oph Sol-2.5mL Pk	NOV	N/A	N/A	YES	NO	NO
02420171	OLOPATADINE HCL	Sandoz Olopatadine 0.2% (Off-Formulary Interchangeable) 0.2% Oph Sol-2.5mL Pk	SDZ	26.1300	N/A	YES	NO	NO
02305054	OLOPATADINE HCL	Apo-Olopatadine (Off-Formulary Interchangeable) 0.1% Oph Sol-5mL Pk	APX	26.1300	N/A	YES	NO	NO
02403986	OLOPATADINE HCL	Co Olopatadine 0.1% (Off-Formulary Interchangeable) 0.1% Oph Sol-5mL Pk	COB	26.1300	N/A	YES	NO	NO
02458411	OLOPATADINE HCL	Jamp-Olopatadine (Off-Formulary Interchangeable) 0.1% Oph Sol-5mL Pk	JPC	26.1300	N/A	YES	NO	NO
02422727	OLOPATADINE HCL	Mint-Olopatadine (Off-Formulary Interchangeable) 0.1% Oph Sol-5mL Pk	MIN	26.1300	N/A	YES	NO	NO
02521172	OLOPATADINE HCL	Olopatadine (Off-Formulary Interchangeable) 0.1% Oph Sol-5mL Pk	SAI	26.1300	N/A	YES	NO	NO
02233143	OLOPATADINE HCL	Patanol (Off-Formulary Interchangeable) 0.1% Oph Sol-5mL Pk	NOV	N/A	N/A	YES	NO	NO
02358913	OLOPATADINE HCL	Sandoz Olopatadine (Off-Formulary Interchangeable) 0.1% Oph Sol-5mL Pk	SDZ	26.1300	N/A	YES	NO	NO
02063808	OLSALAZINE SODIUM	Dipentum 250mg Cap	APU	0.5330	0.5330	NO	NO	NO
02245058	OMEPRAZOLE	Apo-Omeprazole Cap 20mg	APX	0.2287	0.2287	YES	YES	NO
09857285	OMEPRAZOLE	Apo-Omeprazole Cap 20mg	APX	0.2287	0.2287	YES	YES	NO
02420198	OMEPRAZOLE	Jamp-Omeprazole DR Tab 20mg	JPC	0.2287	0.2287	YES	YES	NO
00846503	OMEPRAZOLE	Losec DR Cap (Not a Benefit) 20mg	CHE	N/A	N/A	YES	NO	NO
02190915	OMEPRAZOLE	Losec DR Tab (Not a Benefit) 20mg	CHE	N/A	N/A	YES	NO	NO
02230737	OMEPRAZOLE	Losec DR Tab (Off-Formulary Interchangeable) 10mg	AZC	N/A	N/A	YES	NO	NO
02439549	OMEPRAZOLE	Nat-Omeprazole DR Tab 20mg	NAT	0.2287	0.2287	YES	YES	NO
02348691	OMEPRAZOLE	Omeprazole DR Cap 20mg	SAI	0.2287	0.2287	YES	YES	NO
02416549	OMEPRAZOLE	Omeprazole Magnesium Delayed Release Tab 20mg	ACH	0.2287	0.2287	YES	YES	NO
02504294	OMEPRAZOLE	Omeprazole Magnesium Delayed Release Tab 20mg	SAI	0.2287	0.2287	YES	YES	NO
02411857	OMEPRAZOLE	Omeprazole-20 DR Cap 20mg	SIV	0.2287	0.2287	YES	YES	NO
02320851	OMEPRAZOLE	PMS-Omeprazole DR Cap 20mg	PMS	0.2287	0.2287	YES	YES	NO
09857342	OMEPRAZOLE	PMS-Omeprazole DR Cap 20mg	PMS	0.2287	0.2287	YES	YES	NO
02403617	OMEPRAZOLE	Ran-Omeprazole DR Cap 20mg	RAN	0.2287	0.2287	YES	YES	NO
02260867	OMEPRAZOLE	Ratio-Omeprazole DR Tab 20mg	RPH	0.2287	0.2287	YES	YES	NO
02296446	OMEPRAZOLE	Sandoz Omeprazole DR Cap 20mg	SDZ	0.2287	0.2287	YES	YES	NO
09857314	OMEPRAZOLE	Sandoz Omeprazole DR Cap 20mg	SDZ	0.2287	0.2287	YES	YES	NO
02295415	OMEPRAZOLE	Teva-Omeprazole DR Tab 20mg	TEV	0.2287	0.2287	YES	YES	NO
02295407	OMEPRAZOLE	Teva-Omeprazole DR Tab (Off-Formulary Interchangeable) 10mg	TEV	0.8167	N/A	YES	NO	NO
02119579	OMEPRAZOLE	Losec (Off-Formulary Interchangeable) 10mg DR Cap	AZC	N/A	N/A	YES	NO	NO
02296438	OMEPRAZOLE	Sandoz Omeprazole (Off-Formulary Interchangeable) 10mg DR Cap	SDZ	0.9470	N/A	YES	NO	NO
09857464	OMEPRAZOLE MAGNESIUM	Jamp-Omeprazole DR Tab 20mg	JPC	0.2287	0.2287	YES	YES	NO
09857195	OMEPRAZOLE MAGNESIUM	Losec DR Tab (Not a Benefit) 20mg	CHE	N/A	N/A	YES	NO	NO
09857536	OMEPRAZOLE MAGNESIUM	Nat-Omeprazole DR Tab 20mg	NAT	0.2287	0.2287	YES	YES	NO
09857656	OMEPRAZOLE MAGNESIUM	Omeprazole Magnesium Delayed Release Tab 20mg	SAI	0.2287	0.2287	YES	YES	NO
09857500	OMEPRAZOLE MAGNESIUM	Omeprazole Magnesium Delayed Release Tab 20mg	ACH	0.2287	0.2287	YES	YES	NO
09857640	OMEPRAZOLE MAGNESIUM	Omeprazole-20 DR Cap 20mg	SIV	0.2287	0.2287	YES	YES	NO
09857267	OMEPRAZOLE MAGNESIUM	Ratio-Omeprazole DR Tab 20mg	RPH	0.2287	0.2287	YES	YES	NO
02491524	ONDANSETRON HCL DIHYDRATE	Auro-Ondansetron Injection (Off-Formulary Interchangeable) 2mg/mL Inj Sol-2mL Pk	AUR	13.2180	N/A	YES	NO	NO
02464578	ONDANSETRON HCL DIHYDRATE	Ondansetron Injection USP (Off-Formulary Interchangeable) 2mg/mL Inj Sol-2mL Pk	STE	13.2180	N/A	YES	NO	NO
02213745	ONDANSETRON HCL DIHYDRATE	Zofran (Off-Formulary Interchangeable) 2mg/mL Inj Sol-2mL Pk	NOV	N/A	N/A	YES	NO	NO
02491532	ONDANSETRON HCL DIHYDRATE	Auro-Ondansetron Injection (Off-Formulary Interchangeable) 2mg/mL Inj Sol-4mL Pk	AUR	26.4360	N/A	YES	NO	NO
09857602	ONDANSETRON HCL DIHYDRATE	Ondansetron Injection USP (Off-Formulary Interchangeable) 2mg/mL Inj Sol-4mL Pk	STE	26.4360	N/A	YES	NO	NO
09857324	ONDANSETRON HCL DIHYDRATE	Zofran (Off-Formulary Interchangeable) 2mg/mL Inj Sol-4mL Pk	NOV	N/A	N/A	YES	NO	NO
02535327	ONDANSETRON HYDROCHLORIDE	Accel-Ondansetron ODT (Tablet) 8mg	ACC	3.8840	3.8840	YES	YES	NO
02535319	ONDANSETRON HYDROCHLORIDE	Accel-Ondansetron ODT (Tablet) 4mg	ACC	2.5450	2.5450	YES	YES	NO
02511282	ONDANSETRON HYDROCHLORIDE	Auro-Ondansetron ODT (Tablet) 4mg	AUR	3.2720	2.5450	YES	YES	NO
02511290	ONDANSETRON HYDROCHLORIDE	Auro-Ondansetron ODT (Tablet) 8mg	AUR	4.9930	3.8840	YES	YES	NO
02541351	ONDANSETRON HYDROCHLORIDE	Jamp Ondansetron ODF (Film) 4mg	JPC	3.2720	2.5450	YES	YES	NO
02541378	ONDANSETRON HYDROCHLORIDE	Jamp Ondansetron ODF (Film) 8mg	JPC	4.9930	3.8840	YES	YES	NO
02514974	ONDANSETRON HYDROCHLORIDE	Mar-Ondansetron ODT Tablet 8mg	MAR	4.9930	3.8840	YES	YES	NO
02514966	ONDANSETRON HYDROCHLORIDE	Mar-Ondansetron ODT Tablet 4mg	MAR	3.2720	2.5450	YES	YES	NO
02487330	ONDANSETRON HYDROCHLORIDE	Mint-Ondansetron ODT (Tablet) 4mg	MIN	3.2720	2.5450	YES	YES	NO
02487349	ONDANSETRON HYDROCHLORIDE	Mint-Ondansetron ODT (Tablet) 8mg	MIN	4.9930	3.8840	YES	YES	NO
02519232	ONDANSETRON HYDROCHLORIDE	Ondansetron ODT (Tablet) 4mg	JPC	3.2720	2.5450	YES	YES	NO
02481723	ONDANSETRON HYDROCHLORIDE	Ondansetron ODT (Tablet) 4mg	SDZ	3.2720	2.5450	YES	YES	NO
02519240	ONDANSETRON HYDROCHLORIDE	Ondansetron ODT (Tablet) 8mg	JPC	4.9930	3.8840	YES	YES	NO
02524287	ONDANSETRON HYDROCHLORIDE	Ondansetron ODT (Tablet) 8mg	SAI	4.9930	3.8840	YES	YES	NO
02481731	ONDANSETRON HYDROCHLORIDE	Ondansetron ODT (Tablet) 8mg	SDZ	4.9930	3.8840	YES	YES	NO
02524279	ONDANSETRON HYDROCHLORIDE	Ondansetron ODT (Tablet) 4mg	SAI	3.2720	2.5450	YES	YES	NO
02389983	ONDANSETRON HYDROCHLORIDE	Ondissolve ODF (Film) 4mg	TAK	3.2720	2.5450	YES	YES	NO
02389991	ONDANSETRON HYDROCHLORIDE	Ondissolve ODF (Film) 8mg	TAK	4.9930	3.8840	YES	YES	NO
02519453	ONDANSETRON HYDROCHLORIDE	PMS-Ondansetron ODT Tablet 8mg	PMS	4.9930	3.8840	YES	YES	NO
02519445	ONDANSETRON HYDROCHLORIDE	PMS-Ondansetron ODT Tablet 4mg	PMS	3.2720	2.5450	YES	YES	NO
02239372	ONDANSETRON HYDROCHLORIDE	Zofran ODT (Tablet) (Not a Benefit) 4mg	SDZ	N/A	N/A	YES	NO	NO
02239373	ONDANSETRON HYDROCHLORIDE	Zofran ODT (Tablet) (Not a Benefit) 8mg	SDZ	N/A	N/A	YES	NO	NO
02291967	ONDANSETRON HYDROCHLORIDE	Apo-Ondansetron 4mg/5mL O/L	APX	0.7952	0.7952	YES	YES	NO
02490617	ONDANSETRON HYDROCHLORIDE	Jamp Ondansetron 4mg/5mL O/L	JPC	0.7952	0.7952	YES	YES	NO
02524090	ONDANSETRON HYDROCHLORIDE	Mint-Ondansetron Solution 4mg/5mL O/L	MIN	0.7952	0.7952	YES	YES	NO
02229639	ONDANSETRON HYDROCHLORIDE	Zofran (Not a Benefit) 4mg/5mL O/L	NOV	N/A	N/A	YES	NO	NO
02478935	ONDANSETRON HYDROCHLORIDE	Accel-Ondansetron 8mg Tab	ACC	3.8840	3.8840	YES	YES	NO
02478927	ONDANSETRON HYDROCHLORIDE	Accel-Ondansetron 4mg Tab	ACC	2.5450	2.5450	YES	YES	NO
02288184	ONDANSETRON HYDROCHLORIDE	Apo-Ondansetron 4mg Tab	APX	3.3495	2.5450	YES	YES	NO
02288192	ONDANSETRON HYDROCHLORIDE	Apo-Ondansetron 8mg Tab	APX	5.1110	3.8840	YES	YES	NO
02313685	ONDANSETRON HYDROCHLORIDE	Jamp-Ondansetron 4mg Tab	JPC	3.3495	2.5450	YES	YES	NO
02313693	ONDANSETRON HYDROCHLORIDE	Jamp-Ondansetron 8mg Tab	JPC	5.1110	3.8840	YES	YES	NO
02371758	ONDANSETRON HYDROCHLORIDE	Mar-Ondansetron 8mg Tab	MAR	5.1110	3.8840	YES	YES	NO
02371731	ONDANSETRON HYDROCHLORIDE	Mar-Ondansetron 4mg Tab	MAR	3.3495	2.5450	YES	YES	NO
02305259	ONDANSETRON HYDROCHLORIDE	Mint-Ondansetron 4mg Tab	MIN	3.3495	2.5450	YES	YES	NO
02305267	ONDANSETRON HYDROCHLORIDE	Mint-Ondansetron 8mg Tab	MIN	5.1110	3.8840	YES	YES	NO
02297876	ONDANSETRON HYDROCHLORIDE	Mylan-Ondansetron 8mg Tab	MYL	5.1110	3.8840	YES	YES	NO
02297868	ONDANSETRON HYDROCHLORIDE	Mylan-Ondansetron 4mg Tab	MYL	3.3495	2.5450	YES	YES	NO
02417847	ONDANSETRON HYDROCHLORIDE	Nat-Ondansetron 8mg Tab	NAT	5.1110	3.8840	YES	YES	NO
02417839	ONDANSETRON HYDROCHLORIDE	Nat-Ondansetron 4mg Tab	NAT	3.3495	2.5450	YES	YES	NO
02421410	ONDANSETRON HYDROCHLORIDE	Ondansetron 8mg Tab	SAI	4.9930	3.8840	YES	YES	NO
02541432	ONDANSETRON HYDROCHLORIDE	Ondansetron 8mg Tab	SIV	5.1110	3.8840	YES	YES	NO
02541424	ONDANSETRON HYDROCHLORIDE	Ondansetron 4mg Tab	SIV	3.3495	2.5450	YES	YES	NO
02421402	ONDANSETRON HYDROCHLORIDE	Ondansetron 4mg Tab	SAI	3.2720	2.5450	YES	YES	NO
02258188	ONDANSETRON HYDROCHLORIDE	PMS-Ondansetron 4mg Tab	PMS	3.3495	2.5450	YES	YES	NO
02258196	ONDANSETRON HYDROCHLORIDE	PMS-Ondansetron 8mg Tab	PMS	5.1110	3.8840	YES	YES	NO
02274310	ONDANSETRON HYDROCHLORIDE	Sandoz Ondansetron 4mg Tab	SDZ	3.3495	2.5450	YES	YES	NO
02274329	ONDANSETRON HYDROCHLORIDE	Sandoz Ondansetron 8mg Tab	SDZ	5.1110	3.8840	YES	YES	NO
02376091	ONDANSETRON HYDROCHLORIDE	Septa-Ondansetron 4mg Tab	SET	3.3495	2.5450	YES	YES	NO
02376105	ONDANSETRON HYDROCHLORIDE	Septa-Ondansetron 8mg Tab	SET	5.1110	3.8840	YES	YES	NO
02296349	ONDANSETRON HYDROCHLORIDE	Teva-Ondansetron 4mg Tab	TEV	3.3495	2.5450	YES	YES	NO
02296357	ONDANSETRON HYDROCHLORIDE	Teva-Ondansetron 8mg Tab	TEV	5.1110	3.8840	YES	YES	NO
02213567	ONDANSETRON HYDROCHLORIDE	Zofran (Not a Benefit) 4mg Tab	NOV	N/A	N/A	YES	NO	NO
02213575	ONDANSETRON HYDROCHLORIDE	Zofran (Not a Benefit) 8mg Tab	NOV	N/A	N/A	YES	NO	NO
00249920	ORCIPRENALINE SULFATE	Alupent (Not a Benefit) 2mg/mL O/L	BOE	N/A	N/A	YES	NO	NO
02236783	ORCIPRENALINE SULFATE	Orciprenaline 2mg/mL O/L	AAP	0.0574	0.0574	YES	NO	NO
01966162	ORPHENADRINE CITRATE	Norflex (Not a Benefit) 60mg/2mL Inj Sol-2mL Pk	MMH	N/A	N/A	YES	NO	YES
02229731	ORPHENADRINE CITRATE	Orphenadrine (Not a Benefit) 60mg/2mL Inj Sol-2mL Pk	CYI	N/A	N/A	YES	NO	YES
02497409	OSELTAMIVIR PHOSPHATE	Jamp Oseltamivir 30mg Cap	JPC	0.5243	0.5243	YES	YES	NO
02497425	OSELTAMIVIR PHOSPHATE	Jamp Oseltamivir 75mg Cap	JPC	1.0393	1.0393	YES	YES	NO
02497441	OSELTAMIVIR PHOSPHATE	Mint-Oseltamivir 30mg Cap	MIN	0.5243	0.5243	YES	YES	NO
02497476	OSELTAMIVIR PHOSPHATE	Mint-Oseltamivir 75mg Cap	MIN	1.0393	1.0393	YES	YES	NO
02472643	OSELTAMIVIR PHOSPHATE	Nat-Oseltamivir 45mg Cap	NAT	1.6135	1.6135	YES	YES	NO
02457989	OSELTAMIVIR PHOSPHATE	Nat-Oseltamivir 75mg Cap	NAT	1.0393	1.0393	YES	YES	NO
02472635	OSELTAMIVIR PHOSPHATE	Nat-Oseltamivir 30mg Cap	NAT	0.5243	0.5243	YES	YES	NO
02504006	OSELTAMIVIR PHOSPHATE	Sandoz Oseltamivir 30mg Cap	SDZ	0.5243	0.5243	YES	YES	NO
02504022	OSELTAMIVIR PHOSPHATE	Sandoz Oseltamivir 75mg Cap	SDZ	1.0393	1.0393	YES	YES	NO
02504014	OSELTAMIVIR PHOSPHATE	Sandoz Oseltamivir 45mg Cap	SDZ	1.6135	1.6135	YES	YES	NO
02304848	OSELTAMIVIR PHOSPHATE	Tamiflu 30mg Cap	HLR	2.1150	0.5243	YES	YES	NO
02304856	OSELTAMIVIR PHOSPHATE	Tamiflu 45mg Cap	HLR	3.2540	1.6135	YES	YES	NO
02241472	OSELTAMIVIR PHOSPHATE	Tamiflu 75mg Cap	HLR	4.1940	1.0393	YES	YES	NO
02499894	OSELTAMIVIR PHOSPHATE	Nat-Oseltamivir (Off-Formulary Interchangeable) 6mg/mL O/L	NAT	0.2811	N/A	YES	NO	NO
02381842	OSELTAMIVIR PHOSPHATE	Tamiflu (Off-Formulary Interchangeable) 6mg/mL O/L	HLR	N/A	N/A	YES	NO	NO
02243661	OXAPROZIN.	Apo-Oxaprozin (Off-Formulary Interchangeable) 600mg Tab	APX	0.6892	N/A	YES	NO	YES
02027860	OXAPROZIN.	Daypro (Off-Formulary Interchangeable) 600mg Tab	HLR	N/A	N/A	YES	NO	YES
00402745	OXAZEPAM	Apo-Oxazepam 15mg Tab	APX	0.0550	0.0550	YES	NO	NO
00402680	OXAZEPAM	Apo-Oxazepam 10mg Tab	APX	0.0350	0.0350	YES	NO	NO
00402737	OXAZEPAM	Apo-Oxazepam 30mg Tab	APX	0.0750	0.0750	YES	NO	NO
02043653	OXAZEPAM	Serax (Not a Benefit) 10mg Tab	WAY	N/A	N/A	YES	NO	NO
02043661	OXAZEPAM	Serax (Not a Benefit) 15mg Tab	WAY	N/A	N/A	YES	NO	NO
02043688	OXAZEPAM	Serax (Not a Benefit) 30mg Tab	WAY	N/A	N/A	YES	NO	NO
02284294	OXCARBAZEPINE	Apo-Oxcarbazepine (Off-Formulary Interchangeable) 150mg Tab	APX	0.6209	0.6209	YES	NO	NO
02284308	OXCARBAZEPINE	Apo-Oxcarbazepine (Off-Formulary Interchangeable) 300mg Tab	APX	0.9102	0.9102	YES	NO	NO
02284316	OXCARBAZEPINE	Apo-Oxcarbazepine (Off-Formulary Interchangeable) 600mg Tab	APX	1.8204	1.8204	YES	NO	NO
02440717	OXCARBAZEPINE	Jamp-Oxcarbazepine (Off-Formulary Interchangeable) 150mg Tab	JPC	0.6210	0.6210	YES	NO	NO
02440733	OXCARBAZEPINE	Jamp-Oxcarbazepine (Off-Formulary Interchangeable) 600mg Tab	JPC	1.8204	1.8204	YES	NO	NO
02440725	OXCARBAZEPINE	Jamp-Oxcarbazepine (Off-Formulary Interchangeable) 300mg Tab	JPC	0.9102	0.9102	YES	NO	NO
02242067	OXCARBAZEPINE	Trileptal (Not a Benefit) 150mg Tab	NOV	N/A	N/A	YES	NO	NO
02242068	OXCARBAZEPINE	Trileptal (Off-Formulary Interchangeable) 300mg Tab	NOV	N/A	N/A	YES	NO	NO
02242069	OXCARBAZEPINE	Trileptal (Off-Formulary Interchangeable) 600mg Tab	NOV	N/A	N/A	YES	NO	NO
00476366	OXTRIPHYLLINE	Choledyl 20mg/mL O/L	SLP	0.0398	0.0398	NO	NO	NO
01924753	OXYBUTYNIN CHLORIDE	Ditropan (Not a Benefit) 1mg/mL O/L	JNO	N/A	N/A	YES	NO	NO
02223376	OXYBUTYNIN CHLORIDE	PMS-Oxybutynin 1mg/mL O/L	PMS	0.0970	0.0970	YES	NO	NO
02163543	OXYBUTYNIN CHLORIDE	Apo-Oxybutynin 5mg Tab	APX	0.0986	0.0986	YES	NO	NO
01924761	OXYBUTYNIN CHLORIDE	Ditropan (Not a Benefit) 5mg Tab	PGP	N/A	N/A	YES	NO	NO
02230394	OXYBUTYNIN CHLORIDE	Novo-Oxybutynin 5mg Tab	NOP	0.0986	0.0986	YES	NO	NO
02350238	OXYBUTYNIN CHLORIDE	Oxybutynin 5mg Tab	SAI	0.0986	0.0986	YES	NO	NO
02240550	OXYBUTYNIN CHLORIDE	PMS-Oxybutynin 5mg Tab	PMS	0.0986	0.0986	YES	NO	NO
02240132	OXYCODONE HCL	Oxy.IR (Off-Formulary Interchangeable) 20mg Tab	PFP	N/A	N/A	YES	NO	YES
02240131	OXYCODONE HCL	Oxy.IR (Off-Formulary Interchangeable) 10mg Tab	PFP	N/A	N/A	YES	NO	YES
02231934	OXYCODONE HCL	Oxy.IR (Off-Formulary Interchangeable) 5mg Tab	PFP	N/A	N/A	YES	NO	YES
02319985	OXYCODONE HCL	PMS-Oxycodone (Off-Formulary Interchangeable) 10mg Tab	PMS	0.3451	0.3451	YES	NO	YES
02319993	OXYCODONE HCL	PMS-Oxycodone (Off-Formulary Interchangeable) 20mg Tab	PMS	0.6001	0.6001	YES	NO	YES
02319977	OXYCODONE HCL	PMS-Oxycodone (Off-Formulary Interchangeable) 5mg Tab	PMS	0.2333	0.2333	YES	NO	YES
02262983	OXYCODONE HCL	Supeudol (Off-Formulary Interchangeable) 20mg Tab	SDZ	0.6001	0.6001	YES	NO	YES
00789739	OXYCODONE HCL	Supeudol (Off-Formulary Interchangeable) 5mg Tab	SDZ	0.2333	0.2333	YES	NO	YES
00443948	OXYCODONE HCL	Supeudol (Off-Formulary Interchangeable) 10mg Tab	SDZ	0.3451	0.3451	YES	NO	YES
02324628	OXYCODONE HCL & ACETAMINOPHEN	Apo-Oxycodone/Acet 5mg & 325mg Tab	APX	0.1285	0.1285	YES	NO	YES
01916548	OXYCODONE HCL & ACETAMINOPHEN	Endocet 5mg & 325mg Tab	BQU	0.1285	0.1285	YES	NO	YES
01916475	OXYCODONE HCL & ACETAMINOPHEN	Percocet (Not a Benefit) 5mg & 325mg Tab	BQU	N/A	N/A	YES	NO	YES
02307898	OXYCODONE HCL & ACETAMINOPHEN	Sandoz Oxycodone/Acetaminophen 5mg & 325mg Tab	SDZ	0.1285	0.1285	YES	NO	YES
00608165	OXYCODONE HCL & ACETAMINOPHEN	Teva-Oxycocet 5mg & 325mg Tab	TEV	0.1285	0.1285	YES	NO	YES
01916572	OXYCODONE HCL & ACETYLSALICYLIC ACID	Percodan (Not a Benefit) 5mg & 325mg Tab	BQU	N/A	N/A	YES	NO	YES
00608157	OXYCODONE HCL & ACETYLSALICYLIC ACID	Ratio-Oxycodan 5mg & 325mg Tab	RPH	0.4599	0.4599	YES	NO	YES
02493551	PALBOCICLIB	Ibrance (Off-Formulary Interchangeable) 125mg Tab	PFI	253.9123	126.9562	YES	NO	NO
02493543	PALBOCICLIB	Ibrance (Off-Formulary Interchangeable) 100mg Tab	PFI	253.9123	126.9562	YES	NO	NO
02493535	PALBOCICLIB	Ibrance (Off-Formulary Interchangeable) 75mg Tab	PFI	253.9123	126.9562	YES	NO	NO
02552140	PALBOCICLIB	PMS-Palbociclib (Off-Formulary Interchangeable) 125mg Tab	PMS	126.9562	126.9562	YES	NO	NO
02552124	PALBOCICLIB	PMS-Palbociclib (Off-Formulary Interchangeable) 75mg Tab	PMS	126.9562	126.9562	YES	NO	NO
02552132	PALBOCICLIB	PMS-Palbociclib (Off-Formulary Interchangeable) 100mg Tab	PMS	126.9562	126.9562	YES	NO	NO
02547651	PALBOCICLIB	Taro-Palbociclib (Off-Formulary Interchangeable) 125mg Tab	TAR	126.9562	126.9562	YES	NO	NO
02547643	PALBOCICLIB	Taro-Palbociclib (Off-Formulary Interchangeable) 100mg Tab	TAR	126.9562	126.9562	YES	NO	NO
02547635	PALBOCICLIB	Taro-Palbociclib (Off-Formulary Interchangeable) 75mg Tab	TAR	126.9562	126.9562	YES	NO	NO
02300273	PALIPERIDONE	Invega 3mg ER Tab	JAN	4.3400	4.3400	NO	NO	NO
02300281	PALIPERIDONE	Invega 6mg ER Tab	JAN	6.4920	6.4920	NO	NO	NO
02300303	PALIPERIDONE	Invega 9mg ER Tab	JAN	8.6530	8.6530	NO	NO	NO
02354217	PALIPERIDONE PALMITATE	Invega Sustenna 50mg Inj Pref Syr	JAN	327.4500	327.4500	NO	NO	YES
02354225	PALIPERIDONE PALMITATE	Invega Sustenna 75mg Inj Pref Syr	JAN	491.1800	491.1800	NO	NO	YES
02354233	PALIPERIDONE PALMITATE	Invega Sustenna 100mg Inj Pref Syr	JAN	544.4400	544.4400	NO	NO	YES
02354241	PALIPERIDONE PALMITATE	Invega Sustenna 150mg Inj Pref Syr	JAN	725.9100	725.9100	NO	NO	YES
02455994	PALIPERIDONE PALMITATE	Invega Trinza 350mg/1.75mL Inj Susp-Pref Syr	JAN	1430.6100	1430.6100	NO	NO	YES
02456001	PALIPERIDONE PALMITATE	Invega Trinza 525mg/2.625mL Inj Susp-Pref Syr	JAN	1907.4900	1907.4900	NO	NO	YES
02455943	PALIPERIDONE PALMITATE	Invega Trinza 175mg/0.875mL Inj Susp-Pref Syr	JAN	953.7300	953.7300	NO	NO	YES
02455986	PALIPERIDONE PALMITATE	Invega Trinza 263mg/1.315mL Inj Susp-Pref Syr	JAN	1430.6100	1430.6100	NO	NO	YES
02059762	PAMIDRONATE DISODIUM	Aredia (Off-Formulary Interchangeable) 3mg/mL Inj Sol-10mL Vial	NOV	N/A	N/A	YES	NO	NO
02059789	PAMIDRONATE DISODIUM	Aredia (Off-Formulary Interchangeable) 9mg/mL Inj Sol-10mL Vial	NOV	N/A	N/A	YES	NO	NO
02059770	PAMIDRONATE DISODIUM	Aredia (Off-Formulary Interchangeable) 6mg/mL Inj Sol-10mL Vial	NOV	N/A	N/A	YES	NO	NO
02249669	PAMIDRONATE DISODIUM	Pamidronate Disodium Omega (Off-Formulary Interchangeable) 3mg/mL Inj Sol-10mL Vial	OMG	86.7800	86.7800	YES	NO	NO
02249685	PAMIDRONATE DISODIUM	Pamidronate Disodium Omega (Off-Formulary Interchangeable) 9mg/mL Inj Sol-10mL Vial	OMG	260.3300	260.3300	YES	NO	NO
02249677	PAMIDRONATE DISODIUM	Pamidronate Disodium Omega (Off-Formulary Interchangeable) 6mg/mL Inj Sol-10mL Vial	OMG	176.7000	176.7000	YES	NO	NO
02246599	PAMIDRONATE DISODIUM	Pamidronate Disodium for Injection (Off-Formulary Interchangeable) 9mg/mL Inj Sol-10mL Vial	FKC	260.3300	260.3300	YES	NO	NO
02246597	PAMIDRONATE DISODIUM	Pamidronate Disodium for Injection (Off-Formulary Interchangeable) 3mg/mL Inj Sol-10mL Vial	FKC	86.7800	86.7800	YES	NO	NO
02246598	PAMIDRONATE DISODIUM	Pamidronate Disodium for Injection (Off-Formulary Interchangeable) 6mg/mL Inj Sol-10mL Vial	FKC	176.7000	176.7000	YES	NO	NO
00263818	PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE	Cotazym 10000 & 40000 & 35000 USP Units Cap	ORG	0.2752	0.2752	NO	YES	NO
00821373	PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE	Cotazym ECS 20 20000 & 55000 & 55000 USP Units Ent Microsph Cap	ORG	1.3025	1.3025	NO	YES	NO
00502790	PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE	Cotazym ECS 8 8000 & 30000 & 30000 USP Units Ent Microsph Cap	ORG	0.4968	0.4968	NO	YES	NO
00789445	PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE	Pancrease MT4 4000 & 12000 & 12000 USP Units Ent Microsph Cap	VIU	0.7274	0.7274	NO	YES	NO
02200104	PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE	Creon 10 10000 & 33200 & 37500 USP Units Ent Minimicrosph Cap	SPH	0.2891	0.2891	NO	YES	NO
01985205	PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE	Creon 25 25000 & 74000 & 62500 USP Units Ent Minimicrosph Cap	SPH	0.9031	0.9031	NO	YES	NO
02445158	PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE	Creon Minimicrospheres Micro 5100 & 500 & 320 Units/100mg Gran - 100mg/Scoop	BGP	0.1871	0.1871	NO	YES	NO
02230019	PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE	Viokace 10440 & 56400 & 57100 USP Units Tab	NSA	0.4054	0.4054	NO	YES	NO
02241933	PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE	Viokace 16mg Tab	NSA	0.6222	0.6222	NO	YES	NO
02408570	PANTOPRAZOLE MAGNESIUM	Mylan-Pantoprazole T 40mg Ent Coated Tab	MYL	0.1875	0.1875	YES	NO	NO
02441853	PANTOPRAZOLE MAGNESIUM	Pantoprazole Magnesium 40mg Ent Coated Tab	ALH	0.1875	0.1875	YES	NO	NO
02466147	PANTOPRAZOLE MAGNESIUM	Pantoprazole T 40mg Ent Coated Tab	SAI	0.1875	0.1875	YES	NO	NO
02519534	PANTOPRAZOLE MAGNESIUM	Pantoprazole T 40mg Ent Coated Tab	SIV	0.1875	0.1875	YES	NO	NO
02267233	PANTOPRAZOLE MAGNESIUM	Tecta 40mg Ent Coated Tab	NYC	0.8260	0.1875	YES	NO	NO
02440628	PANTOPRAZOLE MAGNESIUM	Teva-Pantoprazole Magnesium 40mg Ent Coated Tab	TEV	0.1875	0.1875	YES	NO	NO
02481588	PANTOPRAZOLE SODIUM	AG-Pantoprazole Sodium 40mg Ent Tab	ANG	0.2016	0.2016	YES	YES	NO
02292920	PANTOPRAZOLE SODIUM	Apo-Pantoprazole 40mg Ent Tab	APX	0.2016	0.2016	YES	YES	NO
02292912	PANTOPRAZOLE SODIUM	Apo-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	APX	1.2750	N/A	YES	NO	NO
02415208	PANTOPRAZOLE SODIUM	Auro-Pantoprazole 40mg Ent Tab	AUR	0.2016	0.2016	YES	YES	NO
02300486	PANTOPRAZOLE SODIUM	Co Pantoprazole 40mg Ent Tab	COB	0.2016	0.2016	YES	YES	NO
02392615	PANTOPRAZOLE SODIUM	Jamp Pantoprazole Sodium (Off-Formulary Interchangeable) 20mg Ent Tab	JPC	1.2750	N/A	YES	NO	NO
02392623	PANTOPRAZOLE SODIUM	Jamp Pantoprazole Sodium 40mg Ent Tab	JPC	0.2016	0.2016	YES	YES	NO
02408414	PANTOPRAZOLE SODIUM	Jamp-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	JPC	1.2750	N/A	YES	NO	NO
02357054	PANTOPRAZOLE SODIUM	Jamp-Pantoprazole 40mg Ent Tab	JPC	0.2016	0.2016	YES	YES	NO
02467372	PANTOPRAZOLE SODIUM	M-Pantoprazole 40mg Ent Tab	MAT	0.2016	0.2016	YES	YES	NO
02416565	PANTOPRAZOLE SODIUM	Mar-Pantoprazole 40mg Ent Tab	MAR	0.2016	0.2016	YES	YES	NO
02416557	PANTOPRAZOLE SODIUM	Mar-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	MAR	1.2750	N/A	YES	NO	NO
02417448	PANTOPRAZOLE SODIUM	Mint-Pantoprazole 40mg Ent Tab	MIN	0.2016	0.2016	YES	YES	NO
02471825	PANTOPRAZOLE SODIUM	NRA-Pantoprazole 40mg Ent Tab	NRA	0.2016	0.2016	YES	YES	NO
02307871	PANTOPRAZOLE SODIUM	PMS-Pantoprazole 40mg Ent Tab	PMS	0.2016	0.2016	YES	YES	NO
02229453	PANTOPRAZOLE SODIUM	Pantoloc 40mg Ent Tab	NYC	2.0803	0.2016	YES	YES	NO
02241804	PANTOPRAZOLE SODIUM	Pantoloc (Off-Formulary Interchangeable) 20mg Ent Tab	NYC	N/A	N/A	YES	NO	NO
02536137	PANTOPRAZOLE SODIUM	Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	SAI	1.2750	N/A	YES	NO	NO
02370808	PANTOPRAZOLE SODIUM	Pantoprazole 40mg Ent Tab	SAI	0.2016	0.2016	YES	YES	NO
02428172	PANTOPRAZOLE SODIUM	Pantoprazole-20 (Off-Formulary Interchangeable) 20mg Ent Tab	SIV	1.2750	N/A	YES	NO	NO
02428180	PANTOPRAZOLE SODIUM	Pantoprazole-40 40mg Ent Tab	SIV	0.2016	0.2016	YES	YES	NO
02305046	PANTOPRAZOLE SODIUM	Ran-Pantoprazole 40mg Ent Tab	RAN	0.2016	0.2016	YES	YES	NO
02305038	PANTOPRAZOLE SODIUM	Ran-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	RAN	1.2750	N/A	YES	NO	NO
02301083	PANTOPRAZOLE SODIUM	Sandoz Pantoprazole 40mg Ent Tab	SDZ	0.2016	0.2016	YES	YES	NO
02301075	PANTOPRAZOLE SODIUM	Sandoz Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	SDZ	1.2750	N/A	YES	NO	NO
02285487	PANTOPRAZOLE SODIUM	Teva-Pantoprazole 40mg Ent Tab	TEV	0.2016	0.2016	YES	YES	NO
02285479	PANTOPRAZOLE SODIUM	Teva-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	TEV	1.2750	N/A	YES	NO	NO
02475553	PAROXETINE HCL	AG-Paroxetine 30mg Tab	ANG	0.3453	0.3453	YES	NO	NO
02475545	PAROXETINE HCL	AG-Paroxetine 20mg Tab	ANG	0.3250	0.3250	YES	NO	NO
02475537	PAROXETINE HCL	AG-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	ANG	1.0430	N/A	YES	NO	NO
02240907	PAROXETINE HCL	Apo-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	APX	1.0430	N/A	YES	NO	NO
02240909	PAROXETINE HCL	Apo-Paroxetine 30mg Tab	APX	0.3453	0.3453	YES	NO	NO
02240908	PAROXETINE HCL	Apo-Paroxetine 20mg Tab	APX	0.3250	0.3250	YES	NO	NO
02383284	PAROXETINE HCL	Auro-Paroxetine 20mg Tab	AUR	0.3250	0.3250	YES	NO	NO
02383292	PAROXETINE HCL	Auro-Paroxetine 30mg Tab	AUR	0.3453	0.3453	YES	NO	NO
02383276	PAROXETINE HCL	Auro-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	AUR	1.0430	N/A	YES	NO	NO
02262754	PAROXETINE HCL	Co Paroxetine 20mg Tab	COB	0.3250	0.3250	YES	NO	NO
02262746	PAROXETINE HCL	Co Paroxetine (Off-Formulary Interchangeable) 10mg Tab	COB	1.0430	N/A	YES	NO	NO
02507773	PAROXETINE HCL	Jamp Paroxetine Tablets (Off-Formulary Interchangeable) 10mg Tab	JPC	1.0430	N/A	YES	NO	NO
02507803	PAROXETINE HCL	Jamp Paroxetine Tablets 30mg Tab	JPC	0.3453	0.3453	YES	NO	NO
02507781	PAROXETINE HCL	Jamp Paroxetine Tablets 20mg Tab	JPC	0.3250	0.3250	YES	NO	NO
02368862	PAROXETINE HCL	Jamp-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	JPC	1.0430	N/A	YES	NO	NO
02368889	PAROXETINE HCL	Jamp-Paroxetine 30mg Tab	JPC	0.3453	0.3453	YES	NO	NO
02368870	PAROXETINE HCL	Jamp-Paroxetine 20mg Tab	JPC	0.3250	0.3250	YES	NO	NO
02467410	PAROXETINE HCL	M-Paroxetine 20mg Tab	MAT	0.3250	0.3250	YES	NO	NO
02467429	PAROXETINE HCL	M-Paroxetine 30mg Tab	MAT	0.3453	0.3453	YES	NO	NO
02467402	PAROXETINE HCL	M-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	MAT	1.0430	N/A	YES	NO	NO
02411954	PAROXETINE HCL	Mar-Paroxetine 20mg Tab	MAR	0.3250	0.3250	YES	NO	NO
02411962	PAROXETINE HCL	Mar-Paroxetine 30mg Tab	MAR	0.3453	0.3453	YES	NO	NO
02411946	PAROXETINE HCL	Mar-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	MAR	1.0430	N/A	YES	NO	NO
02421399	PAROXETINE HCL	Mint-Paroxetine 30mg Tab	MIN	0.3453	0.3453	YES	NO	NO
02421380	PAROXETINE HCL	Mint-Paroxetine 20mg Tab	MIN	0.3250	0.3250	YES	NO	NO
02421372	PAROXETINE HCL	Mint-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	MIN	1.0430	N/A	YES	NO	NO
02479753	PAROXETINE HCL	NRA-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	NRA	1.0430	N/A	YES	NO	NO
02479788	PAROXETINE HCL	NRA-Paroxetine 30mg Tab	NRA	0.3453	0.3453	YES	NO	NO
02479761	PAROXETINE HCL	NRA-Paroxetine 20mg Tab	NRA	0.3250	0.3250	YES	NO	NO
02247750	PAROXETINE HCL	PMS-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	PMS	1.0430	N/A	YES	NO	NO
02247752	PAROXETINE HCL	PMS-Paroxetine 30mg Tab	PMS	0.3453	0.3453	YES	NO	NO
02247751	PAROXETINE HCL	PMS-Paroxetine 20mg Tab	PMS	0.3250	0.3250	YES	NO	NO
02282844	PAROXETINE HCL	Paroxetine (Off-Formulary Interchangeable) 10mg Tab	SAI	1.0430	N/A	YES	NO	NO
02388235	PAROXETINE HCL	Paroxetine 20mg Tab	SIV	0.3250	0.3250	YES	NO	NO
02282852	PAROXETINE HCL	Paroxetine 20mg Tab	SAI	0.3250	0.3250	YES	NO	NO
02388243	PAROXETINE HCL	Paroxetine 30mg Tab	SIV	0.3453	0.3453	YES	NO	NO
02282860	PAROXETINE HCL	Paroxetine 30mg Tab	SAI	0.3453	0.3453	YES	NO	NO
02388227	PAROXETINE HCL	Paroxetine (Off-Formulary Interchangeable) 10mg Tab	SIV	1.0430	N/A	YES	NO	NO
01940473	PAROXETINE HCL	Paxil 30mg Tab	GSK	2.6577	0.3453	YES	NO	NO
01940481	PAROXETINE HCL	Paxil 20mg Tab	GSK	2.5021	0.3250	YES	NO	NO
02027887	PAROXETINE HCL	Paxil (Off-Formulary Interchangeable) 10mg Tab	SMJ	N/A	N/A	YES	NO	NO
02431793	PAROXETINE HCL	Sandoz Paroxetine Tablets 30mg Tab	SDZ	0.3453	0.3453	YES	NO	NO
02431785	PAROXETINE HCL	Sandoz Paroxetine Tablets 20mg Tab	SDZ	0.3250	0.3250	YES	NO	NO
02431777	PAROXETINE HCL	Sandoz Paroxetine Tablets (Off-Formulary Interchangeable) 10mg Tab	SDZ	1.0430	N/A	YES	NO	NO
02248556	PAROXETINE HCL	Teva-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	TEV	1.0430	N/A	YES	NO	NO
02248557	PAROXETINE HCL	Teva-Paroxetine 20mg Tab	TEV	0.3250	0.3250	YES	NO	NO
02248558	PAROXETINE HCL	Teva-Paroxetine 30mg Tab	TEV	0.3453	0.3453	YES	NO	NO
02525666	PAZOPANIB	PMS-Pazopanib (Off-Formulary Interchangeable) 200mg Tab	PMS	30.9655	30.9655	YES	NO	NO
02352303	PAZOPANIB	Votrient (Off-Formulary Interchangeable) 200mg Tab	GSK	41.3147	30.9655	YES	NO	NO
00677442	PEG-ELECTROLYTES	Colyte (Not a Benefit) Pd-4L Pk	PEN	N/A	N/A	YES	NO	NO
00777838	PEG-ELECTROLYTES	PegLyte Powder Pd-4L Pk	PEN	17.7331	17.7331	YES	NO	NO
02529343	PEGFILGRASTIM	Lapelga 6mg/0.6mL Inj Sol-0.6mL Pref Autoinj (Preservative-Free)	APX	1375.0000	1375.0000	NO	NO	NO
02546973	PEGFILGRASTIM	Niopeg 6mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)	NRA	492.0000	492.0000	NO	NO	NO
02553945	PEGFILGRASTIM	Pexegra 6mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)	JPC	492.0000	492.0000	NO	NO	NO
02497395	PEGFILGRASTIM	Ziextenzo 6mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)	SDZ	492.0000	492.0000	NO	NO	NO
02506238	PEGFILGRASTIM	Nyvepria 6mg/0.6mL Inj Sol-0.6mL Pref Syr Pk (Preservative-Free)	PFI	1375.0000	1375.0000	NO	NO	NO
02484153	PEGFILGRASTIM	Fulphila 10mg/mL Inj Sol-Pref Syr	BCL	492.0000	492.0000	NO	NO	NO
02474565	PEGFILGRASTIM	Lapelga 10mg/mL Inj Sol-Pref Syr - 0.6mL Pk (Preservative Free)	APX	492.0000	492.0000	NO	NO	NO
00016055	PENICILLAMINE	Cuprimine 250mg Cap	ATO	4.7355	4.7355	NO	NO	NO
00642223	PENICILLIN V (POTASSIUM)	Apo-Pen V-K 25mg/mL O/L	APX	0.0535	0.0535	YES	NO	NO
00018635	PENICILLIN V (POTASSIUM)	Nadopen-V (Not a Benefit) 25mg/mL O/L	NDA	N/A	N/A	YES	NO	NO
00642215	PENICILLIN V (POTASSIUM)	PEN V-K 300mg Tab	AAP	0.1873	0.1873	YES	NO	NO
00248843	PENICILLIN V (POTASSIUM)	PVF-K 500 (Not a Benefit) 300mg Tab	FRS	N/A	N/A	YES	NO	NO
02543087	PENTOXIFYLLINE	Jamp Pentoxifylline SR 400mg SR Tab	JPC	0.7238	0.7238	YES	YES	NO
02230090	PENTOXIFYLLINE	Pentoxifylline SR 400mg SR Tab	AAP	0.7238	0.7238	YES	YES	NO
02221977	PENTOXIFYLLINE	Trental (Not a Benefit) 400mg SR Tab	SAV	N/A	N/A	YES	NO	NO
02404532	PERAMPANEL	Fycompa 6mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404567	PERAMPANEL	Fycompa 12mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404559	PERAMPANEL	Fycompa 10mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404540	PERAMPANEL	Fycompa 8mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404524	PERAMPANEL	Fycompa 4mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404516	PERAMPANEL	Fycompa 2mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02522640	PERAMPANEL	Taro-Perampanel 4mg Tab	TAR	5.7128	5.7128	YES	YES	NO
02522683	PERAMPANEL	Taro-Perampanel 12mg Tab	TAR	5.7128	5.7128	YES	YES	NO
02522659	PERAMPANEL	Taro-Perampanel 6mg Tab	TAR	5.7128	5.7128	YES	YES	NO
02522667	PERAMPANEL	Taro-Perampanel 8mg Tab	TAR	5.7128	5.7128	YES	YES	NO
02522632	PERAMPANEL	Taro-Perampanel 2mg Tab	TAR	5.7128	5.7128	YES	YES	NO
02522675	PERAMPANEL	Taro-Perampanel 10mg Tab	TAR	5.7128	5.7128	YES	YES	NO
01926780	PERICYAZINE	Neuleptil 5mg Cap	SLP	0.2566	0.2566	NO	NO	NO
01926772	PERICYAZINE	Neuleptil 10mg Cap	SLP	0.4428	0.4428	NO	NO	NO
01926756	PERICYAZINE	Neuleptil 10mg/mL O/L	SLP	0.4450	0.4450	NO	NO	NO
02468581	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	Apo-Perindopril/Amlodipine (Off-Formulary Interchangeable) 14mg & 10mg Tab	APX	0.9775	N/A	YES	NO	NO
02468565	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	Apo-Perindopril/Amlodipine (Off-Formulary Interchangeable) 3.5mg & 2.5mg Tab	APX	0.8075	N/A	YES	NO	NO
02468573	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	Apo-Perindopril/Amlodipine (Off-Formulary Interchangeable) 7mg & 5mg Tab	APX	0.8925	N/A	YES	NO	NO
02541726	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	PMS-Perindopril-Amlodipine (Off-Formulary Interchangeable) 14mg & 10mg Tab	PMS	0.9775	N/A	YES	NO	NO
02541696	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	PMS-Perindopril-Amlodipine (Off-Formulary Interchangeable) 3.5mg & 2.5mg Tab	PMS	0.8075	N/A	YES	NO	NO
02541718	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	PMS-Perindopril-Amlodipine (Off-Formulary Interchangeable) 7mg & 5mg Tab	PMS	0.8925	N/A	YES	NO	NO
02451549	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	Viacoram (Off-Formulary Interchangeable) 7mg & 5mg Tab	SEV	N/A	N/A	YES	NO	NO
02451530	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	Viacoram (Off-Formulary Interchangeable) 3.5mg & 2.5mg Tab	SEV	N/A	N/A	YES	NO	NO
02451557	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	Viacoram (Off-Formulary Interchangeable) 14mg & 10mg Tab	SEV	N/A	N/A	YES	NO	NO
02481693	PERINDOPRIL ERBUMINE	AG-Perindopril 8mg Tab	ANG	0.2831	0.2831	YES	NO	NO
02481685	PERINDOPRIL ERBUMINE	AG-Perindopril 4mg Tab	ANG	0.2042	0.2042	YES	NO	NO
02481677	PERINDOPRIL ERBUMINE	AG-Perindopril 2mg Tab	ANG	0.1632	0.1632	YES	NO	NO
02289288	PERINDOPRIL ERBUMINE	Apo-Perindopril 4mg Tab	APX	0.2042	0.2042	YES	NO	NO
02289261	PERINDOPRIL ERBUMINE	Apo-Perindopril 2mg Tab	APX	0.1632	0.1632	YES	NO	NO
02289296	PERINDOPRIL ERBUMINE	Apo-Perindopril 8mg Tab	APX	0.2831	0.2831	YES	NO	NO
02459825	PERINDOPRIL ERBUMINE	Auro-Perindopril 4mg Tab	AUR	0.2042	0.2042	YES	NO	NO
02459817	PERINDOPRIL ERBUMINE	Auro-Perindopril 2mg Tab	AUR	0.1632	0.1632	YES	NO	NO
02459833	PERINDOPRIL ERBUMINE	Auro-Perindopril 8mg Tab	AUR	0.2831	0.2831	YES	NO	NO
02246624	PERINDOPRIL ERBUMINE	Coversyl 8mg Tab	SEV	1.3660	0.2831	YES	NO	NO
02123274	PERINDOPRIL ERBUMINE	Coversyl 2mg Tab	SEV	0.7790	0.1632	YES	NO	NO
02123282	PERINDOPRIL ERBUMINE	Coversyl 4mg Tab	SEV	0.9753	0.2042	YES	NO	NO
02527219	PERINDOPRIL ERBUMINE	Jamp Perindopril Erbumine 4mg Tab	JPC	0.2042	0.2042	YES	NO	NO
02527200	PERINDOPRIL ERBUMINE	Jamp Perindopril Erbumine 2mg Tab	JPC	0.1632	0.1632	YES	NO	NO
02527227	PERINDOPRIL ERBUMINE	Jamp Perindopril Erbumine 8mg Tab	JPC	0.2831	0.2831	YES	NO	NO
02477009	PERINDOPRIL ERBUMINE	Jamp-Perindopril 2mg Tab	JPC	0.1632	0.1632	YES	NO	NO
02477017	PERINDOPRIL ERBUMINE	Jamp-Perindopril 4mg Tab	JPC	0.2042	0.2042	YES	NO	NO
02477025	PERINDOPRIL ERBUMINE	Jamp-Perindopril 8mg Tab	JPC	0.2831	0.2831	YES	NO	NO
02482940	PERINDOPRIL ERBUMINE	M-Perindopril Erbumine 8mg Tab	MAT	0.2831	0.2831	YES	NO	NO
02482932	PERINDOPRIL ERBUMINE	M-Perindopril Erbumine 4mg Tab	MAT	0.2042	0.2042	YES	NO	NO
02482924	PERINDOPRIL ERBUMINE	M-Perindopril Erbumine 2mg Tab	MAT	0.1632	0.1632	YES	NO	NO
02474832	PERINDOPRIL ERBUMINE	Mar-Perindopril 4mg Tab	MAR	0.2042	0.2042	YES	NO	NO
02474824	PERINDOPRIL ERBUMINE	Mar-Perindopril 2mg Tab	MAR	0.1632	0.1632	YES	NO	NO
02474840	PERINDOPRIL ERBUMINE	Mar-Perindopril 8mg Tab	MAR	0.2831	0.2831	YES	NO	NO
02476789	PERINDOPRIL ERBUMINE	Mint-Perindopril 8mg Tab	MIN	0.2831	0.2831	YES	NO	NO
02476770	PERINDOPRIL ERBUMINE	Mint-Perindopril 4mg Tab	MIN	0.2042	0.2042	YES	NO	NO
02476762	PERINDOPRIL ERBUMINE	Mint-Perindopril 2mg Tab	MIN	0.1632	0.1632	YES	NO	NO
02489015	PERINDOPRIL ERBUMINE	NRA-Perindopril 2mg Tab	NRA	0.1632	0.1632	YES	NO	NO
02489023	PERINDOPRIL ERBUMINE	NRA-Perindopril 4mg Tab	NRA	0.2042	0.2042	YES	NO	NO
02489031	PERINDOPRIL ERBUMINE	NRA-Perindopril 8mg Tab	NRA	0.2831	0.2831	YES	NO	NO
02470691	PERINDOPRIL ERBUMINE	PMS-Perindopril 8mg Tab	PMS	0.2831	0.2831	YES	NO	NO
02470683	PERINDOPRIL ERBUMINE	PMS-Perindopril 4mg Tab	PMS	0.2042	0.2042	YES	NO	NO
02470675	PERINDOPRIL ERBUMINE	PMS-Perindopril 2mg Tab	PMS	0.1632	0.1632	YES	NO	NO
02479877	PERINDOPRIL ERBUMINE	Perindopril Erbumine 2mg Tab	SIV	0.1632	0.1632	YES	NO	NO
02481634	PERINDOPRIL ERBUMINE	Perindopril Erbumine 2mg Tab	SAI	0.1632	0.1632	YES	NO	NO
02481642	PERINDOPRIL ERBUMINE	Perindopril Erbumine 4mg Tab	SAI	0.2042	0.2042	YES	NO	NO
02479885	PERINDOPRIL ERBUMINE	Perindopril Erbumine 4mg Tab	SIV	0.2042	0.2042	YES	NO	NO
02479893	PERINDOPRIL ERBUMINE	Perindopril Erbumine 8mg Tab	SIV	0.2831	0.2831	YES	NO	NO
02481650	PERINDOPRIL ERBUMINE	Perindopril Erbumine 8mg Tab	SAI	0.2831	0.2831	YES	NO	NO
02470225	PERINDOPRIL ERBUMINE	Sandoz Perindopril Erbumine 2mg Tab	SDZ	0.1632	0.1632	YES	NO	NO
02470241	PERINDOPRIL ERBUMINE	Sandoz Perindopril Erbumine 8mg Tab	SDZ	0.2831	0.2831	YES	NO	NO
02470233	PERINDOPRIL ERBUMINE	Sandoz Perindopril Erbumine 4mg Tab	SDZ	0.2042	0.2042	YES	NO	NO
02464985	PERINDOPRIL ERBUMINE	Teva-Perindopril 2mg Tab	TEV	0.1632	0.1632	YES	NO	NO
02465000	PERINDOPRIL ERBUMINE	Teva-Perindopril 8mg Tab	TEV	0.2831	0.2831	YES	NO	NO
02464993	PERINDOPRIL ERBUMINE	Teva-Perindopril 4mg Tab	TEV	0.2042	0.2042	YES	NO	NO
02297574	PERINDOPRIL ERBUMINE & INDAPAMIDE	Apo-Perindopril-Indapamide 4mg & 1.25mg Tab	APX	0.2556	0.2556	YES	NO	NO
02453061	PERINDOPRIL ERBUMINE & INDAPAMIDE	Apo-Perindopril-Indapamide 8mg & 2.5mg Tab	APX	0.2859	0.2859	YES	NO	NO
02246569	PERINDOPRIL ERBUMINE & INDAPAMIDE	Coversyl Plus 4mg & 1.25mg Tab	SEV	1.2080	0.2556	YES	NO	NO
02321653	PERINDOPRIL ERBUMINE & INDAPAMIDE	Coversyl Plus HD 8mg & 2.5mg Tab	SEV	1.3660	0.2859	YES	NO	NO
02246568	PERINDOPRIL ERBUMINE & INDAPAMIDE	Coversyl Plus LD 2mg & 0.625mg Tab	SEV	1.0160	0.4227	YES	NO	NO
02537990	PERINDOPRIL ERBUMINE & INDAPAMIDE	PMS-Perindopril-Indapamide 2mg & 0.625mg Tab	PMS	0.4227	0.4227	YES	NO	NO
02537982	PERINDOPRIL ERBUMINE & INDAPAMIDE	PMS-Perindopril-Indapamide 8mg & 2.5mg Tab	PMS	0.2859	0.2859	YES	NO	NO
02538008	PERINDOPRIL ERBUMINE & INDAPAMIDE	PMS-Perindopril-Indapamide 4mg & 1.25mg Tab	PMS	0.2556	0.2556	YES	NO	NO
02479834	PERINDOPRIL ERBUMINE & INDAPAMIDE	Perindopril Erbumine/Indapamide 4mg & 1.25mg Tab	SIV	0.2556	0.2556	YES	NO	NO
02479842	PERINDOPRIL ERBUMINE & INDAPAMIDE	Perindopril Erbumine/Indapamide HD 8mg & 2.5mg Tab	SIV	0.2859	0.2859	YES	NO	NO
02519720	PERINDOPRIL ERBUMINE & INDAPAMIDE	Perindopril/Indapamide 4mg & 1.25mg Tab	SAI	0.2556	0.2556	YES	NO	NO
02519739	PERINDOPRIL ERBUMINE & INDAPAMIDE	Perindopril/Indapamide 8mg & 2.5mg Tab	SAI	0.2859	0.2859	YES	NO	NO
02470438	PERINDOPRIL ERBUMINE & INDAPAMIDE	Sandoz Perindopril Erbumine/Indapamide 4mg & 1.25mg Tab	SDZ	0.2556	0.2556	YES	NO	NO
02470446	PERINDOPRIL ERBUMINE & INDAPAMIDE	Sandoz Perindopril Erbumine/IndapamideHD 8mg & 2.5mg Tab	SDZ	0.2859	0.2859	YES	NO	NO
02470411	PERINDOPRIL ERBUMINE & INDAPAMIDE	Sandoz Perindopril Erbumine/IndapamideLD 2mg & 0.625mg Tab	SDZ	0.4227	0.4227	YES	NO	NO
02464039	PERINDOPRIL ERBUMINE & INDAPAMIDE	Teva-Perindopril/Indapamide 8mg & 2.5mg Tab	TEV	0.2859	0.2859	YES	NO	NO
02464020	PERINDOPRIL ERBUMINE & INDAPAMIDE	Teva-Perindopril/Indapamide 4mg & 1.25mg Tab	TEV	0.2556	0.2556	YES	NO	NO
02219905	PERMETHRIN	Nix Dermal Cream 5% Cr	HLN	0.4977	0.4977	NO	NO	NO
02231480	PERMETHRIN	Kwellada-P Creme Rinse 1% Cr Rinse	MEP	0.1749	0.1749	NO	NO	NO
00771368	PERMETHRIN	Nix Creme Rinse 1% Cr Rinse	IPL	0.1701	0.1701	NO	NO	NO
02231348	PERMETHRIN	Kwellada-P Lotion 5% Lot	MEP	0.5053	0.5053	NO	NO	NO
00335096	PERPHENAZINE	Perphenazine 16mg Tab	AAP	0.1359	0.1359	YES	NO	NO
00335118	PERPHENAZINE	Perphenazine 8mg Tab	AAP	0.0888	0.0888	YES	NO	NO
00335126	PERPHENAZINE	Perphenazine 4mg Tab	AAP	0.0808	0.0808	YES	NO	NO
00335134	PERPHENAZINE	Perphenazine 2mg Tab	AAP	0.0668	0.0668	YES	NO	NO
00028312	PERPHENAZINE	Trilafon (Not a Benefit) 8mg Tab	SCH	N/A	N/A	YES	NO	NO
00028304	PERPHENAZINE	Trilafon (Not a Benefit) 4mg Tab	SCH	N/A	N/A	YES	NO	NO
00028290	PERPHENAZINE	Trilafon (Not a Benefit) 2mg Tab	SCH	N/A	N/A	YES	NO	NO
00028320	PERPHENAZINE	Trilafon (Not a Benefit) 16mg Tab	SCH	N/A	N/A	YES	NO	NO
00210889	PETROLATUM/MINERAL OIL	Lacri-Lube 55% & 42.5% Oph Oint-3.5g Pk	ALL	7.9000	7.9000	NO	YES	NO
02125706	PETROLATUM/MINERAL OIL	Soothe Night Time 80%/20% Oph Oint-3.5g Pk	BLI	5.4800	5.4800	NO	YES	NO
00476552	PHENELZINE SULFATE	Nardil 15mg Tab	SLP	0.4905	0.4905	NO	NO	YES
02304090	PHENOBARBITAL	Phenobarbital Injection 120mg/mL Inj Sol-1mL Pk	SDZ	15.7000	15.7000	NO	YES	NO
00645575	PHENOBARBITAL	Phenobarb Elixir 5mg/mL Oral Elixir	PEN	0.1535	0.1535	NO	NO	NO
00178829	PHENOBARBITAL	Phenobarb 100mg Tab	PEN	0.3329	0.3329	NO	NO	NO
00178810	PHENOBARBITAL	Phenobarb 60mg Tab	PEN	0.2433	0.2433	NO	NO	NO
00178802	PHENOBARBITAL	Phenobarb 30mg Tab	PEN	0.1795	0.1795	NO	NO	NO
00178799	PHENOBARBITAL	Phenobarb 15mg Tab	PEN	0.1508	0.1508	NO	NO	NO
00023450	PHENYTOIN (DIPHENYLHYDANTOIN)	Dilantin-125 Suspension 25mg/mL O/L	UJC	0.0697	0.0444	YES	NO	NO
00023442	PHENYTOIN (DIPHENYLHYDANTOIN)	Dilantin-30 Suspension 6mg/mL O/L	UJC	0.0588	0.0588	NO	NO	NO
02250896	PHENYTOIN (DIPHENYLHYDANTOIN)	Taro-Phenytoin 25mg/mL O/L	TAR	0.0444	0.0444	YES	NO	NO
00023698	PHENYTOIN (DIPHENYLHYDANTOIN)	Dilantin Infatabs 50mg Tab	UJC	0.1069	0.1069	NO	NO	NO
00022780	PHENYTOIN (DIPHENYLHYDANTOIN) SODIUM	Dilantin 100mg Cap	UJC	0.1083	0.0665	YES	NO	NO
00022772	PHENYTOIN (DIPHENYLHYDANTOIN) SODIUM	Dilantin 30mg Cap	UJC	0.1782	0.1782	NO	NO	NO
02460912	PHENYTOIN (DIPHENYLHYDANTOIN) SODIUM	Phenytoin Sodium 100mg Cap	AAP	0.0665	0.0665	YES	NO	NO
00780626	PHENYTOIN (DIPHENYLHYDANTOIN) SODIUM	Phenytoin Sodium Injection USP 50mg/mL Inj Sol (Preservative Free)	SDZ	6.0785	6.0785	NO	YES	NO
00781878	PHYTONADIONE	Vitamin K1 Inj 1mg/0.5mL USP 1mg/0.5mL Inj-0.5mL Amp Pk (Preservative Free)	SDZ	5.2950	5.2950	NO	NO	NO
00804312	PHYTONADIONE	Vitamin K1 Inj 10mg/mL USP 10mg/mL Inj-1mL Amp Pk (Preservative Free)	SDZ	6.0000	6.0000	NO	NO	NO
00000884	PILOCARPINE HCL	Isopto Carpine 4% Oph Sol	NOV	0.3360	0.3360	NO	NO	NO
00000868	PILOCARPINE HCL	Isopto Carpine 2% Oph Sol	NOV	0.3320	0.3320	YES	NO	NO
02023741	PILOCARPINE HCL	Pilocarpine (Not a Benefit) 2% Oph Sol	PHS	N/A	N/A	YES	NO	NO
02509571	PILOCARPINE HCL	Jamp Pilocarpine (Off-Formulary Interchangeable) 5mg Tab	JPC	1.1708	1.1708	YES	NO	NO
02496119	PILOCARPINE HCL	M-Pilocarpine (Off-Formulary Interchangeable) 5mg Tab	MAT	1.1708	1.1708	YES	NO	NO
02216345	PILOCARPINE HCL	Salagen (Off-Formulary Interchangeable) 5mg Tab	AMD	N/A	N/A	YES	NO	NO
02247238	PIMECROLIMUS	Elidel 1% Cr	VAL	2.9720	2.9720	NO	YES	NO
00313823	PIMOZIDE	Orap 4mg Tab	AAP	0.4136	0.4136	YES	NO	NO
00313815	PIMOZIDE	Orap 2mg Tab	AAP	0.2279	0.2279	YES	NO	NO
02245433	PIMOZIDE	Pimozide 4mg Tab	AAP	0.4136	0.4136	YES	NO	NO
02245432	PIMOZIDE	Pimozide 2mg Tab	AAP	0.3093	0.2279	YES	NO	NO
02230684	PINAVERIUM BROMIDE	Dicetel (Off-Formulary Interchangeable) 100mg Tab	BGP	N/A	N/A	YES	NO	NO
01950592	PINAVERIUM BROMIDE	Dicetel (Off-Formulary Interchangeable) 50mg Tab	BGP	N/A	N/A	YES	NO	NO
02469677	PINAVERIUM BROMIDE	Pinaverium (Off-Formulary Interchangeable) 50mg Tab	AAP	0.3100	0.3100	YES	NO	NO
02469685	PINAVERIUM BROMIDE	Pinaverium (Off-Formulary Interchangeable) 100mg Tab	AAP	0.5405	0.5405	YES	NO	NO
00869023	PINDOLOL	Teva-Pindolol 15mg Tab	TEV	0.9783	0.9783	YES	NO	NO
00869015	PINDOLOL	Teva-Pindolol 10mg Tab	TEV	0.6947	0.6947	YES	NO	NO
00869007	PINDOLOL	Teva-Pindolol 5mg Tab	TEV	0.4068	0.4068	YES	NO	NO
00417270	PINDOLOL	Visken 5mg Tab	ARZ	0.8502	0.4068	YES	NO	NO
00417289	PINDOLOL	Visken (Not a Benefit) 15mg Tab	NOV	N/A	N/A	YES	NO	NO
00443174	PINDOLOL	Visken 10mg Tab	ARZ	1.4517	0.6947	YES	NO	NO
00568635	PINDOLOL & HYDROCHLOROTHIAZIDE	Viskazide 10mg & 50mg Tab	ARZ	1.3398	1.3398	NO	NO	NO
00568627	PINDOLOL & HYDROCHLOROTHIAZIDE	Viskazide 10mg & 25mg Tab	ARZ	1.3398	1.3398	NO	NO	NO
02303469	PIOGLITAZONE HCL	Accel Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	ACC	2.9500	2.9500	YES	NO	NO
02303442	PIOGLITAZONE HCL	Accel Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	ACC	1.3800	1.3800	YES	NO	NO
02303450	PIOGLITAZONE HCL	Accel Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	ACC	1.9600	1.9600	YES	NO	NO
02302888	PIOGLITAZONE HCL	Act Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	TEV	2.2017	2.2017	YES	NO	NO
02302861	PIOGLITAZONE HCL	Act Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	TEV	1.5716	1.5716	YES	NO	NO
02302896	PIOGLITAZONE HCL	Act Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	TEV	3.3105	3.3105	YES	NO	NO
02242573	PIOGLITAZONE HCL	Actos (Off-Formulary Interchangeable) 30mg Tab	TAK	3.5124	2.2017	YES	NO	NO
02242574	PIOGLITAZONE HCL	Actos (Off-Formulary Interchangeable) 45mg Tab	TAK	5.2710	5.2710	YES	NO	NO
02242572	PIOGLITAZONE HCL	Actos (Off-Formulary Interchangeable) 15mg Tab	TAK	2.5070	1.5716	YES	NO	NO
02302950	PIOGLITAZONE HCL	Apo-Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	APX	2.2017	2.2017	YES	NO	NO
02302977	PIOGLITAZONE HCL	Apo-Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	APX	3.3105	3.3105	YES	NO	NO
02302942	PIOGLITAZONE HCL	Apo-Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	APX	1.5716	1.5716	YES	NO	NO
02384922	PIOGLITAZONE HCL	Auro-Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	AUR	3.3105	3.3105	YES	NO	NO
02384914	PIOGLITAZONE HCL	Auro-Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	AUR	2.2017	2.2017	YES	NO	NO
02384906	PIOGLITAZONE HCL	Auro-Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	AUR	1.5716	1.5716	YES	NO	NO
02397307	PIOGLITAZONE HCL	Jamp-Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	JPC	1.5716	1.5716	YES	NO	NO
02365529	PIOGLITAZONE HCL	Jamp-Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	JPC	2.2017	2.2017	YES	NO	NO
02365537	PIOGLITAZONE HCL	Jamp-Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	JPC	3.3105	3.3105	YES	NO	NO
02326477	PIOGLITAZONE HCL	Mint-Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	MIN	1.5716	1.5716	YES	NO	NO
02326485	PIOGLITAZONE HCL	Mint-Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	MIN	2.2017	2.2017	YES	NO	NO
02326493	PIOGLITAZONE HCL	Mint-Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	MIN	3.3105	3.3105	YES	NO	NO
02303124	PIOGLITAZONE HCL	PMS-Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	PMS	1.5716	1.5716	YES	NO	NO
02303132	PIOGLITAZONE HCL	PMS-Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	PMS	2.2017	2.2017	YES	NO	NO
02303140	PIOGLITAZONE HCL	PMS-Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	PMS	3.3105	3.3105	YES	NO	NO
02339595	PIOGLITAZONE HCL	Pioglitazone Hydrochloride Tablets (Off-Formulary Interchangeable) 45mg Tab	ACH	3.3105	3.3105	YES	NO	NO
02339587	PIOGLITAZONE HCL	Pioglitazone Hydrochloride Tablets (Off-Formulary Interchangeable) 30mg Tab	ACH	2.2017	2.2017	YES	NO	NO
02391600	PIOGLITAZONE HCL	Pioglitazone Hydrochloride Tablets (Off-Formulary Interchangeable) 15mg Tab	ACH	1.5716	1.5716	YES	NO	NO
02297914	PIOGLITAZONE HCL	Sandoz Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	SDZ	2.2017	2.2017	YES	NO	NO
02297922	PIOGLITAZONE HCL	Sandoz Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	SDZ	3.3105	3.3105	YES	NO	NO
02297906	PIOGLITAZONE HCL	Sandoz Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	SDZ	1.5716	1.5716	YES	NO	NO
02274922	PIOGLITAZONE HCL	Teva-Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	TEV	2.2017	2.2017	YES	NO	NO
02274930	PIOGLITAZONE HCL	Teva-Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	TEV	3.3105	3.3105	YES	NO	NO
02274914	PIOGLITAZONE HCL	Teva-Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	TEV	1.5716	1.5716	YES	NO	NO
02402068	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam For Injection (Off-Formulary Interchangeable) 2g & 250mg Inj Pd-2.25g Vial Pk	AUR	10.1300	10.1300	YES	NO	NO
02308444	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam for Injection (Off-Formulary Interchangeable) 2g & 250mg Inj Pd-2.25g Vial Pk	APX	10.1300	10.1300	YES	NO	NO
02362619	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam for Injection (Off-Formulary Interchangeable) 2g & 250mg Inj Pd-2.25g Vial Pk	STE	10.1300	10.1300	YES	NO	NO
02401312	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin and Tazobactam for Inj (Off-Formulary Interchangeable) 2g & 250mg Inj Pd-2.25g Vial Pk	TEL	10.1300	10.1300	YES	NO	NO
02170817	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Tazocin (Off-Formulary Interchangeable) 2g & 250mg Inj Pd-2.25g Vial Pk	PFI	N/A	N/A	YES	NO	NO
02402076	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam For Injection (Off-Formulary Interchangeable) 3g & 375mg Inj Pd-3.375g Vial Pk	AUR	15.2000	15.2000	YES	NO	NO
02391538	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam for Injection (Off-Formulary Interchangeable) 3g & 375mg Inj Pd-3.375g Vial Pk	MYL	15.2000	15.2000	YES	NO	NO
02308452	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam for Injection (Off-Formulary Interchangeable) 3g & 375mg Inj Pd-3.375g Vial Pk	APX	15.2000	15.2000	YES	NO	NO
02362627	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam for Injection (Off-Formulary Interchangeable) 3g & 375mg Inj Pd-3.375g Vial Pk	STE	15.2000	15.2000	YES	NO	NO
02401320	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin and Tazobactam for Inj (Off-Formulary Interchangeable) 3g & 375mg Inj Pd-3.375g Vial Pk	TEL	15.2000	15.2000	YES	NO	NO
02370166	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin/Tazobactam powder for Inj. (Off-Formulary Interchangeable) 3g & 375mg Inj Pd-3.375g Vial Pk	TEV	15.2000	15.2000	YES	NO	NO
02170795	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Tazocin (Off-Formulary Interchangeable) 3g & 375mg Inj Pd-3.375g Vial Pk	WYE	N/A	N/A	YES	NO	NO
02402084	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam For Injection (Off-Formulary Interchangeable) 4g & 500mg Inj Pd-4.5g Vial Pk	AUR	20.2700	20.2700	YES	NO	NO
02308460	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam for Injection (Off-Formulary Interchangeable) 4g & 500mg Inj Pd-4.5g Vial Pk	APX	20.2700	20.2700	YES	NO	NO
02362635	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin & Tazobactam for Injection (Off-Formulary Interchangeable) 4g & 500mg Inj Pd-4.5g Vial Pk	STE	20.2700	20.2700	YES	NO	NO
02401339	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin and Tazobactam for Inj (Off-Formulary Interchangeable) 4g & 500mg Inj Pd-4.5g Vial Pk	TEL	20.2700	20.2700	YES	NO	NO
02370174	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Piperacillin/Tazobactam powder for Inj. (Off-Formulary Interchangeable) 4g & 500mg Inj Pd-4.5g Vial Pk	TEV	20.2700	20.2700	YES	NO	NO
02170809	PIPERACILLIN SODIUM & TAZOBACTAM SODIUM	Tazocin (Off-Formulary Interchangeable) 4g & 500mg Inj Pd-4.5g Vial Pk	WYE	N/A	N/A	YES	NO	NO
02393751	PIRFENIDONE	Esbriet (Off-Formulary Interchangeable) 267mg Cap	INT	N/A	N/A	YES	NO	NO
02509938	PIRFENIDONE	Jamp Pirfenidone (Off-Formulary Interchangeable) 267mg Cap	JPC	6.7120	6.7120	YES	NO	NO
02488833	PIRFENIDONE	Sandoz Pirfenidone Capsules (Off-Formulary Interchangeable) 267mg Cap	SDZ	6.7120	6.7120	YES	NO	NO
02537761	PIRFENIDONE	Auro-Pirfenidone (Off-Formulary Interchangeable) 801mg Tab	AUR	20.1361	20.1361	YES	NO	NO
02537753	PIRFENIDONE	Auro-Pirfenidone (Off-Formulary Interchangeable) 267mg Tab	AUR	6.7119	6.7119	YES	NO	NO
02464489	PIRFENIDONE	Esbriet (Off-Formulary Interchangeable) 267mg Tab	HLR	13.4240	6.7120	YES	NO	NO
02464500	PIRFENIDONE	Esbriet (Off-Formulary Interchangeable) 801mg Tab	HLR	40.2720	20.1361	YES	NO	NO
02514710	PIRFENIDONE	Jamp Pirfenidone (Off-Formulary Interchangeable) 801mg Tab	JPC	20.1360	20.1360	YES	NO	NO
02514702	PIRFENIDONE	Jamp Pirfenidone (Off-Formulary Interchangeable) 267mg Tab	JPC	6.7120	6.7120	YES	NO	NO
02550652	PIRFENIDONE	M-Pirfenidone (Off-Formulary Interchangeable) 801mg Tab	MAT	20.1360	20.1360	YES	NO	NO
02550644	PIRFENIDONE	M-Pirfenidone (Off-Formulary Interchangeable) 267mg Tab	MAT	6.7120	6.7120	YES	NO	NO
02531534	PIRFENIDONE	PMS-Pirfenidone (Off-Formulary Interchangeable) 801mg Tab	PMS	20.1360	20.1360	YES	NO	NO
02531526	PIRFENIDONE	PMS-Pirfenidone (Off-Formulary Interchangeable) 267mg Tab	PMS	6.7120	6.7120	YES	NO	NO
02488515	PIRFENIDONE	Sandoz Pirfenidone Tablets (Off-Formulary Interchangeable) 801mg Tab	SDZ	20.1360	20.1360	YES	NO	NO
02488507	PIRFENIDONE	Sandoz Pirfenidone Tablets (Off-Formulary Interchangeable) 267mg Tab	SDZ	6.7120	6.7120	YES	NO	NO
00642886	PIROXICAM	Apo-Piroxicam 10mg Cap	APX	0.4426	0.4426	YES	NO	YES
00642894	PIROXICAM	Apo-Piroxicam 20mg Cap	APX	0.7422	0.7422	YES	NO	YES
00525596	PIROXICAM	Feldene (Not a Benefit) 10mg Cap	PFI	N/A	N/A	YES	NO	YES
00525618	PIROXICAM	Feldene (Not a Benefit) 20mg Cap	PFI	N/A	N/A	YES	NO	YES
00695696	PIROXICAM	Teva-Piroxicam 20mg Cap	TEV	0.7422	0.7422	YES	NO	YES
00695718	PIROXICAM	Teva-Piroxicam 10mg Cap	TEV	0.4426	0.4426	YES	NO	YES
00511552	PIZOTYLINE	Sandomigran DS 1mg Tab	PPI	1.1698	1.1698	NO	NO	NO
02239157	POLYMYXIN B SULFATE & BACITRACIN (ZINC)	Polysporin 10000U & 500U/g Oph Oint 3.5g Pk	PFI	5.5400	5.5400	NO	NO	NO
02239156	POLYMYXIN B SULFATE & GRAMICIDIN	Polysporin Eye and Ear Drops Sterile 10000U & 0.025mg/mL Oph/Ot Sol	JAJ	0.9139	0.9139	NO	NO	NO
02473968	POLYSTYRENE SODIUM SULFONATE	Odan-Sodium Polystyrene Sulfonate (Off-Formulary Interchangeable) 250mg/mL O/L	ODN	0.1954	0.1954	YES	NO	NO
00769541	POLYSTYRENE SODIUM SULFONATE	Solystat (Off-Formulary Interchangeable) 250mg/mL O/L	PEN	N/A	N/A	YES	NO	NO
02497557	POLYSTYRENE SODIUM SULFONATE	Jamp Sodium Polystyrene Sulfonate 1mEq/g Oral Pd-454g Pk	JPC	29.4175	29.4175	YES	NO	NO
02026961	POLYSTYRENE SODIUM SULFONATE	Kayexalate 1mEq/g Oral Pd-454g Pk	SAV	43.6300	29.4175	YES	NO	NO
02473941	POLYSTYRENE SODIUM SULFONATE	Odan-Sodium Polystyrene Sulfonate 1mEq/g Oral Pd-454g Pk	ODN	29.4175	29.4175	YES	NO	NO
00755338	POLYSTYRENE SODIUM SULFONATE	Solystat 1mEq/g Oral Pd-454g Pk	PEN	29.4175	29.4175	YES	NO	NO
00045616	POLYVINYL ALCOHOL	Liquifilm Tears 1.4% Oph-Sol	ALL	0.6373	0.6373	NO	YES	NO
00579408	POLYVINYL ALCOHOL & POLYVINYLPYRROLIDONE	Tears Plus Oph-Sol	ALL	0.3840	0.3840	NO	YES	NO
02520451	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 4mg Cap	APX	425.0000	425.0000	YES	NO	NO
02520443	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 3mg Cap	APX	425.0000	425.0000	YES	NO	NO
02520435	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 2mg Cap	APX	425.0000	425.0000	YES	NO	NO
02520427	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 1mg Cap	APX	425.0000	425.0000	YES	NO	NO
02538091	POMALIDOMIDE	Jamp Pomalidomide (Off-Formulary Interchangeable) 4mg Cap	JPC	425.0000	425.0000	YES	NO	NO
02538083	POMALIDOMIDE	Jamp Pomalidomide (Off-Formulary Interchangeable) 3mg Cap	JPC	425.0000	425.0000	YES	NO	NO
02538059	POMALIDOMIDE	Jamp Pomalidomide (Off-Formulary Interchangeable) 1mg Cap	JPC	425.0000	425.0000	YES	NO	NO
02538075	POMALIDOMIDE	Jamp Pomalidomide (Off-Formulary Interchangeable) 2mg Cap	JPC	425.0000	425.0000	YES	NO	NO
02506424	POMALIDOMIDE	Nat-Pomalidomide (Off-Formulary Interchangeable) 4mg Cap	NAT	425.0000	425.0000	YES	NO	NO
02506408	POMALIDOMIDE	Nat-Pomalidomide (Off-Formulary Interchangeable) 2mg Cap	NAT	425.0000	425.0000	YES	NO	NO
02506416	POMALIDOMIDE	Nat-Pomalidomide (Off-Formulary Interchangeable) 3mg Cap	NAT	425.0000	425.0000	YES	NO	NO
02506394	POMALIDOMIDE	Nat-Pomalidomide (Off-Formulary Interchangeable) 1mg Cap	NAT	425.0000	425.0000	YES	NO	NO
02419580	POMALIDOMIDE	Pomalyst (Off-Formulary Interchangeable) 1mg Cap	BQU	500.0000	425.0000	YES	NO	NO
02419610	POMALIDOMIDE	Pomalyst (Off-Formulary Interchangeable) 4mg Cap	BQU	500.0000	425.0000	YES	NO	NO
02419602	POMALIDOMIDE	Pomalyst (Off-Formulary Interchangeable) 3mg Cap	BQU	500.0000	425.0000	YES	NO	NO
02419599	POMALIDOMIDE	Pomalyst (Off-Formulary Interchangeable) 2mg Cap	BQU	500.0000	425.0000	YES	NO	NO
02504081	POMALIDOMIDE	Reddy-Pomalidomide (Off-Formulary Interchangeable) 2mg Cap	DRR	425.0000	425.0000	YES	NO	NO
02504111	POMALIDOMIDE	Reddy-Pomalidomide (Off-Formulary Interchangeable) 4mg Cap	DRR	425.0000	425.0000	YES	NO	NO
02504073	POMALIDOMIDE	Reddy-Pomalidomide (Off-Formulary Interchangeable) 1mg Cap	DRR	425.0000	425.0000	YES	NO	NO
02504103	POMALIDOMIDE	Reddy-Pomalidomide (Off-Formulary Interchangeable) 3mg Cap	DRR	425.0000	425.0000	YES	NO	NO
02524007	POMALIDOMIDE	Sandoz Pomalidomide (Off-Formulary Interchangeable) 3mg Cap	SDZ	425.0000	425.0000	YES	NO	NO
02524015	POMALIDOMIDE	Sandoz Pomalidomide (Off-Formulary Interchangeable) 4mg Cap	SDZ	425.0000	425.0000	YES	NO	NO
02523973	POMALIDOMIDE	Sandoz Pomalidomide (Off-Formulary Interchangeable) 1mg Cap	SDZ	425.0000	425.0000	YES	NO	NO
02523981	POMALIDOMIDE	Sandoz Pomalidomide (Off-Formulary Interchangeable) 2mg Cap	SDZ	425.0000	425.0000	YES	NO	NO
02542021	POSACONAZOLE	GLN-Posaconazole (Off-Formulary Interchangeable) 100mg DR Tab	GLP	42.6030	42.6030	YES	NO	NO
02544644	POSACONAZOLE	Mint-Posaconazole (Off-Formulary Interchangeable) 100mg DR Tab	MIN	42.6030	42.6030	YES	NO	NO
02424622	POSACONAZOLE	Posanol (Off-Formulary Interchangeable) 100mg DR Tab	MEK	53.7642	42.6030	YES	NO	NO
02496259	POSACONAZOLE	Sandoz Posaconazole (Off-Formulary Interchangeable) 100mg DR Tab	SDZ	42.6030	42.6030	YES	NO	NO
02543311	POSACONAZOLE	Taro-Posaconazole (Off-Formulary Interchangeable) 100mg DR Tab	TAR	42.6030	42.6030	YES	NO	NO
02530333	POSACONAZOLE	Jamp Posaconazole (Off-Formulary Interchangeable) 40mg/mL O/L	JPC	8.2765	8.2765	YES	NO	NO
02293404	POSACONAZOLE	Posanol (Off-Formulary Interchangeable) 40mg/mL O/L	SCP	10.1801	8.2765	YES	NO	NO
00158348	POVIDONE - IODINE	Betadine (Not a Benefit) 10% Top Sol	PFP	N/A	N/A	YES	NO	NO
00172944	POVIDONE - IODINE	Proviodine (Not a Benefit) 10% Top Sol	ROG	N/A	N/A	YES	NO	NO
02297337	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Act Pramipexole 1.5mg Tab	TEV	0.3901	0.3901	YES	NO	NO
02297302	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Act Pramipexole 0.25mg Tab	TEV	0.1950	0.1950	YES	NO	NO
02297310	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Act Pramipexole (Off-Formulary Interchangeable) 0.5mg Tab	TEV	1.3860	N/A	YES	NO	NO
02297329	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Act Pramipexole 1mg Tab	TEV	0.3901	0.3901	YES	NO	NO
02292386	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Apo-Pramipexole (Off-Formulary Interchangeable) 0.5mg Tab	APX	1.3860	N/A	YES	NO	NO
02292408	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Apo-Pramipexole 1.5mg Tab	APX	0.3901	0.3901	YES	NO	NO
02292378	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Apo-Pramipexole 0.25mg Tab	APX	0.1950	0.1950	YES	NO	NO
02292394	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Apo-Pramipexole 1mg Tab	APX	0.3901	0.3901	YES	NO	NO
02424096	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Auro-Pramipexole 1mg Tab	AUR	0.3901	0.3901	YES	NO	NO
02424118	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Auro-Pramipexole 1.5mg Tab	AUR	0.3901	0.3901	YES	NO	NO
02424061	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Auro-Pramipexole 0.25mg Tab	AUR	0.1950	0.1950	YES	NO	NO
02424088	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Auro-Pramipexole (Off-Formulary Interchangeable) 0.5mg Tab	AUR	1.3860	N/A	YES	NO	NO
02241594	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Mirapex (Off-Formulary Interchangeable) 0.5mg Tab	BOE	N/A	N/A	YES	NO	NO
09857269	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Mirapex (Not a Benefit) 1mg Tab	BOE	N/A	N/A	YES	NO	NO
02237145	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Mirapex 0.25mg Tab	BOE	1.2915	0.1950	YES	NO	NO
09857270	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Mirapex (Not a Benefit) 1.5mg Tab	BOE	N/A	N/A	YES	NO	NO
02367645	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 1.5mg Tab	SAI	0.3901	0.3901	YES	NO	NO
02309122	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 0.25mg Tab	SIV	0.1950	0.1950	YES	NO	NO
02367610	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole (Off-Formulary Interchangeable) 0.5mg Tab	SAI	1.3860	N/A	YES	NO	NO
02367602	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 0.25mg Tab	SAI	0.1950	0.1950	YES	NO	NO
02309157	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 1.5mg Tab	SIV	0.3901	0.3901	YES	NO	NO
02309130	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole (Off-Formulary Interchangeable) 0.5mg Tab	SIV	1.3860	N/A	YES	NO	NO
02367629	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 1mg Tab	SAI	0.3901	0.3901	YES	NO	NO
02309149	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 1mg Tab	SIV	0.3901	0.3901	YES	NO	NO
02315270	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Sandoz Pramipexole (Off-Formulary Interchangeable) 0.5mg Tab	SDZ	1.3860	N/A	YES	NO	NO
02315262	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Sandoz Pramipexole 0.25mg Tab	SDZ	0.1950	0.1950	YES	NO	NO
02315297	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Sandoz Pramipexole 1.5mg Tab	SDZ	0.3901	0.3901	YES	NO	NO
02315289	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Sandoz Pramipexole 1mg Tab	SDZ	0.3901	0.3901	YES	NO	NO
02476169	PRAVASTATIN SODIUM	AG-Pravastatin 40mg Tab	ANG	0.4143	0.4143	YES	NO	NO
02476150	PRAVASTATIN SODIUM	AG-Pravastatin 20mg Tab	ANG	0.3440	0.3440	YES	NO	NO
02476142	PRAVASTATIN SODIUM	AG-Pravastatin 10mg Tab	ANG	0.2916	0.2916	YES	NO	NO
02440660	PRAVASTATIN SODIUM	Ach-Pravastatin 40mg Tab	ACH	0.4143	0.4143	YES	NO	NO
02440652	PRAVASTATIN SODIUM	Ach-Pravastatin 20mg Tab	ACH	0.3440	0.3440	YES	NO	NO
02440644	PRAVASTATIN SODIUM	Ach-Pravastatin 10mg Tab	ACH	0.2916	0.2916	YES	NO	NO
02243506	PRAVASTATIN SODIUM	Apo-Pravastatin 10mg Tab	APX	0.2916	0.2916	YES	NO	NO
02243508	PRAVASTATIN SODIUM	Apo-Pravastatin 40mg Tab	APX	0.4143	0.4143	YES	NO	NO
02243507	PRAVASTATIN SODIUM	Apo-Pravastatin 20mg Tab	APX	0.3440	0.3440	YES	NO	NO
02458985	PRAVASTATIN SODIUM	Auro-Pravastatin 20mg Tab	AUR	0.3440	0.3440	YES	NO	NO
02458993	PRAVASTATIN SODIUM	Auro-Pravastatin 40mg Tab	AUR	0.4143	0.4143	YES	NO	NO
02458977	PRAVASTATIN SODIUM	Auro-Pravastatin 10mg Tab	AUR	0.2916	0.2916	YES	NO	NO
02248184	PRAVASTATIN SODIUM	Co Pravastatin 40mg Tab	COB	0.4143	0.4143	YES	NO	NO
02248182	PRAVASTATIN SODIUM	Co Pravastatin 10mg Tab	COB	0.2916	0.2916	YES	NO	NO
02248183	PRAVASTATIN SODIUM	Co Pravastatin 20mg Tab	COB	0.3440	0.3440	YES	NO	NO
02330962	PRAVASTATIN SODIUM	Jamp-Pravastatin 20mg Tab	JPC	0.3440	0.3440	YES	NO	NO
02330954	PRAVASTATIN SODIUM	Jamp-Pravastatin 10mg Tab	JPC	0.2916	0.2916	YES	NO	NO
02330970	PRAVASTATIN SODIUM	Jamp-Pravastatin 40mg Tab	JPC	0.4143	0.4143	YES	NO	NO
02476282	PRAVASTATIN SODIUM	M-Pravastatin 20mg Tab	MAT	0.3440	0.3440	YES	NO	NO
02476290	PRAVASTATIN SODIUM	M-Pravastatin 40mg Tab	MAT	0.4143	0.4143	YES	NO	NO
02476274	PRAVASTATIN SODIUM	M-Pravastatin 10mg Tab	MAT	0.2916	0.2916	YES	NO	NO
02432064	PRAVASTATIN SODIUM	Mar-Pravastatin 40mg Tab	MAR	0.4143	0.4143	YES	NO	NO
02432056	PRAVASTATIN SODIUM	Mar-Pravastatin 20mg Tab	MAR	0.3440	0.3440	YES	NO	NO
02432048	PRAVASTATIN SODIUM	Mar-Pravastatin 10mg Tab	MAR	0.2916	0.2916	YES	NO	NO
02317451	PRAVASTATIN SODIUM	Mint-Pravastatin 10mg Tab	MIN	0.2916	0.2916	YES	NO	NO
02317478	PRAVASTATIN SODIUM	Mint-Pravastatin 20mg Tab	MIN	0.3440	0.3440	YES	NO	NO
02317486	PRAVASTATIN SODIUM	Mint-Pravastatin 40mg Tab	MIN	0.4143	0.4143	YES	NO	NO
02247657	PRAVASTATIN SODIUM	PMS-Pravastatin 40mg Tab	PMS	0.4143	0.4143	YES	NO	NO
02247655	PRAVASTATIN SODIUM	PMS-Pravastatin 10mg Tab	PMS	0.2916	0.2916	YES	NO	NO
02247656	PRAVASTATIN SODIUM	PMS-Pravastatin 20mg Tab	PMS	0.3440	0.3440	YES	NO	NO
00893757	PRAVASTATIN SODIUM	Pravachol 20mg Tab	BQU	0.8926	0.3440	YES	NO	NO
02222051	PRAVASTATIN SODIUM	Pravachol 40mg Tab	BQU	1.0750	0.4143	YES	NO	NO
00893749	PRAVASTATIN SODIUM	Pravachol (Not a Benefit) 10mg Tab	BQU	N/A	N/A	YES	NO	NO
02389738	PRAVASTATIN SODIUM	Pravastatin 20mg Tab	SIV	0.3440	0.3440	YES	NO	NO
02356554	PRAVASTATIN SODIUM	Pravastatin 20mg Tab	SAI	0.3440	0.3440	YES	NO	NO
02356546	PRAVASTATIN SODIUM	Pravastatin 10mg Tab	SAI	0.2916	0.2916	YES	NO	NO
02389703	PRAVASTATIN SODIUM	Pravastatin 10mg Tab	SIV	0.2916	0.2916	YES	NO	NO
02389746	PRAVASTATIN SODIUM	Pravastatin 40mg Tab	SIV	0.4143	0.4143	YES	NO	NO
02356562	PRAVASTATIN SODIUM	Pravastatin 40mg Tab	SAI	0.4143	0.4143	YES	NO	NO
02284421	PRAVASTATIN SODIUM	Ran-Pravastatin 10mg Tab	RAN	0.2916	0.2916	YES	NO	NO
02284448	PRAVASTATIN SODIUM	Ran-Pravastatin 20mg Tab	RAN	0.3440	0.3440	YES	NO	NO
02284456	PRAVASTATIN SODIUM	Ran-Pravastatin 40mg Tab	RAN	0.4143	0.4143	YES	NO	NO
02246931	PRAVASTATIN SODIUM	Ratio-Pravastatin 20mg Tab	RPH	0.3440	0.3440	YES	NO	NO
02246930	PRAVASTATIN SODIUM	Ratio-Pravastatin 10mg Tab	RPH	0.2916	0.2916	YES	NO	NO
02246932	PRAVASTATIN SODIUM	Ratio-Pravastatin 40mg Tab	RPH	0.4143	0.4143	YES	NO	NO
02468719	PRAVASTATIN SODIUM	Sandoz Pravastatin Tablets 20mg Tab	SDZ	0.3440	0.3440	YES	NO	NO
02468727	PRAVASTATIN SODIUM	Sandoz Pravastatin Tablets 40mg Tab	SDZ	0.4143	0.4143	YES	NO	NO
02468700	PRAVASTATIN SODIUM	Sandoz Pravastatin Tablets 10mg Tab	SDZ	0.2916	0.2916	YES	NO	NO
02247009	PRAVASTATIN SODIUM	Teva-Pravastatin 20mg Tab	TEV	0.3440	0.3440	YES	NO	NO
02247008	PRAVASTATIN SODIUM	Teva-Pravastatin 10mg Tab	TEV	0.2916	0.2916	YES	NO	NO
02247010	PRAVASTATIN SODIUM	Teva-Pravastatin 40mg Tab	TEV	0.4143	0.4143	YES	NO	NO
09858283	PRAZOSIN HCL	Prazosin Hydrochloride Capsules, USP (Temporary Benefit) 5mg Cap	STE	0.5121	0.5121	NO	NO	NO
09858282	PRAZOSIN HCL	Prazosin Hydrochloride Capsules, USP (Temporary Benefit) 2mg Cap	STE	0.3725	0.3725	NO	NO	NO
09858281	PRAZOSIN HCL	Prazosin Hydrochloride Capsules, USP (Temporary Benefit) 1mg Cap	STE	0.2743	0.2743	NO	NO	NO
00882801	PRAZOSIN HCL	Apo-Prazo 1mg Tab	APX	0.2743	0.2743	YES	NO	NO
00882836	PRAZOSIN HCL	Apo-Prazo 5mg Tab	APX	0.5121	0.5121	YES	NO	NO
00882828	PRAZOSIN HCL	Apo-Prazo 2mg Tab	APX	0.3725	0.3725	YES	NO	NO
00560960	PRAZOSIN HCL	Minipress 2mg Tab	PFI	0.3725	0.3725	YES	NO	NO
00560952	PRAZOSIN HCL	Minipress 1mg Tab	PFI	0.2743	0.2743	YES	NO	NO
00560979	PRAZOSIN HCL	Minipress 5mg Tab	PFI	0.5121	0.5121	YES	NO	NO
01934198	PRAZOSIN HCL	Teva-Prazosin 1mg Tab	TEV	0.2743	0.2743	YES	NO	NO
01934201	PRAZOSIN HCL	Teva-Prazosin 2mg Tab	TEV	0.3725	0.3725	YES	NO	NO
01934228	PRAZOSIN HCL	Teva-Prazosin 5mg Tab	TEV	0.5121	0.5121	YES	NO	NO
00301175	PREDNISOLONE ACETATE	Pred Forte (Not a Benefit) 1% Oph Susp	ALL	N/A	N/A	YES	NO	YES
00700401	PREDNISOLONE ACETATE	Ratio-Prednisolone 1% Oph Susp	RPH	1.9400	1.9400	YES	NO	YES
02245532	PREDNISOLONE SODIUM PHOSPHATE	PMS-Prednisolone 6.7mg/5mL O/L	PMS	0.0900	0.0900	YES	NO	NO
02230619	PREDNISOLONE SODIUM PHOSPHATE	Pediapred Oral Liquid (Not a Benefit) 6.7mg/5mL O/L	SAV	N/A	N/A	YES	NO	NO
00550957	PREDNISONE	Apo-Prednisone 50mg Tab	APX	0.1735	0.1735	YES	NO	NO
00312770	PREDNISONE	Apo-Prednisone 5mg Tab	APX	0.0220	0.0220	YES	NO	NO
00252417	PREDNISONE	Deltasone (Not a Benefit) 50mg Tab	UPJ	N/A	N/A	YES	NO	NO
00210188	PREDNISONE	Deltasone (Not a Benefit) 5mg Tab	UPJ	N/A	N/A	YES	NO	NO
00232378	PREDNISONE	Teva-Prednisone 50mg Tab	TEV	0.1900	0.1735	YES	NO	NO
00021695	PREDNISONE	Teva-Prednisone 5mg Tab	TEV	0.0220	0.0220	YES	NO	NO
00271373	PREDNISONE	Winpred 1mg Tab	AAP	0.1276	0.1276	NO	NO	NO
02480778	PREGABALIN	AG-Pregabalin 300mg Cap	ANG	0.4145	0.4145	YES	NO	NO
02480743	PREGABALIN	AG-Pregabalin 75mg Cap	ANG	0.3007	0.3007	YES	NO	NO
02480751	PREGABALIN	AG-Pregabalin 150mg Cap	ANG	0.4145	0.4145	YES	NO	NO
02480735	PREGABALIN	AG-Pregabalin 50mg Cap	ANG	0.2324	0.2324	YES	NO	NO
02480727	PREGABALIN	AG-Pregabalin 25mg Cap	ANG	0.1481	0.1481	YES	NO	NO
02449838	PREGABALIN	Ach-Pregabalin 25mg Cap	ACH	0.1481	0.1481	YES	NO	NO
02449854	PREGABALIN	Ach-Pregabalin 75mg Cap	ACH	0.3007	0.3007	YES	NO	NO
02449846	PREGABALIN	Ach-Pregabalin 50mg Cap	ACH	0.2324	0.2324	YES	NO	NO
02449870	PREGABALIN	Ach-Pregabalin 150mg Cap	ACH	0.4145	0.4145	YES	NO	NO
02449897	PREGABALIN	Ach-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	ACH	1.7270	N/A	YES	NO	NO
02449900	PREGABALIN	Ach-Pregabalin 300mg Cap	ACH	0.4145	0.4145	YES	NO	NO
02394286	PREGABALIN	Apo-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	APX	1.7270	N/A	YES	NO	NO
02394294	PREGABALIN	Apo-Pregabalin 300mg Cap	APX	0.4145	0.4145	YES	NO	NO
02394235	PREGABALIN	Apo-Pregabalin 25mg Cap	APX	0.1481	0.1481	YES	NO	NO
02394243	PREGABALIN	Apo-Pregabalin 50mg Cap	APX	0.2324	0.2324	YES	NO	NO
02394251	PREGABALIN	Apo-Pregabalin 75mg Cap	APX	0.3007	0.3007	YES	NO	NO
02394278	PREGABALIN	Apo-Pregabalin 150mg Cap	APX	0.4145	0.4145	YES	NO	NO
02433907	PREGABALIN	Auro-Pregabalin 150mg Cap	AUR	0.4145	0.4145	YES	NO	NO
02433885	PREGABALIN	Auro-Pregabalin 75mg Cap	AUR	0.3007	0.3007	YES	NO	NO
02433877	PREGABALIN	Auro-Pregabalin 50mg Cap	AUR	0.2324	0.2324	YES	NO	NO
02433869	PREGABALIN	Auro-Pregabalin 25mg Cap	AUR	0.1481	0.1481	YES	NO	NO
02402955	PREGABALIN	Co Pregabalin 150mg Cap	COB	0.4145	0.4145	YES	NO	NO
02402971	PREGABALIN	Co Pregabalin (Off-Formulary Interchangeable) 225mg Cap	COB	1.7270	N/A	YES	NO	NO
02402939	PREGABALIN	Co Pregabalin 75mg Cap	COB	0.3007	0.3007	YES	NO	NO
02402912	PREGABALIN	Co Pregabalin 25mg Cap	COB	0.1481	0.1481	YES	NO	NO
02402920	PREGABALIN	Co Pregabalin 50mg Cap	COB	0.2324	0.2324	YES	NO	NO
02402998	PREGABALIN	Co Pregabalin 300mg Cap	COB	0.4145	0.4145	YES	NO	NO
02436000	PREGABALIN	Jamp-Pregabalin 150mg Cap	JPC	0.4145	0.4145	YES	NO	NO
02436019	PREGABALIN	Jamp-Pregabalin 300mg Cap	JPC	0.4145	0.4145	YES	NO	NO
02435993	PREGABALIN	Jamp-Pregabalin 75mg Cap	JPC	0.3007	0.3007	YES	NO	NO
02435985	PREGABALIN	Jamp-Pregabalin 50mg Cap	JPC	0.2324	0.2324	YES	NO	NO
02435977	PREGABALIN	Jamp-Pregabalin 25mg Cap	JPC	0.1481	0.1481	YES	NO	NO
02268477	PREGABALIN	Lyrica (Off-Formulary Interchangeable) 225mg Cap	UJC	N/A	N/A	YES	NO	NO
02268485	PREGABALIN	Lyrica 300mg Cap	UJC	2.7982	0.4145	YES	NO	NO
02268450	PREGABALIN	Lyrica 150mg Cap	UJC	2.7982	0.4145	YES	NO	NO
02268426	PREGABALIN	Lyrica 50mg Cap	UJC	1.5689	0.2324	YES	NO	NO
02268434	PREGABALIN	Lyrica 75mg Cap	UJC	2.0300	0.3007	YES	NO	NO
02268418	PREGABALIN	Lyrica 25mg Cap	UJC	1.0002	0.1481	YES	NO	NO
02467321	PREGABALIN	M-Pregabalin 150mg Cap	MAT	0.4145	0.4145	YES	NO	NO
02541963	PREGABALIN	M-Pregabalin 300mg Cap	MAT	0.4145	0.4145	YES	NO	NO
02467291	PREGABALIN	M-Pregabalin 25mg Cap	MAT	0.1481	0.1481	YES	NO	NO
02467313	PREGABALIN	M-Pregabalin 75mg Cap	MAT	0.3007	0.3007	YES	NO	NO
02467305	PREGABALIN	M-Pregabalin 50mg Cap	MAT	0.2324	0.2324	YES	NO	NO
02417537	PREGABALIN	Mar-Pregabalin 50mg Cap	MAR	0.2324	0.2324	YES	NO	NO
02417529	PREGABALIN	Mar-Pregabalin 25mg Cap	MAR	0.1481	0.1481	YES	NO	NO
02417618	PREGABALIN	Mar-Pregabalin 300mg Cap	MAR	0.4145	0.4145	YES	NO	NO
02417596	PREGABALIN	Mar-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	MAR	1.7270	N/A	YES	NO	NO
02417561	PREGABALIN	Mar-Pregabalin 150mg Cap	MAR	0.4145	0.4145	YES	NO	NO
02417545	PREGABALIN	Mar-Pregabalin 75mg Cap	MAR	0.3007	0.3007	YES	NO	NO
02424185	PREGABALIN	Mint-Pregabalin 75mg Cap	MIN	0.3007	0.3007	YES	NO	NO
02423812	PREGABALIN	Mint-Pregabalin 50mg Cap	MIN	0.2324	0.2324	YES	NO	NO
02423804	PREGABALIN	Mint-Pregabalin 25mg Cap	MIN	0.1481	0.1481	YES	NO	NO
02424207	PREGABALIN	Mint-Pregabalin 150mg Cap	MIN	0.4145	0.4145	YES	NO	NO
02479168	PREGABALIN	NRA-Pregabalin 150mg Cap	NRA	0.4145	0.4145	YES	NO	NO
02479117	PREGABALIN	NRA-Pregabalin 25mg Cap	NRA	0.1481	0.1481	YES	NO	NO
02479133	PREGABALIN	NRA-Pregabalin 75mg Cap	NRA	0.3007	0.3007	YES	NO	NO
02479125	PREGABALIN	NRA-Pregabalin 50mg Cap	NRA	0.2324	0.2324	YES	NO	NO
02479192	PREGABALIN	NRA-Pregabalin 300mg Cap	NRA	0.4145	0.4145	YES	NO	NO
02494876	PREGABALIN	Nat-Pregabalin 75mg Cap	NAT	0.3007	0.3007	YES	NO	NO
02494841	PREGABALIN	Nat-Pregabalin 25mg Cap	NAT	0.1481	0.1481	YES	NO	NO
02494906	PREGABALIN	Nat-Pregabalin 300mg Cap	NAT	0.4145	0.4145	YES	NO	NO
02494868	PREGABALIN	Nat-Pregabalin 50mg Cap	NAT	0.2324	0.2324	YES	NO	NO
02494892	PREGABALIN	Nat-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	NAT	1.7270	N/A	YES	NO	NO
02494884	PREGABALIN	Nat-Pregabalin 150mg Cap	NAT	0.4145	0.4145	YES	NO	NO
02359634	PREGABALIN	PMS-Pregabalin 150mg Cap	PMS	0.4145	0.4145	YES	NO	NO
02359642	PREGABALIN	PMS-Pregabalin 300mg Cap	PMS	0.4145	0.4145	YES	NO	NO
02359626	PREGABALIN	PMS-Pregabalin 75mg Cap	PMS	0.3007	0.3007	YES	NO	NO
02359596	PREGABALIN	PMS-Pregabalin 25mg Cap	PMS	0.1481	0.1481	YES	NO	NO
02398079	PREGABALIN	PMS-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	PMS	1.7270	N/A	YES	NO	NO
02359618	PREGABALIN	PMS-Pregabalin 50mg Cap	PMS	0.2324	0.2324	YES	NO	NO
02405547	PREGABALIN	Pregabalin 50mg Cap	SAI	0.2324	0.2324	YES	NO	NO
02403714	PREGABALIN	Pregabalin 75mg Cap	SIV	0.3007	0.3007	YES	NO	NO
02405555	PREGABALIN	Pregabalin 75mg Cap	SAI	0.3007	0.3007	YES	NO	NO
02403706	PREGABALIN	Pregabalin 50mg Cap	SIV	0.2324	0.2324	YES	NO	NO
02405539	PREGABALIN	Pregabalin 25mg Cap	SAI	0.1481	0.1481	YES	NO	NO
02403692	PREGABALIN	Pregabalin 25mg Cap	SIV	0.1481	0.1481	YES	NO	NO
02405598	PREGABALIN	Pregabalin 300mg Cap	SAI	0.4145	0.4145	YES	NO	NO
02403730	PREGABALIN	Pregabalin 300mg Cap	SIV	0.4145	0.4145	YES	NO	NO
02403722	PREGABALIN	Pregabalin 150mg Cap	SIV	0.4145	0.4145	YES	NO	NO
02405563	PREGABALIN	Pregabalin 150mg Cap	SAI	0.4145	0.4145	YES	NO	NO
02392852	PREGABALIN	Ran-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	RAN	1.7270	N/A	YES	NO	NO
02392860	PREGABALIN	Ran-Pregabalin 300mg Cap	RAN	0.4145	0.4145	YES	NO	NO
02392844	PREGABALIN	Ran-Pregabalin 150mg Cap	RAN	0.4145	0.4145	YES	NO	NO
02392828	PREGABALIN	Ran-Pregabalin 50mg Cap	RAN	0.2324	0.2324	YES	NO	NO
02392836	PREGABALIN	Ran-Pregabalin 75mg Cap	RAN	0.3007	0.3007	YES	NO	NO
02392801	PREGABALIN	Ran-Pregabalin 25mg Cap	RAN	0.1481	0.1481	YES	NO	NO
02390868	PREGABALIN	Sandoz Pregabalin 300mg Cap	SDZ	0.4145	0.4145	YES	NO	NO
02390817	PREGABALIN	Sandoz Pregabalin 25mg Cap	SDZ	0.1481	0.1481	YES	NO	NO
02390841	PREGABALIN	Sandoz Pregabalin 150mg Cap	SDZ	0.4145	0.4145	YES	NO	NO
02390833	PREGABALIN	Sandoz Pregabalin 75mg Cap	SDZ	0.3007	0.3007	YES	NO	NO
02390825	PREGABALIN	Sandoz Pregabalin 50mg Cap	SDZ	0.2324	0.2324	YES	NO	NO
02361221	PREGABALIN	Teva-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	TEV	1.7270	N/A	YES	NO	NO
02361248	PREGABALIN	Teva-Pregabalin 300mg Cap	TEV	0.4145	0.4145	YES	NO	NO
02361205	PREGABALIN	Teva-Pregabalin 150mg Cap	TEV	0.4145	0.4145	YES	NO	NO
02361175	PREGABALIN	Teva-Pregabalin 50mg Cap	TEV	0.2324	0.2324	YES	NO	NO
02361183	PREGABALIN	Teva-Pregabalin 75mg Cap	TEV	0.3007	0.3007	YES	NO	NO
02361159	PREGABALIN	Teva-Pregabalin 25mg Cap	TEV	0.1481	0.1481	YES	NO	NO
02042363	PRIMIDONE	Mysoline (Not a Benefit) 125mg Tab	WAY	N/A	N/A	YES	NO	NO
02042355	PRIMIDONE	Mysoline (Not a Benefit) 250mg Tab	WAY	N/A	N/A	YES	NO	NO
00396761	PRIMIDONE	Primidone 250mg Tab	AAP	0.0887	0.0887	YES	NO	NO
00399310	PRIMIDONE	Primidone 125mg Tab	AAP	0.0564	0.0564	YES	NO	NO
00012750	PROCARBAZINE HCL	Matulane 50mg Cap	LBI	83.2680	83.2680	NO	NO	YES
00886432	PROCHLORPERAZINE	Prochlorazine 10mg Tab	AAP	0.2025	0.2025	YES	NO	NO
00886440	PROCHLORPERAZINE	Prochlorazine 5mg Tab	AAP	0.1659	0.1659	YES	NO	NO
01927760	PROCHLORPERAZINE	Stemetil (Not a Benefit) 10mg Tab	AVE	N/A	N/A	YES	NO	NO
01927752	PROCHLORPERAZINE	Stemetil (Not a Benefit) 5mg Tab	AVE	N/A	N/A	YES	NO	NO
00649392	PROCYCLIDINE HCL	Pdp-Procyclidine 2.5mg Tab	PEN	0.0577	0.0577	NO	NO	NO
02493578	PROGESTERONE	Auro-Progesterone (Off-Formulary Interchangeable) 100mg Cap	AUR	1.4358	1.4358	YES	NO	NO
02476576	PROGESTERONE	PMS-Progesterone (Off-Formulary Interchangeable) 100mg Cap	PMS	1.4358	1.4358	YES	NO	NO
02516187	PROGESTERONE	Progesterone (Off-Formulary Interchangeable) 100mg Cap	SAI	1.4358	1.4358	YES	NO	NO
02166704	PROGESTERONE	Prometrium (Off-Formulary Interchangeable) 100mg Cap	OCI	N/A	N/A	YES	NO	NO
02463113	PROGESTERONE	Reddy-Progesterone (Off-Formulary Interchangeable) 100mg Cap	DRR	1.4358	1.4358	YES	NO	NO
02439913	PROGESTERONE	Teva-Progesterone (Off-Formulary Interchangeable) 100mg Cap	TEV	1.4358	1.4358	YES	NO	NO
00583979	PROMETHAZINE HCL	PMS-Promethazine (Not a Benefit) 2mg/mL O/L	PMS	N/A	N/A	YES	NO	NO
01937693	PROMETHAZINE HCL	Phenergan (Not a Benefit) 2mg/mL O/L	RPR	N/A	N/A	YES	NO	NO
02243324	PROPAFENONE HCL	Apo-Propafenone 150mg Tab	APX	0.6306	0.6306	YES	NO	NO
02243325	PROPAFENONE HCL	Apo-Propafenone 300mg Tab	APX	1.1116	1.1116	YES	NO	NO
02457172	PROPAFENONE HCL	Mylan-Propafenone 150mg Tab	MYL	0.6306	0.6306	YES	NO	NO
02457164	PROPAFENONE HCL	Mylan-Propafenone 300mg Tab	MYL	1.1116	1.1116	YES	NO	NO
00603716	PROPAFENONE HCL	Rythmol 300mg Tab	ABB	2.6335	1.1116	YES	NO	NO
00603708	PROPAFENONE HCL	Rythmol 150mg Tab	ABB	1.4940	0.6306	YES	NO	NO
02460289	PROPIVERINE HYDROCHLORIDE	Mictoryl Pediatric 5mg Tab	DUI	0.3889	0.3889	NO	YES	NO
02042231	PROPRANOLOL	Inderal-LA (Off-Formulary Interchangeable) 60mg LA Cap	WAY	N/A	N/A	YES	NO	NO
02042266	PROPRANOLOL	Inderal-LA (Off-Formulary Interchangeable) 120mg LA Cap	PFI	N/A	N/A	YES	NO	NO
02042258	PROPRANOLOL	Inderal-LA (Off-Formulary Interchangeable) 80mg LA Cap	WAY	N/A	N/A	YES	NO	NO
02042274	PROPRANOLOL	Inderal-LA (Off-Formulary Interchangeable) 160mg LA Cap	WAY	N/A	N/A	YES	NO	NO
02491923	PROPRANOLOL	Lupin-Propranolol LA (Off-Formulary Interchangeable) 160mg LA Cap	LUP	1.8113	N/A	YES	NO	NO
02491915	PROPRANOLOL	Lupin-Propranolol LA (Off-Formulary Interchangeable) 120mg LA Cap	LUP	1.5313	N/A	YES	NO	NO
02491893	PROPRANOLOL	Lupin-Propranolol LA (Off-Formulary Interchangeable) 60mg LA Cap	LUP	0.8813	N/A	YES	NO	NO
02491907	PROPRANOLOL	Lupin-Propranolol LA (Off-Formulary Interchangeable) 80mg LA Cap	LUP	0.9950	N/A	YES	NO	NO
02042193	PROPRANOLOL	Inderal (Not a Benefit) 20mg Tab	WAY	N/A	N/A	YES	NO	NO
02042177	PROPRANOLOL	Inderal (Not a Benefit) 10mg Tab	WAY	N/A	N/A	YES	NO	NO
02042215	PROPRANOLOL	Inderal (Not a Benefit) 80mg Tab	WAY	N/A	N/A	YES	NO	NO
02042207	PROPRANOLOL	Inderal-40 (Not a Benefit) 40mg Tab	AYE	N/A	N/A	YES	NO	NO
02550814	PROPRANOLOL	PRZ-Propranolol 20mg Tab	PRZ	0.1119	0.1119	YES	NO	NO
02550822	PROPRANOLOL	PRZ-Propranolol 40mg Tab	PRZ	0.1239	0.1239	YES	NO	NO
02550830	PROPRANOLOL	PRZ-Propranolol 80mg Tab	PRZ	0.2057	0.2057	YES	NO	NO
00496499	PROPRANOLOL	Teva-Propranolol 40mg Tab	TEV	0.1239	0.1239	YES	NO	NO
00740675	PROPRANOLOL	Teva-Propranolol 20mg Tab	TEV	0.1119	0.1119	YES	NO	NO
00496480	PROPRANOLOL	Teva-Propranolol 10mg Tab	TEV	0.0774	0.0774	YES	NO	NO
00496502	PROPRANOLOL	Teva-Propranolol 80mg Tab	TEV	0.2057	0.2057	YES	NO	NO
02521059	PROPYLTHIOURACIL	Halycil (Temporary Benefit) 50mg Tab	HAL	0.5000	0.5000	NO	NO	NO
09858122	PROPYLTHIOURACIL	PTU (Temporary Benefit) 50mg Tab	PHB	0.5000	0.5000	NO	NO	NO
09858135	PROPYLTHIOURACIL	Propylthiouracil (Temporary Benefit) 50mg Tab	ACP	0.5000	0.5000	NO	NO	NO
02523019	PROPYLTHIOURACIL	Propylthiouracil Tablets (Temporary Benefit) 50mg Tab	PHB	0.5000	0.5000	NO	NO	NO
02491591	PRUCALOPRIDE	Apo-Prucalopride (Off-Formulary Interchangeable) 1mg Tab	APX	2.0145	N/A	YES	NO	NO
02491605	PRUCALOPRIDE	Apo-Prucalopride (Off-Formulary Interchangeable) 2mg Tab	APX	3.1025	N/A	YES	NO	NO
02493489	PRUCALOPRIDE	Jamp Prucalopride (Off-Formulary Interchangeable) 1mg Tab	JPC	2.0145	N/A	YES	NO	NO
02493497	PRUCALOPRIDE	Jamp Prucalopride (Off-Formulary Interchangeable) 2mg Tab	JPC	3.1025	N/A	YES	NO	NO
02550377	PRUCALOPRIDE	NRA-Prucalopride (Off-Formulary Interchangeable) 1mg Tab	NRA	2.0145	N/A	YES	NO	NO
02550385	PRUCALOPRIDE	NRA-Prucalopride (Off-Formulary Interchangeable) 2mg Tab	NRA	3.1025	N/A	YES	NO	NO
02377020	PRUCALOPRIDE	Resotran (Off-Formulary Interchangeable) 2mg Tab	AMD	N/A	N/A	YES	NO	NO
02377012	PRUCALOPRIDE	Resotran (Off-Formulary Interchangeable) 1mg Tab	AMD	N/A	N/A	YES	NO	NO
02174812	PSYLLIUM MUCILLOID	Metamucil Fibre Therapy-Original Texture Oral Pd	PGI	0.0246	0.0246	NO	NO	NO
02125447	PYRETHRINS & PIPERONYL BUTOXIDE	R & C Shampoo with Conditioner 0.33% & 3% Topical Shampoo	MEP	0.1110	0.1110	NO	NO	NO
00869953	PYRIDOSTIGMINE BROMIDE	Mestinon 180mg LA Tab	VAL	1.4239	1.4239	NO	NO	NO
02508362	PYRIDOSTIGMINE BROMIDE	Jamp Pyridostigmine Bromide 60mg Tab	JPC	0.2673	0.2673	YES	NO	NO
00869961	PYRIDOSTIGMINE BROMIDE	Mestinon 60mg Tab	VAL	0.6384	0.2673	YES	NO	NO
02495643	PYRIDOSTIGMINE BROMIDE	Riva-Pyridostigmine 60mg Tab	RIA	0.2673	0.2673	YES	NO	NO
02450895	QUETIAPINE	Ach-Quetiapine Fumarate XR 300mg ER Tab	ACH	0.9776	0.9776	YES	NO	NO
02450909	QUETIAPINE	Ach-Quetiapine Fumarate XR 400mg ER Tab	ACH	1.3270	1.3270	YES	NO	NO
02450879	QUETIAPINE	Ach-Quetiapine Fumarate XR 150mg ER Tab	ACH	0.4926	0.4926	YES	NO	NO
02450887	QUETIAPINE	Ach-Quetiapine Fumarate XR 200mg ER Tab	ACH	0.6661	0.6661	YES	NO	NO
02450860	QUETIAPINE	Ach-Quetiapine Fumarate XR 50mg ER Tab	ACH	0.2501	0.2501	YES	NO	NO
02457253	QUETIAPINE	Apo-Quetiapine XR 300mg ER Tab	APX	0.9776	0.9776	YES	NO	NO
02457229	QUETIAPINE	Apo-Quetiapine XR 50mg ER Tab	APX	0.2501	0.2501	YES	NO	NO
02457237	QUETIAPINE	Apo-Quetiapine XR 150mg ER Tab	APX	0.4926	0.4926	YES	NO	NO
02457261	QUETIAPINE	Apo-Quetiapine XR 400mg ER Tab	APX	1.3270	1.3270	YES	NO	NO
02457245	QUETIAPINE	Apo-Quetiapine XR 200mg ER Tab	APX	0.6661	0.6661	YES	NO	NO
02527928	QUETIAPINE	M-Quetiapine Fumarate XR 50mg ER Tab	MAT	0.2501	0.2501	YES	NO	NO
02527936	QUETIAPINE	M-Quetiapine Fumarate XR 150mg ER Tab	MAT	0.4926	0.4926	YES	NO	NO
02527952	QUETIAPINE	M-Quetiapine Fumarate XR 300mg ER Tab	MAT	0.9776	0.9776	YES	NO	NO
02527960	QUETIAPINE	M-Quetiapine Fumarate XR 400mg ER Tab	MAT	1.3270	1.3270	YES	NO	NO
02527944	QUETIAPINE	M-Quetiapine Fumarate XR 200mg ER Tab	MAT	0.6661	0.6661	YES	NO	NO
02522187	QUETIAPINE	Mint-Quetiapine XR 50mg ER Tab	MIN	0.2501	0.2501	YES	NO	NO
02522225	QUETIAPINE	Mint-Quetiapine XR 400mg ER Tab	MIN	1.3270	1.3270	YES	NO	NO
02522217	QUETIAPINE	Mint-Quetiapine XR 300mg ER Tab	MIN	0.9776	0.9776	YES	NO	NO
02522209	QUETIAPINE	Mint-Quetiapine XR 200mg ER Tab	MIN	0.6661	0.6661	YES	NO	NO
02522195	QUETIAPINE	Mint-Quetiapine XR 150mg ER Tab	MIN	0.4926	0.4926	YES	NO	NO
02510693	QUETIAPINE	NRA-Quetiapine XR 200mg ER Tab	NRA	0.6661	0.6661	YES	NO	NO
02510685	QUETIAPINE	NRA-Quetiapine XR 150mg ER Tab	NRA	0.4926	0.4926	YES	NO	NO
02510715	QUETIAPINE	NRA-Quetiapine XR 400mg ER Tab	NRA	1.3270	1.3270	YES	NO	NO
02510707	QUETIAPINE	NRA-Quetiapine XR 300mg ER Tab	NRA	0.9776	0.9776	YES	NO	NO
02510677	QUETIAPINE	NRA-Quetiapine XR 50mg ER Tab	NRA	0.2501	0.2501	YES	NO	NO
02516659	QUETIAPINE	Quetiapine Fumarate XR 400mg ER Tab	SAI	1.3270	1.3270	YES	NO	NO
02516616	QUETIAPINE	Quetiapine Fumarate XR 50mg ER Tab	SAI	0.2501	0.2501	YES	NO	NO
02516624	QUETIAPINE	Quetiapine Fumarate XR 150mg ER Tab	SAI	0.4926	0.4926	YES	NO	NO
02516640	QUETIAPINE	Quetiapine Fumarate XR 300mg ER Tab	SAI	0.9776	0.9776	YES	NO	NO
02516632	QUETIAPINE	Quetiapine Fumarate XR 200mg ER Tab	SAI	0.6661	0.6661	YES	NO	NO
02417391	QUETIAPINE	Quetiapine XR 400mg ER Tab	SIV	1.3270	1.3270	YES	NO	NO
02417359	QUETIAPINE	Quetiapine XR 50mg ER Tab	SIV	0.2501	0.2501	YES	NO	NO
02519747	QUETIAPINE	Quetiapine XR 300mg ER Tab	JPC	0.9776	0.9776	YES	NO	NO
02519615	QUETIAPINE	Quetiapine XR 150mg ER Tab	JPC	0.4926	0.4926	YES	NO	NO
02417367	QUETIAPINE	Quetiapine XR 150mg ER Tab	SIV	0.4926	0.4926	YES	NO	NO
02519763	QUETIAPINE	Quetiapine XR 400mg ER Tab	JPC	1.3270	1.3270	YES	NO	NO
02519607	QUETIAPINE	Quetiapine XR 50mg ER Tab	JPC	0.2501	0.2501	YES	NO	NO
02519623	QUETIAPINE	Quetiapine XR 200mg ER Tab	JPC	0.6661	0.6661	YES	NO	NO
02417375	QUETIAPINE	Quetiapine XR 200mg ER Tab	SIV	0.6661	0.6661	YES	NO	NO
02417383	QUETIAPINE	Quetiapine XR 300mg ER Tab	SIV	0.9776	0.9776	YES	NO	NO
02407701	QUETIAPINE	Sandoz Quetiapine XRT 200mg ER Tab	SDZ	0.6661	0.6661	YES	NO	NO
02407698	QUETIAPINE	Sandoz Quetiapine XRT 150mg ER Tab	SDZ	0.4926	0.4926	YES	NO	NO
02407671	QUETIAPINE	Sandoz Quetiapine XRT 50mg ER Tab	SDZ	0.2501	0.2501	YES	NO	NO
02407728	QUETIAPINE	Sandoz Quetiapine XRT 300mg ER Tab	SDZ	0.9776	0.9776	YES	NO	NO
02407736	QUETIAPINE	Sandoz Quetiapine XRT 400mg ER Tab	SDZ	1.3270	1.3270	YES	NO	NO
02300214	QUETIAPINE	Seroquel XR 400mg ER Tab	AZC	5.9951	1.3270	YES	NO	NO
02300206	QUETIAPINE	Seroquel XR 300mg ER Tab	AZC	4.4162	0.9776	YES	NO	NO
02300184	QUETIAPINE	Seroquel XR 50mg ER Tab	AZC	1.1297	0.2501	YES	NO	NO
02321513	QUETIAPINE	Seroquel XR 150mg ER Tab	AZC	2.2253	0.4926	YES	NO	NO
02300192	QUETIAPINE	Seroquel XR 200mg ER Tab	AZC	3.0091	0.6661	YES	NO	NO
02395479	QUETIAPINE	Teva-Quetiapine XR 300mg ER Tab	TEV	0.9776	0.9776	YES	NO	NO
02395460	QUETIAPINE	Teva-Quetiapine XR 200mg ER Tab	TEV	0.6661	0.6661	YES	NO	NO
02395444	QUETIAPINE	Teva-Quetiapine XR 50mg ER Tab	TEV	0.2501	0.2501	YES	NO	NO
02395452	QUETIAPINE	Teva-Quetiapine XR 150mg ER Tab	TEV	0.4926	0.4926	YES	NO	NO
02395487	QUETIAPINE	Teva-Quetiapine XR 400mg ER Tab	TEV	1.3270	1.3270	YES	NO	NO
02475979	QUETIAPINE	AG-Quetiapine 25mg Tab	ANG	0.0494	0.0494	YES	NO	NO
02313901	QUETIAPINE	Apo-Quetiapine 25mg Tab	APX	0.0494	0.0494	YES	NO	NO
02313944	QUETIAPINE	Apo-Quetiapine 300mg Tab	APX	0.3863	0.3863	YES	NO	NO
02313936	QUETIAPINE	Apo-Quetiapine 200mg Tab	APX	0.2647	0.2647	YES	NO	NO
02313928	QUETIAPINE	Apo-Quetiapine 100mg Tab	APX	0.1318	0.1318	YES	NO	NO
02501678	QUETIAPINE	Apo-Quetiapine Fumarate 300mg Tab	APX	0.3863	0.3863	YES	NO	NO
02501651	QUETIAPINE	Apo-Quetiapine Fumarate 200mg Tab	APX	0.2647	0.2647	YES	NO	NO
02501643	QUETIAPINE	Apo-Quetiapine Fumarate 100mg Tab	APX	0.1318	0.1318	YES	NO	NO
02501635	QUETIAPINE	Apo-Quetiapine Fumarate 25mg Tab	APX	0.0494	0.0494	YES	NO	NO
02390248	QUETIAPINE	Auro-Quetiapine 200mg Tab	AUR	0.2647	0.2647	YES	NO	NO
02390256	QUETIAPINE	Auro-Quetiapine 300mg Tab	AUR	0.3863	0.3863	YES	NO	NO
02390205	QUETIAPINE	Auro-Quetiapine 25mg Tab	AUR	0.0494	0.0494	YES	NO	NO
02390213	QUETIAPINE	Auro-Quetiapine 100mg Tab	AUR	0.1318	0.1318	YES	NO	NO
02447207	QUETIAPINE	Bio-Quetiapine 100mg Tab	BMP	0.1318	0.1318	YES	NO	NO
02447258	QUETIAPINE	Bio-Quetiapine 300mg Tab	BMP	0.3863	0.3863	YES	NO	NO
02447193	QUETIAPINE	Bio-Quetiapine 25mg Tab	BMP	0.0494	0.0494	YES	NO	NO
02447223	QUETIAPINE	Bio-Quetiapine 200mg Tab	BMP	0.2647	0.2647	YES	NO	NO
02316129	QUETIAPINE	Co Quetiapine 300mg Tab	COB	0.3863	0.3863	YES	NO	NO
02316099	QUETIAPINE	Co Quetiapine 100mg Tab	COB	0.1318	0.1318	YES	NO	NO
02316110	QUETIAPINE	Co Quetiapine 200mg Tab	COB	0.2647	0.2647	YES	NO	NO
02316080	QUETIAPINE	Co Quetiapine 25mg Tab	COB	0.0494	0.0494	YES	NO	NO
02390167	QUETIAPINE	Jamp Quetiapine Fumarate 200mg Tab	JPC	0.2647	0.2647	YES	NO	NO
02390140	QUETIAPINE	Jamp Quetiapine Fumarate 25mg Tab	JPC	0.0494	0.0494	YES	NO	NO
02390159	QUETIAPINE	Jamp Quetiapine Fumarate 100mg Tab	JPC	0.1318	0.1318	YES	NO	NO
02390175	QUETIAPINE	Jamp Quetiapine Fumarate 300mg Tab	JPC	0.3863	0.3863	YES	NO	NO
02330458	QUETIAPINE	Jamp-Quetiapine 200mg Tab	JPC	0.2647	0.2647	YES	NO	NO
02330423	QUETIAPINE	Jamp-Quetiapine 100mg Tab	JPC	0.1318	0.1318	YES	NO	NO
02330466	QUETIAPINE	Jamp-Quetiapine 300mg Tab	JPC	0.3863	0.3863	YES	NO	NO
02330415	QUETIAPINE	Jamp-Quetiapine 25mg Tab	JPC	0.0494	0.0494	YES	NO	NO
02399857	QUETIAPINE	Mar-Quetiapine 300mg Tab	MAR	0.3863	0.3863	YES	NO	NO
02399822	QUETIAPINE	Mar-Quetiapine 25mg Tab	MAR	0.0494	0.0494	YES	NO	NO
02399830	QUETIAPINE	Mar-Quetiapine 100mg Tab	MAR	0.1318	0.1318	YES	NO	NO
02399849	QUETIAPINE	Mar-Quetiapine 200mg Tab	MAR	0.2647	0.2647	YES	NO	NO
02438011	QUETIAPINE	Mint-Quetiapine 100mg Tab	MIN	0.1318	0.1318	YES	NO	NO
02438054	QUETIAPINE	Mint-Quetiapine 300mg Tab	MIN	0.3863	0.3863	YES	NO	NO
02438046	QUETIAPINE	Mint-Quetiapine 200mg Tab	MIN	0.2647	0.2647	YES	NO	NO
02438003	QUETIAPINE	Mint-Quetiapine 25mg Tab	MIN	0.0494	0.0494	YES	NO	NO
02486237	QUETIAPINE	NRA-Quetiapine 25mg Tab	NRA	0.0494	0.0494	YES	NO	NO
02439190	QUETIAPINE	Nat-Quetiapine 300mg Tab	NAT	0.3863	0.3863	YES	NO	NO
02439166	QUETIAPINE	Nat-Quetiapine 100mg Tab	NAT	0.1318	0.1318	YES	NO	NO
02439182	QUETIAPINE	Nat-Quetiapine 200mg Tab	NAT	0.2647	0.2647	YES	NO	NO
02439158	QUETIAPINE	Nat-Quetiapine 25mg Tab	NAT	0.0494	0.0494	YES	NO	NO
02439174	QUETIAPINE	Nat-Quetiapine (Off-Formulary Interchangeable) 150mg Tab	NAT	1.6222	N/A	YES	NO	NO
02296594	QUETIAPINE	PMS-Quetiapine 200mg Tab	PMS	0.2647	0.2647	YES	NO	NO
02296608	QUETIAPINE	PMS-Quetiapine 300mg Tab	PMS	0.3863	0.3863	YES	NO	NO
02296551	QUETIAPINE	PMS-Quetiapine 25mg Tab	PMS	0.0494	0.0494	YES	NO	NO
02296578	QUETIAPINE	PMS-Quetiapine 100mg Tab	PMS	0.1318	0.1318	YES	NO	NO
02353172	QUETIAPINE	Quetiapine 100mg Tab	SAI	0.1318	0.1318	YES	NO	NO
02317907	QUETIAPINE	Quetiapine 100mg Tab	SIV	0.1318	0.1318	YES	NO	NO
02317893	QUETIAPINE	Quetiapine 25mg Tab	SIV	0.0494	0.0494	YES	NO	NO
02353164	QUETIAPINE	Quetiapine 25mg Tab	SAI	0.0494	0.0494	YES	NO	NO
02353202	QUETIAPINE	Quetiapine 300mg Tab	SAI	0.3863	0.3863	YES	NO	NO
02317931	QUETIAPINE	Quetiapine 300mg Tab	SIV	0.3863	0.3863	YES	NO	NO
02353199	QUETIAPINE	Quetiapine 200mg Tab	SAI	0.2647	0.2647	YES	NO	NO
02317923	QUETIAPINE	Quetiapine 200mg Tab	SIV	0.2647	0.2647	YES	NO	NO
02387832	QUETIAPINE	Quetiapine Tablets 300mg Tab	ACH	0.3863	0.3863	YES	NO	NO
02387816	QUETIAPINE	Quetiapine Tablets (Off-Formulary Interchangeable) 150mg Tab	ACH	1.3518	N/A	YES	NO	NO
02387824	QUETIAPINE	Quetiapine Tablets 200mg Tab	ACH	0.2647	0.2647	YES	NO	NO
02387808	QUETIAPINE	Quetiapine Tablets 100mg Tab	ACH	0.1318	0.1318	YES	NO	NO
02387794	QUETIAPINE	Quetiapine Tablets 25mg Tab	ACH	0.0494	0.0494	YES	NO	NO
02397110	QUETIAPINE	Ran-Quetiapine 200mg Tab	RAN	0.2647	0.2647	YES	NO	NO
02397102	QUETIAPINE	Ran-Quetiapine 100mg Tab	RAN	0.1318	0.1318	YES	NO	NO
02397099	QUETIAPINE	Ran-Quetiapine 25mg Tab	RAN	0.0494	0.0494	YES	NO	NO
02397129	QUETIAPINE	Ran-Quetiapine 300mg Tab	RAN	0.3863	0.3863	YES	NO	NO
02314010	QUETIAPINE	Sandoz Quetiapine 200mg Tab	SDZ	0.2647	0.2647	YES	NO	NO
02314002	QUETIAPINE	Sandoz Quetiapine 100mg Tab	SDZ	0.1318	0.1318	YES	NO	NO
02313995	QUETIAPINE	Sandoz Quetiapine 25mg Tab	SDZ	0.0494	0.0494	YES	NO	NO
02314029	QUETIAPINE	Sandoz Quetiapine 300mg Tab	SDZ	0.3863	0.3863	YES	NO	NO
02236952	QUETIAPINE	Seroquel 100mg Tab	AZC	1.4362	0.1318	YES	NO	NO
02240862	QUETIAPINE	Seroquel (Off-Formulary Interchangeable) 150mg Tab	AZC	N/A	N/A	YES	NO	NO
02236953	QUETIAPINE	Seroquel 200mg Tab	AZC	2.8839	0.2647	YES	NO	NO
02244107	QUETIAPINE	Seroquel 300mg Tab	AZC	4.2083	0.3863	YES	NO	NO
02236951	QUETIAPINE	Seroquel 25mg Tab	AZC	0.5383	0.0494	YES	NO	NO
02284251	QUETIAPINE	Teva-Quetiapine (Off-Formulary Interchangeable) 150mg Tab	TEV	1.7288	N/A	YES	NO	NO
02284278	QUETIAPINE	Teva-Quetiapine 200mg Tab	TEV	0.2647	0.2647	YES	NO	NO
02284286	QUETIAPINE	Teva-Quetiapine 300mg Tab	TEV	0.3863	0.3863	YES	NO	NO
02284235	QUETIAPINE	Teva-Quetiapine 25mg Tab	TEV	0.0494	0.0494	YES	NO	NO
02284243	QUETIAPINE	Teva-Quetiapine 100mg Tab	TEV	0.1318	0.1318	YES	NO	NO
02223775	QUINAGOLIDE HCL	Norprolac 0.15mg Tab	FEI	1.7294	1.7294	NO	YES	NO
01947672	QUINAPRIL	Accupril (Not a Benefit) 10mg Tab	PFI	N/A	N/A	YES	NO	NO
01947699	QUINAPRIL	Accupril (Not a Benefit) 40mg Tab	PFI	N/A	N/A	YES	NO	NO
01947664	QUINAPRIL	Accupril (Not a Benefit) 5mg Tab	PFI	N/A	N/A	YES	NO	NO
01947680	QUINAPRIL	Accupril (Not a Benefit) 20mg Tab	PFI	N/A	N/A	YES	NO	NO
02248499	QUINAPRIL	Apo-Quinapril 5mg Tab	APX	0.4642	0.4642	YES	NO	NO
02248500	QUINAPRIL	Apo-Quinapril 10mg Tab	APX	0.2321	0.2321	YES	NO	NO
02517450	QUINAPRIL	Jamp Quinapril 10mg Tab	JPC	0.2321	0.2321	YES	NO	NO
02517469	QUINAPRIL	Jamp Quinapril 20mg Tab	JPC	0.4642	0.4642	YES	NO	NO
02517477	QUINAPRIL	Jamp Quinapril 40mg Tab	JPC	0.4642	0.4642	YES	NO	NO
02340569	QUINAPRIL	PMS-Quinapril 10mg Tab	PMS	0.2321	0.2321	YES	NO	NO
02340550	QUINAPRIL	PMS-Quinapril 5mg Tab	PMS	0.4642	0.4642	YES	NO	NO
02340577	QUINAPRIL	PMS-Quinapril 20mg Tab	PMS	0.4642	0.4642	YES	NO	NO
02340585	QUINAPRIL	PMS-Quinapril 40mg Tab	PMS	0.4642	0.4642	YES	NO	NO
02237369	QUINAPRIL & HYDROCHLOROTHIAZIDE	Accuretic (Not a Benefit) 20mg & 25mg Tab	PFI	N/A	N/A	YES	NO	NO
02237368	QUINAPRIL & HYDROCHLOROTHIAZIDE	Accuretic (Not a Benefit) 20mg & 12.5mg Tab	PFI	N/A	N/A	YES	NO	NO
02237367	QUINAPRIL & HYDROCHLOROTHIAZIDE	Accuretic (Not a Benefit) 10mg & 12.5mg Tab	PFI	N/A	N/A	YES	NO	NO
02408767	QUINAPRIL & HYDROCHLOROTHIAZIDE	Apo-Quinapril/HCTZ 10mg & 12.5mg Tab	APX	0.2393	0.2393	YES	NO	NO
02408783	QUINAPRIL & HYDROCHLOROTHIAZIDE	Apo-Quinapril/HCTZ 20mg & 25mg Tab	APX	0.2301	0.2301	YES	NO	NO
02408775	QUINAPRIL & HYDROCHLOROTHIAZIDE	Apo-Quinapril/HCTZ 20mg & 12.5mg Tab	APX	0.4786	0.4786	YES	NO	NO
02473305	QUINAPRIL & HYDROCHLOROTHIAZIDE	Auro-Quinapril HCTZ 20mg & 12.5mg Tab	AUR	0.4786	0.4786	YES	NO	NO
02473291	QUINAPRIL & HYDROCHLOROTHIAZIDE	Auro-Quinapril HCTZ 10mg & 12.5mg Tab	AUR	0.2393	0.2393	YES	NO	NO
02473321	QUINAPRIL & HYDROCHLOROTHIAZIDE	Auro-Quinapril HCTZ 20mg & 25mg Tab	AUR	0.2301	0.2301	YES	NO	NO
02547449	QUINAPRIL & HYDROCHLOROTHIAZIDE	Jamp Quinapril / HCTZ 20mg & 25mg Tab	JPC	0.2301	0.2301	YES	NO	NO
02547430	QUINAPRIL & HYDROCHLOROTHIAZIDE	Jamp Quinapril / HCTZ 10mg & 12.5mg Tab	JPC	0.2393	0.2393	YES	NO	NO
09857456	QUINOPROTEIN GLUCOSE DEHYDROGENASE	Accu-Chek Inform II Test Strips Strip	ROD	N/A	0.6595	NO	NO	NO
02345587	RABEPRAZOLE SODIUM	Apo-Rabeprazole 20mg Tab	APX	0.1338	0.1338	YES	NO	NO
02345579	RABEPRAZOLE SODIUM	Apo-Rabeprazole 10mg Tab	APX	0.0669	0.0669	YES	NO	NO
02415283	RABEPRAZOLE SODIUM	Jamp Rabeprazole 10mg Tab	JPC	0.0669	0.0669	YES	NO	NO
02415291	RABEPRAZOLE SODIUM	Jamp Rabeprazole 20mg Tab	JPC	0.1338	0.1338	YES	NO	NO
02310813	RABEPRAZOLE SODIUM	PMS-Rabeprazole EC 20mg Tab	PMS	0.1338	0.1338	YES	NO	NO
02310805	RABEPRAZOLE SODIUM	PMS-Rabeprazole EC 10mg Tab	PMS	0.0669	0.0669	YES	NO	NO
02243796	RABEPRAZOLE SODIUM	Pariet 10mg Tab	JAN	1.6353	0.0669	YES	NO	NO
02243797	RABEPRAZOLE SODIUM	Pariet 20mg Tab	JAN	3.2706	0.1338	YES	NO	NO
02385457	RABEPRAZOLE SODIUM	Rabeprazole 20mg Tab	SIV	0.1338	0.1338	YES	NO	NO
02385449	RABEPRAZOLE SODIUM	Rabeprazole 10mg Tab	SIV	0.0669	0.0669	YES	NO	NO
02356538	RABEPRAZOLE SODIUM	Rabeprazole EC 20mg Tab	SAI	0.1338	0.1338	YES	NO	NO
02356511	RABEPRAZOLE SODIUM	Rabeprazole EC 10mg Tab	SAI	0.0669	0.0669	YES	NO	NO
02298074	RABEPRAZOLE SODIUM	Ran-Rabeprazole 10mg Tab	RAN	0.0669	0.0669	YES	NO	NO
02298082	RABEPRAZOLE SODIUM	Ran-Rabeprazole 20mg Tab	RAN	0.1338	0.1338	YES	NO	NO
02314185	RABEPRAZOLE SODIUM	Sandoz Rabeprazole 20mg Tab	SDZ	0.1338	0.1338	YES	NO	NO
02314177	RABEPRAZOLE SODIUM	Sandoz Rabeprazole 10mg Tab	SDZ	0.0669	0.0669	YES	NO	NO
02296632	RABEPRAZOLE SODIUM	Teva-Rabeprazole EC 10mg Tab	TEV	0.0669	0.0669	YES	NO	NO
02296640	RABEPRAZOLE SODIUM	Teva-Rabeprazole EC 20mg Tab	TEV	0.1338	0.1338	YES	NO	NO
02279215	RALOXIFENE HCL	Apo-Raloxifene 60mg Tab	APX	0.5134	0.5134	YES	YES	NO
02358840	RALOXIFENE HCL	Co Raloxifene 60mg Tab	COB	0.5134	0.5134	YES	YES	NO
02239028	RALOXIFENE HCL	Evista 60mg Tab	LIL	2.3757	0.5134	YES	YES	NO
02540681	RALOXIFENE HCL	Jamp Raloxifene 60mg Tab	JPC	0.5134	0.5134	YES	YES	NO
02301881	RALTEGRAVIR POTASSIUM	Isentress 400mg Tab	MFC	14.0301	14.0301	NO	NO	NO
02465337	RALTEGRAVIR POTASSIUM	Isentress HD 600mg Tab	MEK	14.0301	14.0301	NO	NO	NO
02477572	RAMIPRIL	AG-Ramipril Cap 2.5mg	ANG	0.0817	0.0817	YES	NO	NO
02477599	RAMIPRIL	AG-Ramipril Cap 10mg	ANG	0.1034	0.1034	YES	NO	NO
02477580	RAMIPRIL	AG-Ramipril Cap 5mg	ANG	0.0817	0.0817	YES	NO	NO
02221829	RAMIPRIL	Altace Cap 1.25mg	SAV	0.9829	0.0708	YES	NO	NO
02221853	RAMIPRIL	Altace Cap 10mg	SAV	1.4577	0.1034	YES	NO	NO
02221845	RAMIPRIL	Altace Cap 5mg	SAV	1.1346	0.0817	YES	NO	NO
02221837	RAMIPRIL	Altace Cap 2.5mg	SAV	1.1058	0.0817	YES	NO	NO
02251582	RAMIPRIL	Apo-Ramipril Cap 10mg	APX	0.1034	0.1034	YES	NO	NO
02251574	RAMIPRIL	Apo-Ramipril Cap 5mg	APX	0.0817	0.0817	YES	NO	NO
02251515	RAMIPRIL	Apo-Ramipril Cap 1.25mg	APX	0.0708	0.0708	YES	NO	NO
02251531	RAMIPRIL	Apo-Ramipril Cap 2.5mg	APX	0.0817	0.0817	YES	NO	NO
02387409	RAMIPRIL	Auro-Ramipril Cap 5mg	AUR	0.0817	0.0817	YES	NO	NO
02387395	RAMIPRIL	Auro-Ramipril Cap 2.5mg	AUR	0.0817	0.0817	YES	NO	NO
02387387	RAMIPRIL	Auro-Ramipril Cap 1.25mg	AUR	0.0708	0.0708	YES	NO	NO
02387417	RAMIPRIL	Auro-Ramipril Cap 10mg	AUR	0.1034	0.1034	YES	NO	NO
02295490	RAMIPRIL	Co Ramipril Cap 2.5mg	COB	0.0817	0.0817	YES	NO	NO
02295504	RAMIPRIL	Co Ramipril Cap 5mg	COB	0.0817	0.0817	YES	NO	NO
02295512	RAMIPRIL	Co Ramipril Cap 10mg	COB	0.1034	0.1034	YES	NO	NO
02295482	RAMIPRIL	Co Ramipril Cap 1.25mg	COB	0.0708	0.0708	YES	NO	NO
02331136	RAMIPRIL	Jamp-Ramipril Cap 5mg	JPC	0.0817	0.0817	YES	NO	NO
02331101	RAMIPRIL	Jamp-Ramipril Cap 1.25mg	JPC	0.0708	0.0708	YES	NO	NO
02331128	RAMIPRIL	Jamp-Ramipril Cap 2.5mg	JPC	0.0817	0.0817	YES	NO	NO
02331144	RAMIPRIL	Jamp-Ramipril Cap 10mg	JPC	0.1034	0.1034	YES	NO	NO
02420465	RAMIPRIL	Mar-Ramipril Cap 2.5mg	MAR	0.0817	0.0817	YES	NO	NO
02420473	RAMIPRIL	Mar-Ramipril Cap 5mg	MAR	0.0817	0.0817	YES	NO	NO
02420457	RAMIPRIL	Mar-Ramipril Cap 1.25mg	MAR	0.0708	0.0708	YES	NO	NO
02420481	RAMIPRIL	Mar-Ramipril Cap 10mg	MAR	0.1034	0.1034	YES	NO	NO
02421321	RAMIPRIL	Mint-Ramipril Cap 10mg	MIN	0.1034	0.1034	YES	NO	NO
02421305	RAMIPRIL	Mint-Ramipril Cap 2.5mg	MIN	0.0817	0.0817	YES	NO	NO
02421313	RAMIPRIL	Mint-Ramipril Cap 5mg	MIN	0.0817	0.0817	YES	NO	NO
02486180	RAMIPRIL	NRA-Ramipril Cap 5mg	NRA	0.0817	0.0817	YES	NO	NO
02486199	RAMIPRIL	NRA-Ramipril Cap 10mg	NRA	0.1034	0.1034	YES	NO	NO
02486172	RAMIPRIL	NRA-Ramipril Cap 2.5mg	NRA	0.0817	0.0817	YES	NO	NO
02247919	RAMIPRIL	PMS-Ramipril Cap 10mg	PMS	0.1034	0.1034	YES	NO	NO
02247918	RAMIPRIL	PMS-Ramipril Cap 5mg	PMS	0.0817	0.0817	YES	NO	NO
02247917	RAMIPRIL	PMS-Ramipril Cap 2.5mg	PMS	0.0817	0.0817	YES	NO	NO
02295369	RAMIPRIL	PMS-Ramipril Cap 1.25mg	PMS	0.0708	0.0708	YES	NO	NO
02469081	RAMIPRIL	Pharma-Ramipril 10mg	PMS	0.1034	0.1034	YES	NO	NO
02469065	RAMIPRIL	Pharma-Ramipril 2.5mg	PMS	0.0817	0.0817	YES	NO	NO
02469073	RAMIPRIL	Pharma-Ramipril 5mg	PMS	0.0817	0.0817	YES	NO	NO
02469057	RAMIPRIL	Pharma-Ramipril 1.25mg	PMS	0.0708	0.0708	YES	NO	NO
02374854	RAMIPRIL	Ramipril Cap 5mg	SAI	0.0817	0.0817	YES	NO	NO
02287935	RAMIPRIL	Ramipril Cap 5mg	SIV	0.0817	0.0817	YES	NO	NO
02255324	RAMIPRIL	Ramipril Cap (Not a Benefit) 5mg	RIA	N/A	N/A	YES	NO	NO
02374846	RAMIPRIL	Ramipril Cap 2.5mg	SAI	0.0817	0.0817	YES	NO	NO
02287927	RAMIPRIL	Ramipril Cap 2.5mg	SIV	0.0817	0.0817	YES	NO	NO
02255316	RAMIPRIL	Ramipril Cap (Not a Benefit) 2.5mg	RIA	N/A	N/A	YES	NO	NO
02299372	RAMIPRIL	Ramipril Cap (Not a Benefit) 1.25mg	RIA	N/A	N/A	YES	NO	NO
02308363	RAMIPRIL	Ramipril Cap 1.25mg	SIV	0.0708	0.0708	YES	NO	NO
02374862	RAMIPRIL	Ramipril Cap 10mg	SAI	0.1034	0.1034	YES	NO	NO
02287943	RAMIPRIL	Ramipril Cap 10mg	SIV	0.1034	0.1034	YES	NO	NO
02255332	RAMIPRIL	Ramipril Cap (Not a Benefit) 10mg	RIA	N/A	N/A	YES	NO	NO
02310546	RAMIPRIL	Ran-Ramipril Cap 10mg	RAN	0.1034	0.1034	YES	NO	NO
02310538	RAMIPRIL	Ran-Ramipril Cap 5mg	RAN	0.0817	0.0817	YES	NO	NO
02310503	RAMIPRIL	Ran-Ramipril Cap 1.25mg	RAN	0.0708	0.0708	YES	NO	NO
02310511	RAMIPRIL	Ran-Ramipril Cap 2.5mg	RAN	0.0817	0.0817	YES	NO	NO
02287706	RAMIPRIL	Ratio-Ramipril Cap 2.5mg	RPH	0.0817	0.0817	YES	NO	NO
02247945	RAMIPRIL	Teva-Ramipril Cap 2.5mg	TEV	0.0817	0.0817	YES	NO	NO
02247946	RAMIPRIL	Teva-Ramipril Cap 5mg	TEV	0.0817	0.0817	YES	NO	NO
02247947	RAMIPRIL	Teva-Ramipril Cap 10mg	TEV	0.1034	0.1034	YES	NO	NO
02281112	RAMIPRIL	Altace (Off-Formulary Interchangeable) 15mg Cap	SAV	N/A	N/A	YES	NO	NO
02325381	RAMIPRIL	Apo-Ramipril (Off-Formulary Interchangeable) 15mg Cap	APX	0.8550	N/A	YES	NO	NO
02440334	RAMIPRIL	Jamp-Ramipril (Off-Formulary Interchangeable) 15mg Cap	JPC	0.8550	N/A	YES	NO	NO
02420503	RAMIPRIL	Mar-Ramipril (Off-Formulary Interchangeable) 15mg Cap	MAR	0.8550	N/A	YES	NO	NO
02421348	RAMIPRIL	Mint-Ramipril (Off-Formulary Interchangeable) 15mg Cap	MIN	0.8132	N/A	YES	NO	NO
02425548	RAMIPRIL	Ran-Ramipril (Off-Formulary Interchangeable) 15mg Cap	RAN	0.8550	N/A	YES	NO	NO
02283182	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT 10mg & 25mg Tab	SAV	0.6525	0.2634	YES	NO	NO
02283158	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT (Not a Benefit) 5mg & 12.5mg Tab	SAV	N/A	N/A	YES	NO	NO
02283131	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT (Not a Benefit) 2.5mg & 12.5mg Tab	SAV	N/A	N/A	YES	NO	NO
02283166	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT 10mg & 12.5mg Tab	SAV	0.6675	0.2634	YES	NO	NO
02283174	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT 5mg & 25mg Tab	SAV	0.4981	0.2872	YES	NO	NO
02342170	RAMIPRIL & HYDROCHLOROTHIAZIDE	PMS-Ramipril-HCTZ 10mg & 25mg Tab	PMS	0.2634	0.2634	YES	NO	NO
02342154	RAMIPRIL & HYDROCHLOROTHIAZIDE	PMS-Ramipril-HCTZ 10mg & 12.5mg Tab	PMS	0.2634	0.2634	YES	NO	NO
02449471	RAMIPRIL & HYDROCHLOROTHIAZIDE	Ran-Ramipril HCTZ 10mg & 25mg Tab	RAN	0.2634	0.2634	YES	NO	NO
02449455	RAMIPRIL & HYDROCHLOROTHIAZIDE	Ran-Ramipril HCTZ 10mg & 12.5mg Tab	RAN	0.2634	0.2634	YES	NO	NO
02449447	RAMIPRIL & HYDROCHLOROTHIAZIDE	Ran-Ramipril HCTZ 5mg & 12.5mg Tab	RAN	0.3016	0.3016	YES	NO	NO
02449439	RAMIPRIL & HYDROCHLOROTHIAZIDE	Ran-Ramipril HCTZ 2.5mg & 12.5mg Tab	RAN	0.2242	0.2242	YES	NO	NO
02449463	RAMIPRIL & HYDROCHLOROTHIAZIDE	Ran-Ramipril HCTZ 5mg & 25mg Tab	RAN	0.2872	0.2872	YES	NO	NO
02525852	RANIBIZUMAB	Byooviz 10mg/mL Inj Sol-0.23mL Vial Pk (Preservative-Free)	SAM	900.0000	900.0000	NO	YES	NO
02542250	RANIBIZUMAB	Ranopto 10mg/mL Inj Sol-0.23mL Vial Pk (Preservative-Free)	TEI	900.0000	900.0000	NO	YES	NO
02280833	RANITIDINE HCL	Apo-Ranitidine 15mg/mL Oral Sol	APX	0.1480	0.1480	YES	NO	NO
02242940	RANITIDINE HCL	Teva-Ranitidine Solution 15mg/mL Oral Sol	TEV	0.1480	0.1480	YES	NO	NO
02212374	RANITIDINE HCL	Zantac (Not a Benefit) 15mg/mL Oral Sol	GSK	N/A	N/A	YES	NO	NO
00733059	RANITIDINE HCL	Apo-Ranitidine 150mg Tab	APX	0.1197	0.1197	YES	NO	NO
00733067	RANITIDINE HCL	Apo-Ranitidine 300mg Tab	APX	0.2253	0.2253	YES	NO	NO
02248570	RANITIDINE HCL	Co Ranitidine 150mg Tab	COB	0.1197	0.1197	YES	NO	NO
02248571	RANITIDINE HCL	Co Ranitidine 300mg Tab	COB	0.2253	0.2253	YES	NO	NO
02463725	RANITIDINE HCL	Jamp-Ranitidine 300mg Tab	JPC	0.2253	0.2253	YES	NO	NO
02463717	RANITIDINE HCL	Jamp-Ranitidine 150mg Tab	JPC	0.1197	0.1197	YES	NO	NO
02443708	RANITIDINE HCL	Mar-Ranitidine 150mg Tab	MAR	0.1197	0.1197	YES	NO	NO
02443716	RANITIDINE HCL	Mar-Ranitidine 300mg Tab	MAR	0.2253	0.2253	YES	NO	NO
02526387	RANITIDINE HCL	Mint-Ranitidine 300mg Tab	MIN	0.2253	0.2253	YES	NO	NO
02526379	RANITIDINE HCL	Mint-Ranitidine 150mg Tab	MIN	0.1197	0.1197	YES	NO	NO
02242454	RANITIDINE HCL	PMS-Ranitidine 300mg Tab	PMS	0.2253	0.2253	YES	NO	NO
02242453	RANITIDINE HCL	PMS-Ranitidine 150mg Tab	PMS	0.1197	0.1197	YES	NO	NO
02336502	RANITIDINE HCL	Ran-Ranitidine 300mg Tab	RAN	0.2253	0.2253	YES	NO	NO
02336480	RANITIDINE HCL	Ran-Ranitidine 150mg Tab	RAN	0.1197	0.1197	YES	NO	NO
02243230	RANITIDINE HCL	Sandoz Ranitidine 300mg Tab	SDZ	0.2253	0.2253	YES	NO	NO
02243229	RANITIDINE HCL	Sandoz Ranitidine 150mg Tab	SDZ	0.1197	0.1197	YES	NO	NO
00828564	RANITIDINE HCL	Teva-Ranitidine 150mg Tab	TEV	0.1197	0.1197	YES	NO	NO
00828556	RANITIDINE HCL	Teva-Ranitidine 300mg Tab	TEV	0.2253	0.2253	YES	NO	NO
02212331	RANITIDINE HCL	Zantac (Not a Benefit) 150mg Tab	GSK	N/A	N/A	YES	NO	NO
02212358	RANITIDINE HCL	Zantac (Not a Benefit) 300mg Tab	GSK	N/A	N/A	YES	NO	NO
02404699	RASAGILINE MESYLATE	Apo-Rasagiline (Off-Formulary Interchangeable) 1mg Tab	APX	6.1285	6.1285	YES	NO	NO
02404680	RASAGILINE MESYLATE	Apo-Rasagiline (Off-Formulary Interchangeable) 0.5mg Tab	APX	6.1285	6.1285	YES	NO	NO
02284642	RASAGILINE MESYLATE	Azilect (Off-Formulary Interchangeable) 0.5mg Tab	TEI	9.5147	6.1285	YES	NO	NO
02284650	RASAGILINE MESYLATE	Azilect (Off-Formulary Interchangeable) 1mg Tab	TEI	9.5147	6.1285	YES	NO	NO
02491974	RASAGILINE MESYLATE	Jamp Rasagiline (Off-Formulary Interchangeable) 0.5mg Tab	JPC	6.1285	6.1285	YES	NO	NO
02491982	RASAGILINE MESYLATE	Jamp Rasagiline (Off-Formulary Interchangeable) 1mg Tab	JPC	6.1285	6.1285	YES	NO	NO
02418444	RASAGILINE MESYLATE	Teva-Rasagiline (Off-Formulary Interchangeable) 1mg Tab	TEV	6.1285	6.1285	YES	NO	NO
02418436	RASAGILINE MESYLATE	Teva-Rasagiline (Off-Formulary Interchangeable) 0.5mg Tab	TEV	6.1285	6.1285	YES	NO	NO
09858148	READER KIT AND SENSOR KIT	FreeStyle Libre 2 Reader Flash Glucose Monitoring System - Reader	ABD	N/A	49.0000	NO	NO	NO
09858147	READER KIT AND SENSOR KIT	FreeStyle Libre 2 Sensor Flash Glucose Monitoring System - Sensor	ABD	N/A	91.0000	NO	NO	NO
02542137	RELUGOLIX	Orgovyx 120mg Tab	SMT	9.0000	9.0000	NO	NO	NO
02502143	REMDESIVIR	Veklury 100mg/vial Pd for Sol-100mg Vial Pk	GIL	660.5300	660.5300	NO	YES	NO
02355671	REPAGLINIDE	Apo-Repaglinide (Off-Formulary Interchangeable) 1mg Tab	APX	0.2165	0.2165	YES	NO	NO
02355698	REPAGLINIDE	Apo-Repaglinide (Off-Formulary Interchangeable) 2mg Tab	APX	0.2441	0.2441	YES	NO	NO
02355663	REPAGLINIDE	Apo-Repaglinide (Off-Formulary Interchangeable) 0.5mg Tab	APX	0.2083	0.2083	YES	NO	NO
02424258	REPAGLINIDE	Auro-Repaglinide (Off-Formulary Interchangeable) 0.5mg Tab	AUR	0.2083	0.2083	YES	NO	NO
02424274	REPAGLINIDE	Auro-Repaglinide (Off-Formulary Interchangeable) 2mg Tab	AUR	0.2441	0.2441	YES	NO	NO
02424266	REPAGLINIDE	Auro-Repaglinide (Off-Formulary Interchangeable) 1mg Tab	AUR	0.2165	0.2165	YES	NO	NO
02321483	REPAGLINIDE	Co Repaglinide (Off-Formulary Interchangeable) 1mg Tab	COB	0.2165	0.2165	YES	NO	NO
02321491	REPAGLINIDE	Co Repaglinide (Off-Formulary Interchangeable) 2mg Tab	COB	0.2441	0.2441	YES	NO	NO
02321475	REPAGLINIDE	Co Repaglinide (Off-Formulary Interchangeable) 0.5mg Tab	COB	0.2083	0.2083	YES	NO	NO
02239924	REPAGLINIDE	GlucoNorm (Off-Formulary Interchangeable) 0.5mg Tab	NOO	N/A	N/A	YES	NO	NO
02239925	REPAGLINIDE	GlucoNorm (Off-Formulary Interchangeable) 1mg Tab	NOO	N/A	N/A	YES	NO	NO
02239926	REPAGLINIDE	GlucoNorm (Off-Formulary Interchangeable) 2mg Tab	NOO	N/A	N/A	YES	NO	NO
02354942	REPAGLINIDE	Jamp Repaglinide (Off-Formulary Interchangeable) 2mg Tab	JPC	0.2441	0.2441	YES	NO	NO
02354926	REPAGLINIDE	Jamp Repaglinide (Off-Formulary Interchangeable) 0.5mg Tab	JPC	0.2083	0.2083	YES	NO	NO
02354934	REPAGLINIDE	Jamp Repaglinide (Off-Formulary Interchangeable) 1mg Tab	JPC	0.2165	0.2165	YES	NO	NO
02357488	REPAGLINIDE	Sandoz Repaglinide (Off-Formulary Interchangeable) 2mg Tab	SDZ	0.2440	0.2440	YES	NO	NO
02357453	REPAGLINIDE	Sandoz Repaglinide (Off-Formulary Interchangeable) 0.5mg Tab	SDZ	0.2083	0.2083	YES	NO	NO
02357461	REPAGLINIDE	Sandoz Repaglinide (Off-Formulary Interchangeable) 1mg Tab	SDZ	0.2165	0.2165	YES	NO	NO
02063786	RIFABUTIN	Mycobutin 150mg Cap	PFI	6.2161	6.2161	NO	YES	NO
00393444	RIFAMPIN	Rofact 150mg Cap	VAL	0.9001	0.9001	NO	NO	YES
00343617	RIFAMPIN	Rofact 300mg Cap	VAL	1.4169	1.4169	NO	NO	YES
02410702	RIFAXIMIN	Zaxine 550mg Tab	SAL	8.3030	8.3030	NO	YES	NO
02370603	RILPIVIRINE HYDROCHLORIDE	Edurant 25mg Tab	JAN	17.7500	17.7500	NO	NO	NO
02352583	RILUZOLE	Apo-Riluzole (Off-Formulary Interchangeable) 50mg Tab	APX	7.3630	7.3630	YES	NO	NO
02390299	RILUZOLE	Mylan-Riluzole (Off-Formulary Interchangeable) 50mg Tab	MYL	7.3630	7.3630	YES	NO	NO
02242763	RILUZOLE	Rilutek (Off-Formulary Interchangeable) 50mg Tab	SAC	10.5500	7.3630	YES	NO	NO
02412772	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 1mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02412799	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 1.5mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02412764	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 0.5mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02412802	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 2mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02412810	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 2.5mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02533545	RIOCIGUAT	Sandoz Riociguat (Off-Formulary Interchangeable) 0.5mg Tab	SDZ	24.0460	24.0460	YES	NO	NO
02533596	RIOCIGUAT	Sandoz Riociguat (Off-Formulary Interchangeable) 2mg Tab	SDZ	24.0460	24.0460	YES	NO	NO
02533588	RIOCIGUAT	Sandoz Riociguat (Off-Formulary Interchangeable) 1.5mg Tab	SDZ	24.0460	24.0460	YES	NO	NO
02533618	RIOCIGUAT	Sandoz Riociguat (Off-Formulary Interchangeable) 2.5mg Tab	SDZ	24.0460	24.0460	YES	NO	NO
02533561	RIOCIGUAT	Sandoz Riociguat (Off-Formulary Interchangeable) 1mg Tab	SDZ	24.0460	24.0460	YES	NO	NO
02487454	RISANKIZUMAB	Skyrizi 75mg/0.83mL Inj Sol-0.83mL Pref Syr (Preservative-Free)	ABV	2467.5000	2467.5000	NO	YES	NO
02519291	RISANKIZUMAB	Skyrizi 150mg/mL Inj Sol-Pref Pen (Preservative-Free)	ABV	4935.0000	4935.0000	NO	YES	NO
02519283	RISANKIZUMAB	Skyrizi 150mg/mL Inj Sol-Pref Syr (Preservative-Free)	ABV	4935.0000	4935.0000	NO	YES	NO
02493268	RISEDRONATE SODIUM	AA-Risedronate DR 35mg DR Tab	AAP	2.9663	2.9663	YES	NO	NO
02370417	RISEDRONATE SODIUM	Actonel DR 35mg DR Tab	WAR	11.8653	2.9663	YES	NO	NO
02242518	RISEDRONATE SODIUM	Actonel (Not a Benefit) 5mg Tab	WAR	N/A	N/A	YES	NO	NO
02316838	RISEDRONATE SODIUM	Actonel 150mg Tab	WAR	47.3370	11.1875	YES	NO	NO
02246896	RISEDRONATE SODIUM	Actonel (Not a Benefit) 35mg Tab	WAR	N/A	N/A	YES	NO	NO
02239146	RISEDRONATE SODIUM	Actonel (Not a Benefit) 30mg Tab	WAR	N/A	N/A	YES	NO	NO
02353687	RISEDRONATE SODIUM	Apo-Risedronate 35mg Tab	APX	1.6764	1.6764	YES	NO	NO
02377721	RISEDRONATE SODIUM	Apo-Risedronate 150mg Tab	APX	11.1875	11.1875	YES	NO	NO
02442760	RISEDRONATE SODIUM	Auro-Risedronate 150mg Tab	AUR	11.1875	11.1875	YES	NO	NO
02406306	RISEDRONATE SODIUM	Auro-Risedronate 35mg Tab	AUR	1.6764	1.6764	YES	NO	NO
02368552	RISEDRONATE SODIUM	Jamp-Risedronate 35mg Tab	JPC	1.6764	1.6764	YES	NO	NO
02424177	RISEDRONATE SODIUM	PMS-Risedronate 150mg Tab	PMS	11.1875	11.1875	YES	NO	NO
02302209	RISEDRONATE SODIUM	PMS-Risedronate 35mg Tab	PMS	1.6764	1.6764	YES	NO	NO
02319861	RISEDRONATE SODIUM	Ratio-Risedronate 35mg Tab	RPH	1.6764	1.6764	YES	NO	NO
02528460	RISEDRONATE SODIUM	Risedronate 150mg Tab	SAI	11.1875	11.1875	YES	NO	NO
02370255	RISEDRONATE SODIUM	Risedronate 35mg Tab	SAI	1.6764	1.6764	YES	NO	NO
02411407	RISEDRONATE SODIUM	Risedronate 35mg Tab	SIV	1.6764	1.6764	YES	NO	NO
02341077	RISEDRONATE SODIUM	Riva-Risedronate 35mg Tab	RIA	1.6764	1.6764	YES	NO	NO
02327295	RISEDRONATE SODIUM	Sandoz Risedronate 35mg Tab	SDZ	1.6764	1.6764	YES	NO	NO
02413809	RISEDRONATE SODIUM	Teva-Risedronate 150mg Tab	TEV	11.1875	11.1875	YES	NO	NO
02298392	RISEDRONATE SODIUM	Teva-Risedronate 35mg Tab	TEV	1.6764	1.6764	YES	NO	NO
02298376	RISEDRONATE SODIUM	Teva-Risedronate 5mg Tab	TEV	1.7567	1.7567	YES	NO	NO
02298384	RISEDRONATE SODIUM	Teva-Risedronate 30mg Tab	TEV	11.3807	11.3807	YES	NO	NO
02454319	RISPERIDONE	Jamp-Risperidone 1mg/mL O/L	JPC	0.7080	0.7080	YES	NO	NO
02279266	RISPERIDONE	PMS-Risperidone 1mg/mL O/L	PMS	0.7080	0.7080	YES	NO	NO
02236950	RISPERIDONE	Risperdal (Not a Benefit) 1mg/mL O/L	JAN	N/A	N/A	YES	NO	NO
02413507	RISPERIDONE	Mylan-Risperidone ODT 2mg Orally Disintegrating Tab	MYL	1.0188	1.0188	YES	NO	NO
02413515	RISPERIDONE	Mylan-Risperidone ODT 3mg Orally Disintegrating Tab	MYL	1.5275	1.5275	YES	NO	NO
02413523	RISPERIDONE	Mylan-Risperidone ODT 4mg Orally Disintegrating Tab	MYL	2.0425	2.0425	YES	NO	NO
02413485	RISPERIDONE	Mylan-Risperidone ODT 0.5mg Orally Disintegrating Tab	MYL	0.5588	0.5588	YES	NO	NO
02413493	RISPERIDONE	Mylan-Risperidone ODT 1mg Orally Disintegrating Tab	MYL	0.5150	0.5150	YES	NO	NO
02268086	RISPERIDONE	Risperdal M-Tab (Not a Benefit) 3mg Orally Disintegrating Tab	JAN	N/A	N/A	YES	NO	NO
02247706	RISPERIDONE	Risperdal M-Tab (Not a Benefit) 2mg Orally Disintegrating Tab	JAN	N/A	N/A	YES	NO	NO
02268094	RISPERIDONE	Risperdal M-Tab (Not a Benefit) 4mg Orally Disintegrating Tab	JAN	N/A	N/A	YES	NO	NO
02247705	RISPERIDONE	Risperdal M-Tab (Not a Benefit) 1mg Orally Disintegrating Tab	JAN	N/A	N/A	YES	NO	NO
02247704	RISPERIDONE	Risperdal M-Tab (Not a Benefit) 0.5mg Orally Disintegrating Tab	JAN	N/A	N/A	YES	NO	NO
02255758	RISPERIDONE	Risperdal Consta 50mg Pd for Inj-Vial Pk	JAN	416.6800	416.6800	NO	NO	YES
02255723	RISPERIDONE	Risperdal Consta 37.5mg Pd for Inj-Vial Pk	JAN	312.5100	312.5100	NO	NO	YES
02255707	RISPERIDONE	Risperdal Consta 25mg Pd for Inj-Vial Pk	JAN	208.3500	208.3500	NO	NO	YES
02282143	RISPERIDONE	Apo-Risperidone 2mg Tab	APX	0.4062	0.4062	YES	NO	NO
02282135	RISPERIDONE	Apo-Risperidone 1mg Tab	APX	0.2031	0.2031	YES	NO	NO
02282119	RISPERIDONE	Apo-Risperidone 0.25mg Tab	APX	0.0878	0.0878	YES	NO	NO
02282127	RISPERIDONE	Apo-Risperidone 0.5mg Tab	APX	0.1470	0.1470	YES	NO	NO
02282178	RISPERIDONE	Apo-Risperidone 4mg Tab	APX	0.8111	0.8111	YES	NO	NO
02282151	RISPERIDONE	Apo-Risperidone 3mg Tab	APX	0.6083	0.6083	YES	NO	NO
02359537	RISPERIDONE	Jamp-Risperidone 0.5mg Tab	JPC	0.1470	0.1470	YES	NO	NO
02359529	RISPERIDONE	Jamp-Risperidone 0.25mg Tab	JPC	0.0878	0.0878	YES	NO	NO
02359561	RISPERIDONE	Jamp-Risperidone 3mg Tab	JPC	0.6083	0.6083	YES	NO	NO
02359553	RISPERIDONE	Jamp-Risperidone 2mg Tab	JPC	0.4062	0.4062	YES	NO	NO
02359545	RISPERIDONE	Jamp-Risperidone 1mg Tab	JPC	0.2031	0.2031	YES	NO	NO
02359588	RISPERIDONE	Jamp-Risperidone 4mg Tab	JPC	0.8111	0.8111	YES	NO	NO
02371782	RISPERIDONE	Mar-Risperidone 1mg Tab	MAR	0.2031	0.2031	YES	NO	NO
02371774	RISPERIDONE	Mar-Risperidone 0.5mg Tab	MAR	0.1470	0.1470	YES	NO	NO
02371790	RISPERIDONE	Mar-Risperidone 2mg Tab	MAR	0.4062	0.4062	YES	NO	NO
02371804	RISPERIDONE	Mar-Risperidone 3mg Tab	MAR	0.6083	0.6083	YES	NO	NO
02371766	RISPERIDONE	Mar-Risperidone 0.25mg Tab	MAR	0.0878	0.0878	YES	NO	NO
02371812	RISPERIDONE	Mar-Risperidone 4mg Tab	MAR	0.8111	0.8111	YES	NO	NO
02359804	RISPERIDONE	Mint-Risperidon 0.5mg Tab	MIN	0.1470	0.1470	YES	NO	NO
02359812	RISPERIDONE	Mint-Risperidon 1mg Tab	MIN	0.2031	0.2031	YES	NO	NO
02359820	RISPERIDONE	Mint-Risperidon 2mg Tab	MIN	0.4062	0.4062	YES	NO	NO
02359790	RISPERIDONE	Mint-Risperidon 0.25mg Tab	MIN	0.0878	0.0878	YES	NO	NO
02359839	RISPERIDONE	Mint-Risperidon 3mg Tab	MIN	0.6083	0.6083	YES	NO	NO
02359847	RISPERIDONE	Mint-Risperidon 4mg Tab	MIN	0.8111	0.8111	YES	NO	NO
02252058	RISPERIDONE	PMS-Risperidone 3mg Tab	PMS	0.6083	0.6083	YES	NO	NO
02252031	RISPERIDONE	PMS-Risperidone 2mg Tab	PMS	0.4062	0.4062	YES	NO	NO
02252023	RISPERIDONE	PMS-Risperidone 1mg Tab	PMS	0.2031	0.2031	YES	NO	NO
02252015	RISPERIDONE	PMS-Risperidone 0.5mg Tab	PMS	0.1470	0.1470	YES	NO	NO
02252007	RISPERIDONE	PMS-Risperidone 0.25mg Tab	PMS	0.0878	0.0878	YES	NO	NO
02252066	RISPERIDONE	PMS-Risperidone 4mg Tab	PMS	0.8111	0.8111	YES	NO	NO
02328348	RISPERIDONE	Ran-Risperidone 2mg Tab	RAN	0.4062	0.4062	YES	NO	NO
02328372	RISPERIDONE	Ran-Risperidone 4mg Tab	RAN	0.8111	0.8111	YES	NO	NO
02328305	RISPERIDONE	Ran-Risperidone 0.25mg Tab	RAN	0.0878	0.0878	YES	NO	NO
02328313	RISPERIDONE	Ran-Risperidone 0.5mg Tab	RAN	0.1470	0.1470	YES	NO	NO
02328364	RISPERIDONE	Ran-Risperidone 3mg Tab	RAN	0.6083	0.6083	YES	NO	NO
02328321	RISPERIDONE	Ran-Risperidone 1mg Tab	RAN	0.2031	0.2031	YES	NO	NO
02025280	RISPERIDONE	Risperdal (Not a Benefit) 1mg Tab	JAN	N/A	N/A	YES	NO	NO
02240552	RISPERIDONE	Risperdal (Not a Benefit) 0.5mg Tab	JAN	N/A	N/A	YES	NO	NO
02025302	RISPERIDONE	Risperdal (Not a Benefit) 3mg Tab	JAN	N/A	N/A	YES	NO	NO
02240551	RISPERIDONE	Risperdal (Not a Benefit) 0.25mg Tab	JAN	N/A	N/A	YES	NO	NO
02025310	RISPERIDONE	Risperdal (Not a Benefit) 4mg Tab	JAN	N/A	N/A	YES	NO	NO
02025299	RISPERIDONE	Risperdal (Not a Benefit) 2mg Tab	JAN	N/A	N/A	YES	NO	NO
02356929	RISPERIDONE	Risperidone 3mg Tab	SAI	0.6083	0.6083	YES	NO	NO
02533952	RISPERIDONE	Risperidone 3mg Tab	SIV	0.6083	0.6083	YES	NO	NO
02356937	RISPERIDONE	Risperidone 4mg Tab	SAI	0.8111	0.8111	YES	NO	NO
02533960	RISPERIDONE	Risperidone 4mg Tab	SIV	0.8111	0.8111	YES	NO	NO
02356880	RISPERIDONE	Risperidone 0.25mg Tab	SAI	0.0878	0.0878	YES	NO	NO
02533804	RISPERIDONE	Risperidone 0.25mg Tab	SIV	0.0878	0.0878	YES	NO	NO
02356899	RISPERIDONE	Risperidone 0.5mg Tab	SAI	0.1470	0.1470	YES	NO	NO
02533928	RISPERIDONE	Risperidone 0.5mg Tab	SIV	0.1470	0.1470	YES	NO	NO
02356902	RISPERIDONE	Risperidone 1mg Tab	SAI	0.2031	0.2031	YES	NO	NO
02533936	RISPERIDONE	Risperidone 1mg Tab	SIV	0.2031	0.2031	YES	NO	NO
02356910	RISPERIDONE	Risperidone 2mg Tab	SAI	0.4062	0.4062	YES	NO	NO
02533944	RISPERIDONE	Risperidone 2mg Tab	SIV	0.4062	0.4062	YES	NO	NO
02279819	RISPERIDONE	Sandoz Risperidone 2mg Tab	SDZ	0.4062	0.4062	YES	NO	NO
02303655	RISPERIDONE	Sandoz Risperidone 0.25mg Tab	SDZ	0.0878	0.0878	YES	NO	NO
02279800	RISPERIDONE	Sandoz Risperidone 1mg Tab	SDZ	0.2031	0.2031	YES	NO	NO
02279835	RISPERIDONE	Sandoz Risperidone 4mg Tab	SDZ	0.8111	0.8111	YES	NO	NO
02303663	RISPERIDONE	Sandoz Risperidone 0.5mg Tab	SDZ	0.1470	0.1470	YES	NO	NO
02279827	RISPERIDONE	Sandoz Risperidone 3mg Tab	SDZ	0.6083	0.6083	YES	NO	NO
02264218	RISPERIDONE	Teva-Risperidone 2mg Tab	TEV	0.4062	0.4062	YES	NO	NO
02264196	RISPERIDONE	Teva-Risperidone 1mg Tab	TEV	0.2031	0.2031	YES	NO	NO
02264226	RISPERIDONE	Teva-Risperidone 3mg Tab	TEV	0.6083	0.6083	YES	NO	NO
02282690	RISPERIDONE	Teva-Risperidone 0.25mg Tab	TEV	0.0878	0.0878	YES	NO	NO
02264234	RISPERIDONE	Teva-Risperidone 4mg Tab	TEV	0.8111	0.8111	YES	NO	NO
02264188	RISPERIDONE	Teva-Risperidone 0.5mg Tab	TEV	0.1470	0.1470	YES	NO	NO
02523620	RITONAVIR	Auro-Ritonavir 100mg Tab	AUR	1.1745	1.1745	YES	NO	NO
02357593	RITONAVIR	Norvir 100mg Tab	ABB	1.5660	1.1745	YES	NO	NO
02478382	RITUXIMAB	Truxima 100mg/10mL Inj Sol-10mL Vial Pk	CEH	297.0000	297.0000	NO	YES	NO
02478390	RITUXIMAB	Truxima 500mg/50mL Inj Sol-50mL Vial Pk	CEH	1485.0000	1485.0000	NO	YES	NO
02498316	RITUXIMAB	Riximyo 10mg/mL Inj Sol-Vial (Preservative-Free)	SDZ	29.7000	29.7000	NO	YES	NO
02495724	RITUXIMAB	Ruxience 10mg/mL Inj Sol-Vial (Preservative-Free)	PFI	29.7000	29.7000	NO	YES	NO
02470497	RIVAROXABAN	Apo-Rivaroxaban 10mg Tab	APX	0.7175	0.7175	YES	NO	NO
02470500	RIVAROXABAN	Apo-Rivaroxaban 15mg Tab	APX	0.7175	0.7175	YES	NO	NO
02470519	RIVAROXABAN	Apo-Rivaroxaban 20mg Tab	APX	0.7175	0.7175	YES	NO	NO
02541734	RIVAROXABAN	Apo-Rivaroxaban 2.5mg Tab	APX	0.3550	0.3550	YES	NO	NO
02516306	RIVAROXABAN	Jamp Rivaroxaban 15mg Tab	JPC	0.7175	0.7175	YES	NO	NO
02516292	RIVAROXABAN	Jamp Rivaroxaban 10mg Tab	JPC	0.7175	0.7175	YES	NO	NO
02516314	RIVAROXABAN	Jamp Rivaroxaban 20mg Tab	JPC	0.7175	0.7175	YES	NO	NO
02551616	RIVAROXABAN	M-Rivaroxaban 10mg Tab	MAT	0.7175	0.7175	YES	NO	NO
02551608	RIVAROXABAN	M-Rivaroxaban 2.5mg Tab	MAT	0.3550	0.3550	YES	NO	NO
02551632	RIVAROXABAN	M-Rivaroxaban 20mg Tab	MAT	0.7175	0.7175	YES	NO	NO
02551624	RIVAROXABAN	M-Rivaroxaban 15mg Tab	MAT	0.7175	0.7175	YES	NO	NO
02512068	RIVAROXABAN	PMS-Rivaroxaban 15mg Tab	PMS	0.7175	0.7175	YES	NO	NO
02512041	RIVAROXABAN	PMS-Rivaroxaban 10mg Tab	PMS	0.7175	0.7175	YES	NO	NO
02527537	RIVAROXABAN	PMS-Rivaroxaban 2.5mg Tab	PMS	0.3550	0.3550	YES	NO	NO
02512076	RIVAROXABAN	PMS-Rivaroxaban 20mg Tab	PMS	0.7175	0.7175	YES	NO	NO
02472422	RIVAROXABAN	Reddy-Rivaroxaban 20mg Tab	DRR	0.7175	0.7175	YES	NO	NO
02524503	RIVAROXABAN	Reddy-Rivaroxaban 2.5mg Tab	DRR	0.3550	0.3550	YES	NO	NO
02472414	RIVAROXABAN	Reddy-Rivaroxaban 10mg Tab	DRR	0.7175	0.7175	YES	NO	NO
02472430	RIVAROXABAN	Reddy-Rivaroxaban 15mg Tab	DRR	0.7175	0.7175	YES	NO	NO
02547899	RIVAROXABAN	Rivaroxaban 2.5mg Tab	SAI	0.3550	0.3550	YES	NO	NO
02547902	RIVAROXABAN	Rivaroxaban 10mg Tab	SAI	0.7175	0.7175	YES	NO	NO
02541467	RIVAROXABAN	Rivaroxaban 2.5mg Tab	SIV	0.3550	0.3550	YES	NO	NO
02541491	RIVAROXABAN	Rivaroxaban 20mg Tab	SIV	0.7175	0.7175	YES	NO	NO
02547929	RIVAROXABAN	Rivaroxaban 20mg Tab	SAI	0.7175	0.7175	YES	NO	NO
02541475	RIVAROXABAN	Rivaroxaban 10mg Tab	SIV	0.7175	0.7175	YES	NO	NO
02547910	RIVAROXABAN	Rivaroxaban 15mg Tab	SAI	0.7175	0.7175	YES	NO	NO
02541483	RIVAROXABAN	Rivaroxaban 15mg Tab	SIV	0.7175	0.7175	YES	NO	NO
02537877	RIVAROXABAN	Sandoz Rivaroxaban 2.5mg Tab	SDZ	0.3550	0.3550	YES	NO	NO
02482258	RIVAROXABAN	Sandoz Rivaroxaban 20mg Tab	SDZ	0.7175	0.7175	YES	NO	NO
02482223	RIVAROXABAN	Sandoz Rivaroxaban 10mg Tab	SDZ	0.7175	0.7175	YES	NO	NO
02482231	RIVAROXABAN	Sandoz Rivaroxaban 15mg Tab	SDZ	0.7175	0.7175	YES	NO	NO
02483807	RIVAROXABAN	Taro-Rivaroxaban 10mg Tab	TAR	0.7175	0.7175	YES	NO	NO
02526786	RIVAROXABAN	Taro-Rivaroxaban 2.5mg Tab	TAR	0.3550	0.3550	YES	NO	NO
02483823	RIVAROXABAN	Taro-Rivaroxaban 20mg Tab	TAR	0.7175	0.7175	YES	NO	NO
02483815	RIVAROXABAN	Taro-Rivaroxaban 15mg Tab	TAR	0.7175	0.7175	YES	NO	NO
02547295	RIVAROXABAN	Teva-Rivaroxaban 2.5mg Tab	TEV	0.3550	0.3550	YES	NO	NO
02507226	RIVAROXABAN	Teva-Rivaroxaban 20mg Tab	TEV	0.7175	0.7175	YES	NO	NO
02507196	RIVAROXABAN	Teva-Rivaroxaban 10mg Tab	TEV	0.7175	0.7175	YES	NO	NO
02507218	RIVAROXABAN	Teva-Rivaroxaban 15mg Tab	TEV	0.7175	0.7175	YES	NO	NO
02316986	RIVAROXABAN	Xarelto 10mg Tab	BAH	2.8700	0.7175	YES	NO	NO
02378612	RIVAROXABAN	Xarelto 20mg Tab	BAH	2.8700	0.7175	YES	NO	NO
02480808	RIVAROXABAN	Xarelto 2.5mg Tab	BAH	1.4200	0.3550	YES	NO	NO
02378604	RIVAROXABAN	Xarelto 15mg Tab	BAH	2.8700	0.7175	YES	NO	NO
02336731	RIVASTIGMINE	Apo-Rivastigmine 4.5mg Cap	APX	0.6515	0.6514	YES	YES	NO
02336715	RIVASTIGMINE	Apo-Rivastigmine 1.5mg Cap	APX	0.6515	0.6514	YES	YES	NO
02336758	RIVASTIGMINE	Apo-Rivastigmine 6mg Cap	APX	0.6515	0.6514	YES	YES	NO
02336723	RIVASTIGMINE	Apo-Rivastigmine 3mg Cap	APX	0.6515	0.6514	YES	YES	NO
02242116	RIVASTIGMINE	Exelon 3mg Cap	KNT	3.3050	0.6514	YES	YES	NO
02242115	RIVASTIGMINE	Exelon 1.5mg Cap	KNT	3.3050	0.6514	YES	YES	NO
02242118	RIVASTIGMINE	Exelon 6mg Cap	KNT	3.3050	0.6514	YES	YES	NO
02242117	RIVASTIGMINE	Exelon 4.5mg Cap	KNT	3.3050	0.6514	YES	YES	NO
02485370	RIVASTIGMINE	Jamp Rivastigmine 3mg Cap	JPC	0.6514	0.6514	YES	YES	NO
02485362	RIVASTIGMINE	Jamp Rivastigmine 1.5mg Cap	JPC	0.6514	0.6514	YES	YES	NO
02485397	RIVASTIGMINE	Jamp Rivastigmine 6mg Cap	JPC	0.6514	0.6514	YES	YES	NO
02485389	RIVASTIGMINE	Jamp Rivastigmine 4.5mg Cap	JPC	0.6514	0.6514	YES	YES	NO
02401649	RIVASTIGMINE	Med-Rivastigmine 6mg Cap	GMP	0.6514	0.6514	YES	YES	NO
02401622	RIVASTIGMINE	Med-Rivastigmine 3mg Cap	GMP	0.6514	0.6514	YES	YES	NO
02401614	RIVASTIGMINE	Med-Rivastigmine 1.5mg Cap	GMP	0.6514	0.6514	YES	YES	NO
02401630	RIVASTIGMINE	Med-Rivastigmine 4.5mg Cap	GMP	0.6514	0.6514	YES	YES	NO
02407000	RIVASTIGMINE	Mint-Rivastigmine 4.5mg Cap	MIN	0.6515	0.6514	YES	YES	NO
02406993	RIVASTIGMINE	Mint-Rivastigmine 3mg Cap	MIN	0.6515	0.6514	YES	YES	NO
02406985	RIVASTIGMINE	Mint-Rivastigmine 1.5mg Cap	MIN	0.6515	0.6514	YES	YES	NO
02407019	RIVASTIGMINE	Mint-Rivastigmine 6mg Cap	MIN	0.6515	0.6514	YES	YES	NO
02306034	RIVASTIGMINE	PMS-Rivastigmine 1.5mg Cap	PMS	0.6515	0.6514	YES	YES	NO
02306050	RIVASTIGMINE	PMS-Rivastigmine 4.5mg Cap	PMS	0.6515	0.6514	YES	YES	NO
02324571	RIVASTIGMINE	Sandoz Rivastigmine 3mg Cap	SDZ	0.6514	0.6514	YES	YES	NO
02324563	RIVASTIGMINE	Sandoz Rivastigmine 1.5mg Cap	SDZ	0.6514	0.6514	YES	YES	NO
02324601	RIVASTIGMINE	Sandoz Rivastigmine 6mg Cap	SDZ	0.6514	0.6514	YES	YES	NO
02324598	RIVASTIGMINE	Sandoz Rivastigmine 4.5mg Cap	SDZ	0.6514	0.6514	YES	YES	NO
02302853	RIVASTIGMINE	Exelon Patch 10 (Off-Formulary Interchangeable) 18mg/10 Sq Cm Trans Patch	KNT	N/A	N/A	YES	NO	NO
02302845	RIVASTIGMINE	Exelon Patch 5 (Off-Formulary Interchangeable) 9mg/5 Sq Cm Trans Patch	KNT	N/A	N/A	YES	NO	NO
02423421	RIVASTIGMINE	Mylan-Rivastigmine Patch 10 (Off-Formulary Interchangeable) 18mg/10 Sq Cm Trans Patch	MYL	3.9773	N/A	YES	NO	NO
02423413	RIVASTIGMINE	Mylan-Rivastigmine Patch 5 (Off-Formulary Interchangeable) 9mg/5 Sq Cm Trans Patch	MYL	3.9773	N/A	YES	NO	NO
02426307	RIVASTIGMINE	Sandoz Rivastigmine Patch 10 (Off-Formulary Interchangeable) 18mg/10 Sq Cm Trans Patch	SDZ	3.9773	N/A	YES	NO	NO
02426293	RIVASTIGMINE	Sandoz Rivastigmine Patch 5 (Off-Formulary Interchangeable) 9mg/5 Sq Cm Trans Patch	SDZ	3.9773	N/A	YES	NO	NO
02492490	RIZATRIPTAN	AG-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	ANG	11.1150	11.1150	YES	NO	NO
02483289	RIZATRIPTAN	Accel-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	ACC	7.7800	7.7800	YES	NO	NO
02483270	RIZATRIPTAN	Accel-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	ACC	7.7800	7.7800	YES	NO	NO
02393492	RIZATRIPTAN	Apo-Rizatriptan RPD (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	APX	11.1150	11.1150	YES	NO	NO
02393484	RIZATRIPTAN	Apo-Rizatriptan RPD (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	APX	11.1150	11.1150	YES	NO	NO
02458764	RIZATRIPTAN	CCP-Rizatriptan (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	CCP	11.1150	11.1150	YES	NO	NO
02458772	RIZATRIPTAN	CCP-Rizatriptan (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	CCP	11.1150	11.1150	YES	NO	NO
02374749	RIZATRIPTAN	Co Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	COB	11.1150	11.1150	YES	NO	NO
02374730	RIZATRIPTAN	Co Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	COB	11.1150	11.1150	YES	NO	NO
02465086	RIZATRIPTAN	Jamp-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	JPC	11.1150	11.1150	YES	NO	NO
02465094	RIZATRIPTAN	Jamp-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	JPC	11.1150	11.1150	YES	NO	NO
02462788	RIZATRIPTAN	Mar-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	MAR	11.1150	11.1150	YES	NO	NO
02462796	RIZATRIPTAN	Mar-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	MAR	11.1150	11.1150	YES	NO	NO
02240518	RIZATRIPTAN	Maxalt RPD (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	OCI	22.5608	11.1650	YES	NO	NO
02240519	RIZATRIPTAN	Maxalt RPD (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	OCI	22.5608	11.1650	YES	NO	NO
02439581	RIZATRIPTAN	Mint-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	MIN	11.1150	11.1150	YES	NO	NO
02439573	RIZATRIPTAN	Mint-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	MIN	11.1150	11.1150	YES	NO	NO
02379198	RIZATRIPTAN	Mylan-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	MYL	11.1150	11.1150	YES	NO	NO
02379201	RIZATRIPTAN	Mylan-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	MYL	11.1150	11.1150	YES	NO	NO
02489384	RIZATRIPTAN	NRA-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	NRA	11.1150	11.1150	YES	NO	NO
02436604	RIZATRIPTAN	Nat-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	NAT	11.1650	11.1650	YES	NO	NO
02436612	RIZATRIPTAN	Nat-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	NAT	11.1650	11.1650	YES	NO	NO
02393379	RIZATRIPTAN	PMS-Rizatriptan RDT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	PMS	11.1150	11.1150	YES	NO	NO
02393360	RIZATRIPTAN	PMS-Rizatriptan RDT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	PMS	11.1150	11.1150	YES	NO	NO
02446138	RIZATRIPTAN	Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	SIV	11.1150	11.1150	YES	NO	NO
02442914	RIZATRIPTAN	Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	SAI	11.1150	11.1150	YES	NO	NO
02446111	RIZATRIPTAN	Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	SIV	11.1150	11.1150	YES	NO	NO
02442906	RIZATRIPTAN	Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	SAI	11.1150	11.1150	YES	NO	NO
02351889	RIZATRIPTAN	Sandoz Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	SDZ	11.1150	11.1150	YES	NO	NO
02351870	RIZATRIPTAN	Sandoz Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	SDZ	11.1150	11.1150	YES	NO	NO
02396661	RIZATRIPTAN	Teva-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	TEV	11.1150	11.1150	YES	NO	NO
02396688	RIZATRIPTAN	Teva-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	TEV	11.1150	11.1150	YES	NO	NO
02381702	RIZATRIPTAN	Act Rizatriptan (Off-Formulary Interchangeable) 10mg Tab	TEV	11.1150	11.1150	YES	NO	NO
02393476	RIZATRIPTAN	Apo-Rizatriptan (Off-Formulary Interchangeable) 10mg Tab	APX	11.1150	11.1150	YES	NO	NO
02393468	RIZATRIPTAN	Apo-Rizatriptan (Off-Formulary Interchangeable) 5mg Tab	APX	12.5970	12.5970	YES	NO	NO
02441144	RIZATRIPTAN	Auro-Rizatriptan (Off-Formulary Interchangeable) 10mg Tab	AUR	11.1150	11.1150	YES	NO	NO
02380463	RIZATRIPTAN	Jamp-Rizatriptan (Off-Formulary Interchangeable) 10mg Tab	JPC	11.1150	11.1150	YES	NO	NO
02380455	RIZATRIPTAN	Jamp-Rizatriptan (Off-Formulary Interchangeable) 5mg Tab	JPC	11.1150	11.1150	YES	NO	NO
02429241	RIZATRIPTAN	Jamp-Rizatriptan IR (Off-Formulary Interchangeable) 10mg Tab	JPC	11.1150	11.1150	YES	NO	NO
02429233	RIZATRIPTAN	Jamp-Rizatriptan IR (Off-Formulary Interchangeable) 5mg Tab	JPC	11.1150	11.1150	YES	NO	NO
02379678	RIZATRIPTAN	Mar-Rizatriptan (Off-Formulary Interchangeable) 10mg Tab	MAR	11.1150	11.1150	YES	NO	NO
02240520	RIZATRIPTAN	Maxalt (Off-Formulary Interchangeable) 5mg Tab	FRS	N/A	N/A	YES	NO	NO
02240521	RIZATRIPTAN	Maxalt (Off-Formulary Interchangeable) 10mg Tab	OCI	22.5608	11.1150	YES	NO	NO
02516756	RIZATRIPTAN	Rizatriptan (Off-Formulary Interchangeable) 10mg Tab	SAI	11.1150	11.1150	YES	NO	NO
02314088	ROPINIROLE	Ran-Ropinirole 5mg Tab	RAN	1.7450	1.7450	YES	NO	NO
02314053	ROPINIROLE	Ran-Ropinirole 1mg Tab	RAN	0.5762	0.5762	YES	NO	NO
02314037	ROPINIROLE	Ran-Ropinirole 0.25mg Tab	RAN	0.1441	0.1441	YES	NO	NO
02314061	ROPINIROLE	Ran-Ropinirole 2mg Tab	RAN	0.6338	0.6338	YES	NO	NO
02232569	ROPINIROLE	ReQuip (Not a Benefit) 5mg Tab	GSK	N/A	N/A	YES	NO	NO
02232565	ROPINIROLE	ReQuip (Not a Benefit) 0.25mg Tab	GSK	N/A	N/A	YES	NO	NO
02232567	ROPINIROLE	ReQuip (Not a Benefit) 1mg Tab	GSK	N/A	N/A	YES	NO	NO
02232568	ROPINIROLE	ReQuip (Not a Benefit) 2mg Tab	GSK	N/A	N/A	YES	NO	NO
02316862	ROPINIROLE	Teva-Ropinirole 2mg Tab	TEV	0.6338	0.6338	YES	NO	NO
02316870	ROPINIROLE	Teva-Ropinirole 5mg Tab	TEV	1.7450	1.7450	YES	NO	NO
02316846	ROPINIROLE	Teva-Ropinirole 0.25mg Tab	TEV	0.1441	0.1441	YES	NO	NO
02316854	ROPINIROLE	Teva-Ropinirole 1mg Tab	TEV	0.5762	0.5762	YES	NO	NO
02241113	ROSIGLITAZONE	Avandia (Off-Formulary Interchangeable) 4mg Tab	GSK	N/A	N/A	YES	NO	NO
02241114	ROSIGLITAZONE	Avandia (Off-Formulary Interchangeable) 8mg Tab	GSK	N/A	N/A	YES	NO	NO
02241112	ROSIGLITAZONE	Avandia (Off-Formulary Interchangeable) 2mg Tab	GSK	N/A	N/A	YES	NO	NO
02403374	ROSIGLITAZONE	Rosiglitazone (Off-Formulary Interchangeable) 4mg Tab	AAP	1.9197	1.9197	YES	NO	NO
02403366	ROSIGLITAZONE	Rosiglitazone (Off-Formulary Interchangeable) 2mg Tab	AAP	1.2234	1.2234	YES	NO	NO
02403382	ROSIGLITAZONE	Rosiglitazone (Off-Formulary Interchangeable) 8mg Tab	AAP	2.7452	2.7452	YES	NO	NO
02438933	ROSUVASTATIN CALCIUM	Ach-Rosuvastatin 20mg Tab	ACH	0.1692	0.1692	YES	NO	NO
02438941	ROSUVASTATIN CALCIUM	Ach-Rosuvastatin 40mg Tab	ACH	0.1990	0.1990	YES	NO	NO
02438917	ROSUVASTATIN CALCIUM	Ach-Rosuvastatin 5mg Tab	ACH	0.1284	0.1284	YES	NO	NO
02438925	ROSUVASTATIN CALCIUM	Ach-Rosuvastatin 10mg Tab	ACH	0.1354	0.1354	YES	NO	NO
02337983	ROSUVASTATIN CALCIUM	Apo-Rosuvastatin 10mg Tab	APX	0.1354	0.1354	YES	NO	NO
02337975	ROSUVASTATIN CALCIUM	Apo-Rosuvastatin 5mg Tab	APX	0.1284	0.1284	YES	NO	NO
02338009	ROSUVASTATIN CALCIUM	Apo-Rosuvastatin 40mg Tab	APX	0.1990	0.1990	YES	NO	NO
02337991	ROSUVASTATIN CALCIUM	Apo-Rosuvastatin 20mg Tab	APX	0.1692	0.1692	YES	NO	NO
02442582	ROSUVASTATIN CALCIUM	Auro-Rosuvastatin 10mg Tab	AUR	0.1354	0.1354	YES	NO	NO
02442590	ROSUVASTATIN CALCIUM	Auro-Rosuvastatin 20mg Tab	AUR	0.1692	0.1692	YES	NO	NO
02442574	ROSUVASTATIN CALCIUM	Auro-Rosuvastatin 5mg Tab	AUR	0.1284	0.1284	YES	NO	NO
02442604	ROSUVASTATIN CALCIUM	Auro-Rosuvastatin 40mg Tab	AUR	0.1990	0.1990	YES	NO	NO
02339803	ROSUVASTATIN CALCIUM	Co Rosuvastatin 40mg Tab	COB	0.1990	0.1990	YES	NO	NO
02339765	ROSUVASTATIN CALCIUM	Co Rosuvastatin 5mg Tab	COB	0.1284	0.1284	YES	NO	NO
02339773	ROSUVASTATIN CALCIUM	Co Rosuvastatin 10mg Tab	COB	0.1354	0.1354	YES	NO	NO
02339781	ROSUVASTATIN CALCIUM	Co Rosuvastatin 20mg Tab	COB	0.1692	0.1692	YES	NO	NO
02247162	ROSUVASTATIN CALCIUM	Crestor 10mg Tab	AZC	1.5816	0.1354	YES	NO	NO
02247164	ROSUVASTATIN CALCIUM	Crestor 40mg Tab	AZC	2.3104	0.1990	YES	NO	NO
02265540	ROSUVASTATIN CALCIUM	Crestor 5mg Tab	AZC	1.4893	0.1284	YES	NO	NO
02247163	ROSUVASTATIN CALCIUM	Crestor 20mg Tab	AZC	1.9683	0.1692	YES	NO	NO
02498340	ROSUVASTATIN CALCIUM	Jamp Rosuvastatin Calcium 10mg Tab	JPC	0.1354	0.1354	YES	NO	NO
02498359	ROSUVASTATIN CALCIUM	Jamp Rosuvastatin Calcium 20mg Tab	JPC	0.1692	0.1692	YES	NO	NO
02498332	ROSUVASTATIN CALCIUM	Jamp Rosuvastatin Calcium 5mg Tab	JPC	0.1284	0.1284	YES	NO	NO
02498367	ROSUVASTATIN CALCIUM	Jamp Rosuvastatin Calcium 40mg Tab	JPC	0.1990	0.1990	YES	NO	NO
02391287	ROSUVASTATIN CALCIUM	Jamp-Rosuvastatin 40mg Tab	JPC	0.1990	0.1990	YES	NO	NO
02391252	ROSUVASTATIN CALCIUM	Jamp-Rosuvastatin 5mg Tab	JPC	0.1284	0.1284	YES	NO	NO
02391260	ROSUVASTATIN CALCIUM	Jamp-Rosuvastatin 10mg Tab	JPC	0.1354	0.1354	YES	NO	NO
02391279	ROSUVASTATIN CALCIUM	Jamp-Rosuvastatin 20mg Tab	JPC	0.1692	0.1692	YES	NO	NO
02496569	ROSUVASTATIN CALCIUM	M-Rosuvastatin 40mg Tab	MAT	0.1990	0.1990	YES	NO	NO
02496550	ROSUVASTATIN CALCIUM	M-Rosuvastatin 20mg Tab	MAT	0.1692	0.1692	YES	NO	NO
02496542	ROSUVASTATIN CALCIUM	M-Rosuvastatin 10mg Tab	MAT	0.1354	0.1354	YES	NO	NO
02496534	ROSUVASTATIN CALCIUM	M-Rosuvastatin 5mg Tab	MAT	0.1284	0.1284	YES	NO	NO
02413086	ROSUVASTATIN CALCIUM	Mar-Rosuvastatin 20mg Tab	MAR	0.1692	0.1692	YES	NO	NO
02413051	ROSUVASTATIN CALCIUM	Mar-Rosuvastatin 5mg Tab	MAR	0.1284	0.1284	YES	NO	NO
02413078	ROSUVASTATIN CALCIUM	Mar-Rosuvastatin 10mg Tab	MAR	0.1354	0.1354	YES	NO	NO
02413108	ROSUVASTATIN CALCIUM	Mar-Rosuvastatin 40mg Tab	MAR	0.1990	0.1990	YES	NO	NO
02399199	ROSUVASTATIN CALCIUM	Med-Rosuvastatin 40mg Tab	GMP	0.1990	0.1990	YES	NO	NO
02399172	ROSUVASTATIN CALCIUM	Med-Rosuvastatin 10mg Tab	GMP	0.1354	0.1354	YES	NO	NO
02399180	ROSUVASTATIN CALCIUM	Med-Rosuvastatin 20mg Tab	GMP	0.1692	0.1692	YES	NO	NO
02399164	ROSUVASTATIN CALCIUM	Med-Rosuvastatin 5mg Tab	GMP	0.1284	0.1284	YES	NO	NO
02397781	ROSUVASTATIN CALCIUM	Mint-Rosuvastatin 5mg Tab	MIN	0.1284	0.1284	YES	NO	NO
02397811	ROSUVASTATIN CALCIUM	Mint-Rosuvastatin 20mg Tab	MIN	0.1692	0.1692	YES	NO	NO
02397803	ROSUVASTATIN CALCIUM	Mint-Rosuvastatin 10mg Tab	MIN	0.1354	0.1354	YES	NO	NO
02397838	ROSUVASTATIN CALCIUM	Mint-Rosuvastatin 40mg Tab	MIN	0.1990	0.1990	YES	NO	NO
02477491	ROSUVASTATIN CALCIUM	NRA-Rosuvastatin 10mg Tab	NRA	0.1354	0.1354	YES	NO	NO
02477483	ROSUVASTATIN CALCIUM	NRA-Rosuvastatin 5mg Tab	NRA	0.1284	0.1284	YES	NO	NO
02477513	ROSUVASTATIN CALCIUM	NRA-Rosuvastatin 40mg Tab	NRA	0.1990	0.1990	YES	NO	NO
02477505	ROSUVASTATIN CALCIUM	NRA-Rosuvastatin 20mg Tab	NRA	0.1692	0.1692	YES	NO	NO
02536609	ROSUVASTATIN CALCIUM	NRA-Rosuvastatin Tablets 10mg Tab	NRA	0.1354	0.1354	YES	NO	NO
02536595	ROSUVASTATIN CALCIUM	NRA-Rosuvastatin Tablets 5mg Tab	NRA	0.1284	0.1284	YES	NO	NO
02536625	ROSUVASTATIN CALCIUM	NRA-Rosuvastatin Tablets 20mg Tab	NRA	0.1692	0.1692	YES	NO	NO
02536633	ROSUVASTATIN CALCIUM	NRA-Rosuvastatin Tablets 40mg Tab	NRA	0.1990	0.1990	YES	NO	NO
02378558	ROSUVASTATIN CALCIUM	PMS-Rosuvastatin 20mg Tab	PMS	0.1692	0.1692	YES	NO	NO
02378566	ROSUVASTATIN CALCIUM	PMS-Rosuvastatin 40mg Tab	PMS	0.1990	0.1990	YES	NO	NO
02378523	ROSUVASTATIN CALCIUM	PMS-Rosuvastatin 5mg Tab	PMS	0.1284	0.1284	YES	NO	NO
02378531	ROSUVASTATIN CALCIUM	PMS-Rosuvastatin 10mg Tab	PMS	0.1354	0.1354	YES	NO	NO
02505584	ROSUVASTATIN CALCIUM	PRZ-Rosuvastatin 10mg Tab	PRZ	0.1354	0.1354	YES	NO	NO
02505592	ROSUVASTATIN CALCIUM	PRZ-Rosuvastatin 20mg Tab	PRZ	0.1692	0.1692	YES	NO	NO
02505606	ROSUVASTATIN CALCIUM	PRZ-Rosuvastatin 40mg Tab	PRZ	0.1990	0.1990	YES	NO	NO
02505576	ROSUVASTATIN CALCIUM	PRZ-Rosuvastatin 5mg Tab	PRZ	0.1284	0.1284	YES	NO	NO
02405644	ROSUVASTATIN CALCIUM	Rosuvastatin 20mg Tab	SAI	0.1692	0.1692	YES	NO	NO
02411644	ROSUVASTATIN CALCIUM	Rosuvastatin 20mg Tab	SIV	0.1692	0.1692	YES	NO	NO
02405636	ROSUVASTATIN CALCIUM	Rosuvastatin 10mg Tab	SAI	0.1354	0.1354	YES	NO	NO
02405628	ROSUVASTATIN CALCIUM	Rosuvastatin 5mg Tab	SAI	0.1284	0.1284	YES	NO	NO
02411636	ROSUVASTATIN CALCIUM	Rosuvastatin 10mg Tab	SIV	0.1354	0.1354	YES	NO	NO
02411652	ROSUVASTATIN CALCIUM	Rosuvastatin 40mg Tab	SIV	0.1990	0.1990	YES	NO	NO
02405652	ROSUVASTATIN CALCIUM	Rosuvastatin 40mg Tab	SAI	0.1990	0.1990	YES	NO	NO
02411628	ROSUVASTATIN CALCIUM	Rosuvastatin 5mg Tab	SIV	0.1284	0.1284	YES	NO	NO
02338750	ROSUVASTATIN CALCIUM	Sandoz Rosuvastatin 40mg Tab	SDZ	0.1990	0.1990	YES	NO	NO
02338742	ROSUVASTATIN CALCIUM	Sandoz Rosuvastatin 20mg Tab	SDZ	0.1692	0.1692	YES	NO	NO
02338734	ROSUVASTATIN CALCIUM	Sandoz Rosuvastatin 10mg Tab	SDZ	0.1354	0.1354	YES	NO	NO
02338726	ROSUVASTATIN CALCIUM	Sandoz Rosuvastatin 5mg Tab	SDZ	0.1284	0.1284	YES	NO	NO
02382679	ROSUVASTATIN CALCIUM	Taro-Rosuvastatin 40mg Tab	SPC	0.1990	0.1990	YES	NO	NO
02382652	ROSUVASTATIN CALCIUM	Taro-Rosuvastatin 10mg Tab	SPC	0.1354	0.1354	YES	NO	NO
02382660	ROSUVASTATIN CALCIUM	Taro-Rosuvastatin 20mg Tab	SPC	0.1692	0.1692	YES	NO	NO
02382644	ROSUVASTATIN CALCIUM	Taro-Rosuvastatin 5mg Tab	SPC	0.1284	0.1284	YES	NO	NO
02354616	ROSUVASTATIN CALCIUM	Teva-Rosuvastatin 10mg Tab	TEV	0.1354	0.1354	YES	NO	NO
02354608	ROSUVASTATIN CALCIUM	Teva-Rosuvastatin 5mg Tab	TEV	0.1284	0.1284	YES	NO	NO
02354632	ROSUVASTATIN CALCIUM	Teva-Rosuvastatin 40mg Tab	TEV	0.1990	0.1990	YES	NO	NO
02354624	ROSUVASTATIN CALCIUM	Teva-Rosuvastatin 20mg Tab	TEV	0.1692	0.1692	YES	NO	NO
02403935	ROTIGOTINE	Neupro 6mg/24hr Trans Patch	UCB	7.6333	7.6333	NO	YES	NO
02403927	ROTIGOTINE	Neupro 4mg/24hr Trans Patch	UCB	6.8250	6.8250	NO	YES	NO
02403900	ROTIGOTINE	Neupro 2mg/24hr Trans Patch	UCB	3.7170	3.7170	NO	YES	NO
02403943	ROTIGOTINE	Neupro 8mg/24hr Trans Patch	UCB	7.6333	7.6333	NO	YES	NO
02545985	RUFINAMIDE	Auro-Rufinamide (Off-Formulary Interchangeable) 200mg Tab	AUR	1.0083	1.0083	YES	NO	NO
02545993	RUFINAMIDE	Auro-Rufinamide (Off-Formulary Interchangeable) 400mg Tab	AUR	2.1970	2.1970	YES	NO	NO
02369621	RUFINAMIDE	Banzel (Off-Formulary Interchangeable) 200mg Tab	EIS	1.9047	1.0083	YES	NO	NO
02369648	RUFINAMIDE	Banzel (Off-Formulary Interchangeable) 400mg Tab	EIS	4.1503	2.1970	YES	NO	NO
02553155	RUPATADINE	Apo-Rupatadine (Off-Formulary Interchangeable) 10mg Tab	APX	0.9993	N/A	YES	NO	NO
02552604	RUPATADINE	PMS-Rupatadine (Off-Formulary Interchangeable) 10mg Tab	PMS	0.9993	N/A	YES	NO	NO
02456451	RUPATADINE	Rupall (Off-Formulary Interchangeable) 10mg Tab	MPI	N/A	N/A	YES	NO	NO
02446936	SACUBITRIL & VALSARTAN	Entresto 48.6mg & 51.4mg Tab	NOV	3.7060	3.7060	NO	YES	NO
02446944	SACUBITRIL & VALSARTAN	Entresto 97.2mg & 102.8mg Tab	NOV	3.7060	3.7060	NO	YES	NO
02446928	SACUBITRIL & VALSARTAN	Entresto 24.3mg & 25.7mg Tab	NOV	3.7060	3.7060	NO	YES	NO
02208237	SALBUTAMOL	PMS-Salbutamol 2mg/mL Inh Sol- 2.5mL Pk	PMS	0.6750	0.6750	YES	YES	NO
02208229	SALBUTAMOL	PMS-Salbutamol 1mg/mL Inh Sol- 2.5mL Pk	PMS	0.3617	0.3617	YES	YES	NO
02173360	SALBUTAMOL	Teva-Salbutamol Sterinebs P.F. 2mg/mL Inh Sol- 2.5mL Pk	TEV	0.6871	0.6750	YES	YES	NO
01926934	SALBUTAMOL	Teva-Salbutamol Sterinebs P.F. 1mg/mL Inh Sol- 2.5mL Pk	TEV	0.3617	0.3617	YES	YES	NO
02213427	SALBUTAMOL	Ventolin Nebules P.F. (Not a Benefit) 2mg/mL Inh Sol- 2.5mL Pk	GSK	N/A	N/A	YES	NO	NO
02213419	SALBUTAMOL	Ventolin Nebules P.F. (Not a Benefit) 1mg/mL Inh Sol- 2.5mL Pk	GSK	N/A	N/A	YES	NO	NO
02213486	SALBUTAMOL	Ventolin 5mg/mL Inh Sol-10mL Pk	GSK	3.1110	3.1110	NO	YES	NO
02232570	SALBUTAMOL	Airomir HFA 100mcg/Metered Dose Inh-200 dose Pk	GRA	6.2593	5.0000	YES	NO	NO
02245669	SALBUTAMOL	Apo-Salbutamol HFA 100mcg/Metered Dose Inh-200 dose Pk	APX	5.0000	5.0000	YES	NO	NO
00790419	SALBUTAMOL	Apo-Salvent (Not a Benefit) 100mcg/Metered Dose Inh-200 dose Pk	APX	N/A	N/A	YES	NO	NO
02326450	SALBUTAMOL	Novo-Salbutamol HFA 100mcg/Metered Dose Inh-200 dose Pk	NOP	5.0000	5.0000	YES	NO	NO
00874086	SALBUTAMOL	Novo-Salmol (Not a Benefit) 100mcg/Metered Dose Inh-200 dose Pk	NOP	N/A	N/A	YES	NO	NO
00851841	SALBUTAMOL	Ratio-Salbutamol Inhaler (Not a Benefit) 100mcg/Metered Dose Inh-200 dose Pk	RPH	N/A	N/A	YES	NO	NO
02419858	SALBUTAMOL	Salbutamol HFA 100mcg/Metered Dose Inh-200 dose Pk	SAI	5.0000	5.0000	YES	NO	NO
02213478	SALBUTAMOL	Ventolin (Not a Benefit) 100mcg/Metered Dose Inh-200 dose Pk	GLW	N/A	N/A	YES	NO	NO
02241497	SALBUTAMOL	Ventolin HFA 100mcg/Metered Dose Inh-200 dose Pk	GSK	6.0000	5.0000	YES	NO	NO
02146843	SALBUTAMOL	Apo-Salvent 2mg Tab	APX	0.1274	0.1274	YES	NO	NO
02146851	SALBUTAMOL	Apo-Salvent 4mg Tab	APX	0.2134	0.2134	YES	NO	NO
01932691	SALBUTAMOL	Ventolin (Not a Benefit) 4mg Tab	GLA	N/A	N/A	YES	NO	NO
01961039	SALBUTAMOL	Ventolin (Not a Benefit) 2mg Tab	GLA	N/A	N/A	YES	NO	NO
02231129	SALMETEROL XINAFOATE	SereVent Diskus 50mcg Pd Inh-60 Dose Pk	GSK	79.5600	79.5600	NO	YES	NO
02245126	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	Advair 125 25/125mcg/Metered Dose Inh-120 Dose Pk	GSK	135.8700	135.8700	NO	YES	NO
02245127	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	Advair 250 25/250mcg/Metered Dose Inh-120 Dose Pk	GSK	192.8800	192.8800	NO	YES	NO
02240835	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	Advair Diskus 50/100mcg Inh-60 Dose Pk	GSK	113.4900	42.4050	YES	YES	NO
02240836	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	Advair Diskus 50/250mcg Inh-60 Dose Pk	GSK	135.8700	50.7600	YES	YES	NO
02240837	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	Advair Diskus 50/500mcg Inh-60 Dose Pk	GSK	192.8800	72.0600	YES	YES	NO
02494523	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	PMS-FluticasonePropionateSalmeterol DPI 50/500mcg Inh-60 Dose Pk	PMS	72.0600	72.0600	YES	YES	NO
02494515	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	PMS-FluticasonePropionateSalmeterol DPI 50/250mcg Inh-60 Dose Pk	PMS	50.7600	50.7600	YES	YES	NO
02494507	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	PMS-FluticasonePropionateSalmeterol DPI 50/100mcg Inh-60 Dose Pk	PMS	42.4050	42.4050	YES	YES	NO
02495619	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	Wixela Inhub 50/500mcg Inh-60 Dose Pk	MYL	72.0600	72.0600	YES	YES	NO
02495600	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	Wixela Inhub 50/250mcg Inh-60 Dose Pk	MYL	50.7600	50.7600	YES	YES	NO
02495597	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	Wixela Inhub 50/100mcg Inh-60 Dose Pk	MYL	42.4050	42.4050	YES	YES	NO
02482215	SAPROPTERIN DIHYDROCHLORIDE	Kuvan (Off-Formulary Interchangeable) 500mg Pd for Sol (Sachet Pk)	BIM	N/A	N/A	YES	NO	NO
02482207	SAPROPTERIN DIHYDROCHLORIDE	Kuvan (Off-Formulary Interchangeable) 100mg Pd for Sol (Sachet Pk)	BIM	N/A	N/A	YES	NO	NO
02535610	SAPROPTERIN DIHYDROCHLORIDE	Reddy-Sapropterin (Off-Formulary Interchangeable) 500mg Pd for Sol (Sachet Pk)	DRR	123.7500	N/A	YES	NO	NO
02534533	SAPROPTERIN DIHYDROCHLORIDE	Reddy-Sapropterin (Off-Formulary Interchangeable) 100mg Pd for Sol (Sachet Pk)	DRR	24.7500	N/A	YES	NO	NO
02507498	SAXAGLIPTIN	Apo-Saxagliptin 5mg Tab	APX	1.5195	1.5195	YES	NO	YES
02507471	SAXAGLIPTIN	Apo-Saxagliptin 2.5mg Tab	APX	1.2650	1.2650	YES	NO	YES
02333554	SAXAGLIPTIN	Onglyza 5mg Tab	AZC	3.4621	1.5195	YES	NO	YES
02375842	SAXAGLIPTIN	Onglyza 2.5mg Tab	AZC	2.8823	1.2650	YES	NO	YES
02468611	SAXAGLIPTIN	Sandoz Saxagliptin 5mg Tab	SDZ	1.5195	1.5195	YES	NO	YES
02468603	SAXAGLIPTIN	Sandoz Saxagliptin 2.5mg Tab	SDZ	1.2650	1.2650	YES	NO	YES
02389169	SAXAGLIPTIN & METFORMIN	Komboglyze 2.5mg & 500mg Tab	AZC	1.4468	1.4468	NO	NO	YES
02389185	SAXAGLIPTIN & METFORMIN	Komboglyze 2.5mg & 1000mg Tab	AZC	1.4468	1.4468	NO	NO	YES
02389177	SAXAGLIPTIN & METFORMIN	Komboglyze 2.5mg & 850mg Tab	AZC	1.4468	1.4468	NO	NO	YES
00541869	SCOPOLAMINE HYDROBROMIDE	Scopolamine Hydrobromide Injection (Not a Benefit) 0.4mg/mL Inj Sol (Preservative Free)	HOS	N/A	N/A	YES	NO	NO
02242811	SCOPOLAMINE HYDROBROMIDE	Scopolamine Hydrobromide Injection 0.6mg/mL Inj Sol (Preservative Free)	OMG	7.0400	7.0400	YES	YES	NO
00541877	SCOPOLAMINE HYDROBROMIDE	Scopolamine Hydrobromide Injection (Not a Benefit) 0.6mg/mL Inj Sol (Preservative Free)	HOS	N/A	N/A	YES	NO	NO
02242810	SCOPOLAMINE HYDROBROMIDE	Scopolamine Hydrobromide Injection 0.4mg/mL Inj Sol (Preservative Free)	OMG	6.5100	6.5100	YES	YES	NO
09857548	SECUKINUMAB	Cosentyx 150mg/mL Inj Sol-Pref Pen	NOV	952.7200	952.7200	NO	YES	NO
02547724	SECUKINUMAB	Cosentyx 150mg/mL Inj Sol-Pref Syr	NOV	952.7200	952.7200	NO	YES	NO
02438070	SECUKINUMAB	Cosentyx 150mg/mL Inj Sol-Pref Syr	NOV	952.7200	952.7200	NO	YES	NO
02123312	SELEGILINE HCL	Eldepryl (Not a Benefit) 5mg Tab	BJH	N/A	N/A	YES	NO	NO
02230641	SELEGILINE HCL	Selegiline 5mg Tab	AAP	0.5021	0.5021	YES	NO	NO
02068087	SELEGILINE HCL	Teva-Selegiline 5mg Tab	TEV	0.5021	0.5021	YES	NO	NO
02540258	SEMAGLUTIDE	Ozempic 0.68mg/mL Inj Sol - Pref Pen 3mL Pk	NOO	223.2600	223.2600	NO	YES	NO
02471477	SEMAGLUTIDE	Ozempic 1.34mg/mL Inj Sol-Pref Pen 1.5mL Pk	NOO	223.2600	223.2600	NO	YES	NO
02471469	SEMAGLUTIDE	Ozempic 1.34mg/mL Inj Sol-Pref Pen 3mL Pk	NOO	223.2600	223.2600	NO	YES	NO
02497581	SEMAGLUTIDE	Rybelsus 3mg Tab	NOO	7.3757	7.3757	NO	YES	NO
02497603	SEMAGLUTIDE	Rybelsus 7mg Tab	NOO	7.3757	7.3757	NO	YES	NO
02497611	SEMAGLUTIDE	Rybelsus 14mg Tab	NOO	7.3757	7.3757	NO	YES	NO
80009595	SENNOSIDES A & B	Jamp-Senna 8.6mg Tab	JPC	0.0464	0.0464	YES	NO	NO
00026158	SENNOSIDES A & B	Senokot 8.6mg Tab	INO	0.0464	0.0464	YES	NO	NO
02477890	SERTRALINE HCL	AG-Sertraline 50mg Cap	ANG	0.3032	0.3032	YES	NO	YES
02477904	SERTRALINE HCL	AG-Sertraline 100mg Cap	ANG	0.3303	0.3303	YES	NO	YES
02477882	SERTRALINE HCL	AG-Sertraline 25mg Cap	ANG	0.1516	0.1516	YES	NO	YES
02238280	SERTRALINE HCL	Apo-Sertraline 25mg Cap	APX	0.1516	0.1516	YES	NO	YES
02238282	SERTRALINE HCL	Apo-Sertraline 100mg Cap	APX	0.3303	0.3303	YES	NO	YES
02238281	SERTRALINE HCL	Apo-Sertraline 50mg Cap	APX	0.3032	0.3032	YES	NO	YES
02390922	SERTRALINE HCL	Auro-Sertraline 100mg Cap	AUR	0.3303	0.3303	YES	NO	YES
02390906	SERTRALINE HCL	Auro-Sertraline 25mg Cap	AUR	0.1516	0.1516	YES	NO	YES
02390914	SERTRALINE HCL	Auro-Sertraline 50mg Cap	AUR	0.3032	0.3032	YES	NO	YES
02287390	SERTRALINE HCL	Co Sertraline 25mg Cap	COB	0.1516	0.1516	YES	NO	YES
02287412	SERTRALINE HCL	Co Sertraline 100mg Cap	COB	0.3303	0.3303	YES	NO	YES
02287404	SERTRALINE HCL	Co Sertraline 50mg Cap	COB	0.3032	0.3032	YES	NO	YES
02357143	SERTRALINE HCL	Jamp-Sertraline 25mg Cap	JPC	0.1516	0.1516	YES	NO	YES
02357178	SERTRALINE HCL	Jamp-Sertraline 100mg Cap	JPC	0.3303	0.3303	YES	NO	YES
02357151	SERTRALINE HCL	Jamp-Sertraline 50mg Cap	JPC	0.3032	0.3032	YES	NO	YES
02530953	SERTRALINE HCL	M-Sertraline 100mg Cap	MAT	0.3303	0.3303	YES	NO	YES
02530937	SERTRALINE HCL	M-Sertraline 25mg Cap	MAT	0.1516	0.1516	YES	NO	YES
02530945	SERTRALINE HCL	M-Sertraline 50mg Cap	MAT	0.3032	0.3032	YES	NO	YES
02399415	SERTRALINE HCL	Mar-Sertraline 25mg Cap	MAR	0.1516	0.1516	YES	NO	YES
02399431	SERTRALINE HCL	Mar-Sertraline 100mg Cap	MAR	0.3303	0.3303	YES	NO	YES
02399423	SERTRALINE HCL	Mar-Sertraline 50mg Cap	MAR	0.3032	0.3032	YES	NO	YES
02402394	SERTRALINE HCL	Mint-Sertraline 50mg Cap	MIN	0.3032	0.3032	YES	NO	YES
02402378	SERTRALINE HCL	Mint-Sertraline 25mg Cap	MIN	0.1516	0.1516	YES	NO	YES
02402408	SERTRALINE HCL	Mint-Sertraline 100mg Cap	MIN	0.3303	0.3303	YES	NO	YES
02488442	SERTRALINE HCL	NRA-Sertraline 50mg Cap	NRA	0.3032	0.3032	YES	NO	YES
02488450	SERTRALINE HCL	NRA-Sertraline 100mg Cap	NRA	0.3303	0.3303	YES	NO	YES
02488434	SERTRALINE HCL	NRA-Sertraline 25mg Cap	NRA	0.1516	0.1516	YES	NO	YES
02244838	SERTRALINE HCL	PMS-Sertraline 25mg Cap	PMS	0.1516	0.1516	YES	NO	YES
02244839	SERTRALINE HCL	PMS-Sertraline 50mg Cap	PMS	0.3032	0.3032	YES	NO	YES
02244840	SERTRALINE HCL	PMS-Sertraline 100mg Cap	PMS	0.3303	0.3303	YES	NO	YES
02374579	SERTRALINE HCL	Ran-Sertraline 100mg Cap	RAN	0.3303	0.3303	YES	NO	YES
02245159	SERTRALINE HCL	Sandoz Sertraline 25mg Cap	SDZ	0.1516	0.1516	YES	NO	YES
02245160	SERTRALINE HCL	Sandoz Sertraline 50mg Cap	SDZ	0.3032	0.3032	YES	NO	YES
02245161	SERTRALINE HCL	Sandoz Sertraline 100mg Cap	SDZ	0.3303	0.3303	YES	NO	YES
02469634	SERTRALINE HCL	Sertraline 50mg Cap	JPC	0.3032	0.3032	YES	NO	YES
02386089	SERTRALINE HCL	Sertraline 50mg Cap	SIV	0.3032	0.3032	YES	NO	YES
02469626	SERTRALINE HCL	Sertraline 25mg Cap	JPC	0.1516	0.1516	YES	NO	YES
02386070	SERTRALINE HCL	Sertraline 25mg Cap	SIV	0.1516	0.1516	YES	NO	YES
02353520	SERTRALINE HCL	Sertraline 25mg Cap	SAI	0.1516	0.1516	YES	NO	YES
02353539	SERTRALINE HCL	Sertraline 50mg Cap	SAI	0.3032	0.3032	YES	NO	YES
02469642	SERTRALINE HCL	Sertraline 100mg Cap	JPC	0.3303	0.3303	YES	NO	YES
02386097	SERTRALINE HCL	Sertraline 100mg Cap	SIV	0.3303	0.3303	YES	NO	YES
02353547	SERTRALINE HCL	Sertraline 100mg Cap	SAI	0.3303	0.3303	YES	NO	YES
02240485	SERTRALINE HCL	Teva-Sertraline 25mg Cap	TEV	0.1516	0.1516	YES	NO	YES
02240481	SERTRALINE HCL	Teva-Sertraline 100mg Cap	TEV	0.3303	0.3303	YES	NO	YES
02240484	SERTRALINE HCL	Teva-Sertraline 50mg Cap	TEV	0.3032	0.3032	YES	NO	YES
02132702	SERTRALINE HCL	Zoloft 25mg Cap	UJC	1.0235	0.1516	YES	NO	YES
01962817	SERTRALINE HCL	Zoloft 50mg Cap	UJC	2.0468	0.3032	YES	NO	YES
01962779	SERTRALINE HCL	Zoloft 100mg Cap	UJC	2.2301	0.3303	YES	NO	YES
02461501	SEVELAMER CARBONATE	Accel-Sevelamer (Off-Formulary Interchangeable) 800mg Tab	ACC	1.2634	1.2634	YES	NO	NO
02354586	SEVELAMER CARBONATE	Renvela (Off-Formulary Interchangeable) 800mg Tab	SAV	1.3125	1.2634	YES	NO	NO
02479818	SILDENAFIL	Accel-Sildenafil (Off-Formulary Interchangeable) 50mg Tab	ACC	3.4000	3.4000	YES	NO	NO
02479796	SILDENAFIL	Accel-Sildenafil (Off-Formulary Interchangeable) 25mg Tab	ACC	3.1850	3.1850	YES	NO	NO
02479826	SILDENAFIL	Accel-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	ACC	3.5350	3.5350	YES	NO	NO
02248203	SILDENAFIL	Apo-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	APX	9.2006	9.2006	YES	NO	NO
02248202	SILDENAFIL	Apo-Sildenafil (Off-Formulary Interchangeable) 50mg Tab	APX	8.8481	8.8481	YES	NO	NO
02248201	SILDENAFIL	Apo-Sildenafil (Off-Formulary Interchangeable) 25mg Tab	APX	8.2894	8.2894	YES	NO	NO
02418118	SILDENAFIL	Apo-Sildenafil R (Off-Formulary Interchangeable) 20mg Tab	APX	7.2940	7.2940	YES	NO	NO
02414384	SILDENAFIL	Auro-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	AUR	9.2000	9.2000	YES	NO	NO
02414376	SILDENAFIL	Auro-Sildenafil (Off-Formulary Interchangeable) 50mg Tab	AUR	8.8475	8.8475	YES	NO	NO
02414368	SILDENAFIL	Auro-Sildenafil (Off-Formulary Interchangeable) 25mg Tab	AUR	8.2894	8.2894	YES	NO	NO
02372053	SILDENAFIL	Co Sildenafil (Off-Formulary Interchangeable) 25mg Tab	COB	8.2894	8.2894	YES	NO	NO
02372088	SILDENAFIL	Co Sildenafil (Off-Formulary Interchangeable) 100mg Tab	COB	9.2016	9.2016	YES	NO	NO
02372061	SILDENAFIL	Co Sildenafil (Off-Formulary Interchangeable) 50mg Tab	COB	8.8481	8.8481	YES	NO	NO
02503506	SILDENAFIL	Jamp Sildenafil Tablets (Off-Formulary Interchangeable) 100mg Tab	JPC	9.2000	9.2000	YES	NO	NO
02405687	SILDENAFIL	Jamp-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	JPC	9.2000	9.2000	YES	NO	NO
02405679	SILDENAFIL	Jamp-Sildenafil (Off-Formulary Interchangeable) 50mg Tab	JPC	8.8475	8.8475	YES	NO	NO
02405660	SILDENAFIL	Jamp-Sildenafil (Off-Formulary Interchangeable) 25mg Tab	JPC	8.2900	8.2894	YES	NO	NO
02469669	SILDENAFIL	Jamp-Sildenafil R (Off-Formulary Interchangeable) 20mg Tab	JPC	7.2940	7.2940	YES	NO	NO
02430037	SILDENAFIL	M-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	MAT	9.2000	9.2000	YES	NO	NO
02402548	SILDENAFIL	Mar-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	MAR	9.2006	9.2006	YES	NO	NO
02393077	SILDENAFIL	Mint-Sildenafil (Off-Formulary Interchangeable) 50mg Tab	MIN	8.8475	8.8475	YES	NO	NO
02393085	SILDENAFIL	Mint-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	MIN	9.2000	9.2000	YES	NO	NO
02393069	SILDENAFIL	Mint-Sildenafil (Off-Formulary Interchangeable) 25mg Tab	MIN	8.2900	8.2894	YES	NO	NO
02476819	SILDENAFIL	NRA-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	NRA	9.2006	9.2006	YES	NO	NO
02412179	SILDENAFIL	PMS-Sildenafil R (Off-Formulary Interchangeable) 20mg Tab	PMS	7.2940	7.2940	YES	NO	NO
02468557	SILDENAFIL	PRZ-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	PRZ	9.2006	9.2006	YES	NO	NO
02505169	SILDENAFIL	PRZ-Sildenafil (Off-Formulary Interchangeable) 50mg Tab	PRZ	8.8475	8.8475	YES	NO	NO
02505150	SILDENAFIL	PRZ-Sildenafil (Off-Formulary Interchangeable) 25mg Tab	PRZ	8.2894	8.2894	YES	NO	NO
02279401	SILDENAFIL	Revatio (Off-Formulary Interchangeable) 20mg Tab	UJC	13.2401	7.2940	YES	NO	NO
02452413	SILDENAFIL	Riva-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	RIA	9.2006	9.2006	YES	NO	NO
02400715	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 100mg Tab	SIV	9.2006	9.2006	YES	NO	NO
02317583	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 100mg Tab	PMS	9.2006	9.2006	YES	NO	NO
02317559	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 25mg Tab	PMS	8.2894	8.2894	YES	NO	NO
02400693	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 25mg Tab	SIV	8.2900	8.2894	YES	NO	NO
02406152	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 50mg Tab	SAI	8.8475	8.8475	YES	NO	NO
02400707	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 50mg Tab	SIV	8.8481	8.8481	YES	NO	NO
02540770	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 25mg Tab	SAI	8.2894	8.2894	YES	NO	NO
02317575	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 50mg Tab	PMS	8.8481	8.8481	YES	NO	NO
02406160	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 100mg Tab	SAI	9.2006	9.2006	YES	NO	NO
02308754	SILDENAFIL	Teva-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	TEV	9.2006	9.2006	YES	NO	NO
02308746	SILDENAFIL	Teva-Sildenafil (Off-Formulary Interchangeable) 50mg Tab	TEV	8.8481	8.8481	YES	NO	NO
02308738	SILDENAFIL	Teva-Sildenafil (Off-Formulary Interchangeable) 25mg Tab	TEV	8.2900	8.2894	YES	NO	NO
02319500	SILDENAFIL	Teva-Sildenafil R (Off-Formulary Interchangeable) 20mg Tab	TEV	7.2940	7.2940	YES	NO	NO
02239767	SILDENAFIL	Viagra (Off-Formulary Interchangeable) 50mg Tab	UJC	N/A	N/A	YES	NO	NO
02239766	SILDENAFIL	Viagra (Off-Formulary Interchangeable) 25mg Tab	UJC	N/A	N/A	YES	NO	NO
02239768	SILDENAFIL	Viagra (Off-Formulary Interchangeable) 100mg Tab	UJC	N/A	N/A	YES	NO	NO
02478528	SILODOSIN	Auro-Silodosin 8mg Cap	AUR	0.4742	0.4742	YES	YES	NO
02478501	SILODOSIN	Auro-Silodosin 4mg Cap	AUR	0.4742	0.4742	YES	YES	NO
02539519	SILODOSIN	Jamp Silodosin 4mg Cap	JPC	0.4742	0.4742	YES	YES	NO
02539527	SILODOSIN	Jamp Silodosin 8mg Cap	JPC	0.4742	0.4742	YES	YES	NO
02517787	SILODOSIN	PMS-Silodosin 8mg Cap	PMS	0.4742	0.4742	YES	YES	NO
02517779	SILODOSIN	PMS-Silodosin 4mg Cap	PMS	0.4742	0.4742	YES	YES	NO
02361663	SILODOSIN	Rapaflo (Not a Benefit) 4mg Cap	WAT	N/A	N/A	YES	NO	NO
02361671	SILODOSIN	Rapaflo (Not a Benefit) 8mg Cap	WAT	N/A	N/A	YES	NO	NO
02475448	SILODOSIN	Sandoz Silodosin 8mg Cap	SDZ	0.4742	0.4742	YES	YES	NO
02475421	SILODOSIN	Sandoz Silodosin 4mg Cap	SDZ	0.4742	0.4742	YES	YES	NO
00323098	SILVER SULFADIAZINE	Flamazine 1% Cr	SNE	0.1320	0.1320	NO	NO	YES
09854037	SILVER SULFADIAZINE	Flamazine 1% Cr-50g Pk	SNE	10.9600	10.9600	NO	NO	NO
02480069	SIMVASTATIN	AG-Simvastatin 10mg Tab	ANG	0.2023	0.2023	YES	NO	NO
02480093	SIMVASTATIN	AG-Simvastatin 80mg Tab	ANG	0.2501	0.2501	YES	NO	NO
02480085	SIMVASTATIN	AG-Simvastatin 40mg Tab	ANG	0.2501	0.2501	YES	NO	NO
02480077	SIMVASTATIN	AG-Simvastatin 20mg Tab	ANG	0.2501	0.2501	YES	NO	NO
02480050	SIMVASTATIN	AG-Simvastatin 5mg Tab	ANG	0.1023	0.1023	YES	NO	NO
02247011	SIMVASTATIN	Apo-Simvastatin 5mg Tab	APX	0.1023	0.1023	YES	NO	NO
02247015	SIMVASTATIN	Apo-Simvastatin 80mg Tab	APX	0.2501	0.2501	YES	NO	NO
02247014	SIMVASTATIN	Apo-Simvastatin 40mg Tab	APX	0.2501	0.2501	YES	NO	NO
02247013	SIMVASTATIN	Apo-Simvastatin 20mg Tab	APX	0.2501	0.2501	YES	NO	NO
02247012	SIMVASTATIN	Apo-Simvastatin 10mg Tab	APX	0.2023	0.2023	YES	NO	NO
02405148	SIMVASTATIN	Auro-Simvastatin 5mg Tab	AUR	0.1023	0.1023	YES	NO	NO
02405172	SIMVASTATIN	Auro-Simvastatin 40mg Tab	AUR	0.2501	0.2501	YES	NO	NO
02405180	SIMVASTATIN	Auro-Simvastatin 80mg Tab	AUR	0.2501	0.2501	YES	NO	NO
02405164	SIMVASTATIN	Auro-Simvastatin 20mg Tab	AUR	0.2501	0.2501	YES	NO	NO
02405156	SIMVASTATIN	Auro-Simvastatin 10mg Tab	AUR	0.2023	0.2023	YES	NO	NO
02248105	SIMVASTATIN	Co Simvastatin 20mg Tab	COB	0.2501	0.2501	YES	NO	NO
02248104	SIMVASTATIN	Co Simvastatin 10mg Tab	COB	0.2023	0.2023	YES	NO	NO
02248103	SIMVASTATIN	Co Simvastatin 5mg Tab	COB	0.1023	0.1023	YES	NO	NO
02248107	SIMVASTATIN	Co Simvastatin 80mg Tab	COB	0.2501	0.2501	YES	NO	NO
02248106	SIMVASTATIN	Co Simvastatin 40mg Tab	COB	0.2501	0.2501	YES	NO	NO
02375613	SIMVASTATIN	Jamp-Simvastatin 20mg Tab	JPC	0.2501	0.2501	YES	NO	NO
02375591	SIMVASTATIN	Jamp-Simvastatin 5mg Tab	JPC	0.1023	0.1023	YES	NO	NO
02375648	SIMVASTATIN	Jamp-Simvastatin 80mg Tab	JPC	0.2501	0.2501	YES	NO	NO
02375605	SIMVASTATIN	Jamp-Simvastatin 10mg Tab	JPC	0.2023	0.2023	YES	NO	NO
02375621	SIMVASTATIN	Jamp-Simvastatin 40mg Tab	JPC	0.2501	0.2501	YES	NO	NO
02375060	SIMVASTATIN	Mar-Simvastatin 40mg Tab	MAR	0.2501	0.2501	YES	NO	NO
02375079	SIMVASTATIN	Mar-Simvastatin 80mg Tab	MAR	0.2501	0.2501	YES	NO	NO
02375036	SIMVASTATIN	Mar-Simvastatin 5mg Tab	MAR	0.1023	0.1023	YES	NO	NO
02375044	SIMVASTATIN	Mar-Simvastatin 10mg Tab	MAR	0.2023	0.2023	YES	NO	NO
02375052	SIMVASTATIN	Mar-Simvastatin 20mg Tab	MAR	0.2501	0.2501	YES	NO	NO
02372975	SIMVASTATIN	Mint-Simvastatin 80mg Tab	MIN	0.2501	0.2501	YES	NO	NO
02372932	SIMVASTATIN	Mint-Simvastatin 5mg Tab	MIN	0.1023	0.1023	YES	NO	NO
02372940	SIMVASTATIN	Mint-Simvastatin 10mg Tab	MIN	0.2023	0.2023	YES	NO	NO
02372959	SIMVASTATIN	Mint-Simvastatin 20mg Tab	MIN	0.2501	0.2501	YES	NO	NO
02372967	SIMVASTATIN	Mint-Simvastatin 40mg Tab	MIN	0.2501	0.2501	YES	NO	NO
02269279	SIMVASTATIN	PMS-Simvastatin 20mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02269260	SIMVASTATIN	PMS-Simvastatin 10mg Tab	PMS	0.2023	0.2023	YES	NO	NO
02269252	SIMVASTATIN	PMS-Simvastatin 5mg Tab	PMS	0.1023	0.1023	YES	NO	NO
02269287	SIMVASTATIN	PMS-Simvastatin 40mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02269295	SIMVASTATIN	PMS-Simvastatin 80mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02549654	SIMVASTATIN	PMSC-Simvastatin 20mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02549646	SIMVASTATIN	PMSC-Simvastatin 10mg Tab	PMS	0.2023	0.2023	YES	NO	NO
02549662	SIMVASTATIN	PMSC-Simvastatin 40mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02549638	SIMVASTATIN	PMSC-Simvastatin 5mg Tab	PMS	0.1023	0.1023	YES	NO	NO
02549670	SIMVASTATIN	PMSC-Simvastatin 80mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02469979	SIMVASTATIN	Pharma-Simvastatin 5mg Tab	PMS	0.1023	0.1023	YES	NO	NO
02470012	SIMVASTATIN	Pharma-Simvastatin 80mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02470004	SIMVASTATIN	Pharma-Simvastatin 40mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02469987	SIMVASTATIN	Pharma-Simvastatin 10mg Tab	PMS	0.2023	0.2023	YES	NO	NO
02469995	SIMVASTATIN	Pharma-Simvastatin 20mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02329182	SIMVASTATIN	Ran-Simvastatin 80mg Tab	RAN	0.2501	0.2501	YES	NO	NO
02329131	SIMVASTATIN	Ran-Simvastatin 5mg Tab	RAN	0.1023	0.1023	YES	NO	NO
02329166	SIMVASTATIN	Ran-Simvastatin 20mg Tab	RAN	0.2501	0.2501	YES	NO	NO
02329174	SIMVASTATIN	Ran-Simvastatin 40mg Tab	RAN	0.2501	0.2501	YES	NO	NO
02329158	SIMVASTATIN	Ran-Simvastatin 10mg Tab	RAN	0.2023	0.2023	YES	NO	NO
02284758	SIMVASTATIN	Simvastatin 20mg Tab	SAI	0.2501	0.2501	YES	NO	NO
02386291	SIMVASTATIN	Simvastatin 5mg Tab	SIV	0.1023	0.1023	YES	NO	NO
02386305	SIMVASTATIN	Simvastatin 10mg Tab	SIV	0.2023	0.2023	YES	NO	NO
02284731	SIMVASTATIN	Simvastatin 10mg Tab	SAI	0.2023	0.2023	YES	NO	NO
02284774	SIMVASTATIN	Simvastatin 80mg Tab	SAI	0.2501	0.2501	YES	NO	NO
02386348	SIMVASTATIN	Simvastatin 80mg Tab	SIV	0.2501	0.2501	YES	NO	NO
02386321	SIMVASTATIN	Simvastatin 40mg Tab	SIV	0.2501	0.2501	YES	NO	NO
02284766	SIMVASTATIN	Simvastatin 40mg Tab	SAI	0.2501	0.2501	YES	NO	NO
02284723	SIMVASTATIN	Simvastatin 5mg Tab	SAI	0.1023	0.1023	YES	NO	NO
02386313	SIMVASTATIN	Simvastatin 20mg Tab	SIV	0.2501	0.2501	YES	NO	NO
02265907	SIMVASTATIN	Taro-Simvastatin (Not a Benefit) 40mg Tab	TAR	N/A	N/A	YES	NO	NO
02265885	SIMVASTATIN	Taro-Simvastatin (Not a Benefit) 10mg Tab	TAR	N/A	N/A	YES	NO	NO
02265893	SIMVASTATIN	Taro-Simvastatin (Not a Benefit) 20mg Tab	TAR	N/A	N/A	YES	NO	NO
02250144	SIMVASTATIN	Teva-Simvastatin 5mg Tab	TEV	0.1023	0.1023	YES	NO	NO
02250187	SIMVASTATIN	Teva-Simvastatin 80mg Tab	TEV	0.2501	0.2501	YES	NO	NO
02250179	SIMVASTATIN	Teva-Simvastatin 40mg Tab	TEV	0.2501	0.2501	YES	NO	NO
02250152	SIMVASTATIN	Teva-Simvastatin 10mg Tab	TEV	0.2023	0.2023	YES	NO	NO
02250160	SIMVASTATIN	Teva-Simvastatin 20mg Tab	TEV	0.2501	0.2501	YES	NO	NO
00884324	SIMVASTATIN	Zocor (Not a Benefit) 5mg Tab	MFC	N/A	N/A	YES	NO	NO
00884332	SIMVASTATIN	Zocor 10mg Tab	OCI	2.8190	0.2023	YES	NO	NO
00884340	SIMVASTATIN	Zocor 20mg Tab	OCI	3.4841	0.2501	YES	NO	NO
00884359	SIMVASTATIN	Zocor 40mg Tab	OCI	3.4841	0.2501	YES	NO	NO
02240332	SIMVASTATIN	Zocor (Not a Benefit) 80mg Tab	MFC	N/A	N/A	YES	NO	NO
02243237	SIROLIMUS	Rapamune 1mg/mL O/L	WAY	9.6855	9.6855	NO	YES	NO
02247111	SIROLIMUS	Rapamune 1mg Tab	WAY	9.6855	9.6855	NO	YES	NO
02512475	SITAGLIPTIN	Ach-Sitagliptin 25mg Tab	ACH	0.8197	0.8197	YES	NO	YES
02512483	SITAGLIPTIN	Ach-Sitagliptin 50mg Tab	ACH	0.8197	0.8197	YES	NO	YES
02512491	SITAGLIPTIN	Ach-Sitagliptin 100mg Tab	ACH	0.8197	0.8197	YES	NO	YES
02508664	SITAGLIPTIN	Apo-Sitagliptin Malate 50mg Tab	APX	0.8197	0.8197	YES	NO	YES
02508672	SITAGLIPTIN	Apo-Sitagliptin Malate 100mg Tab	APX	0.8197	0.8197	YES	NO	YES
02508656	SITAGLIPTIN	Apo-Sitagliptin Malate 25mg Tab	APX	0.8197	0.8197	YES	NO	YES
02529866	SITAGLIPTIN	Auro-Sitagliptin 25mg Tab	AUR	0.8197	0.8197	YES	NO	YES
02529874	SITAGLIPTIN	Auro-Sitagliptin 50mg Tab	AUR	0.8197	0.8197	YES	NO	YES
02529882	SITAGLIPTIN	Auro-Sitagliptin 100mg Tab	AUR	0.8197	0.8197	YES	NO	YES
02534150	SITAGLIPTIN	Jamp Sitagliptin 100mg Tab	JPC	0.8197	0.8197	YES	NO	YES
02534134	SITAGLIPTIN	Jamp Sitagliptin 25mg Tab	JPC	0.8197	0.8197	YES	NO	YES
02534142	SITAGLIPTIN	Jamp Sitagliptin 50mg Tab	JPC	0.8197	0.8197	YES	NO	YES
02388847	SITAGLIPTIN	Januvia 50mg Tab	MFC	3.2787	0.8197	YES	NO	YES
02388839	SITAGLIPTIN	Januvia 25mg Tab	MFC	3.2787	0.8197	YES	NO	YES
02303922	SITAGLIPTIN	Januvia 100mg Tab	MFC	3.2787	0.8197	YES	NO	YES
02503867	SITAGLIPTIN	PMS-Sitagliptin 100mg Tab	PMS	0.8197	0.8197	YES	NO	YES
02503859	SITAGLIPTIN	PMS-Sitagliptin 50mg Tab	PMS	0.8197	0.8197	YES	NO	YES
02503840	SITAGLIPTIN	PMS-Sitagliptin 25mg Tab	PMS	0.8197	0.8197	YES	NO	YES
02504057	SITAGLIPTIN	Sandoz Sitagliptin 50mg Tab	SDZ	0.8197	0.8197	YES	NO	YES
02504065	SITAGLIPTIN	Sandoz Sitagliptin 100mg Tab	SDZ	0.8197	0.8197	YES	NO	YES
02504049	SITAGLIPTIN	Sandoz Sitagliptin 25mg Tab	SDZ	0.8197	0.8197	YES	NO	YES
02529068	SITAGLIPTIN	Sitagliptin 100mg Tab	SIV	0.8197	0.8197	YES	NO	YES
02548577	SITAGLIPTIN	Sitagliptin 100mg Tab	SAI	0.8197	0.8197	YES	NO	YES
02548569	SITAGLIPTIN	Sitagliptin 50mg Tab	SAI	0.8197	0.8197	YES	NO	YES
02529033	SITAGLIPTIN	Sitagliptin 25mg Tab	SIV	0.8197	0.8197	YES	NO	YES
02529041	SITAGLIPTIN	Sitagliptin 50mg Tab	SIV	0.8197	0.8197	YES	NO	YES
02548550	SITAGLIPTIN	Sitagliptin 25mg Tab	SAI	0.8197	0.8197	YES	NO	YES
02531631	SITAGLIPTIN	Taro-Sitagliptin Fumarate 25mg Tab	TAR	0.8197	0.8197	YES	NO	YES
02531658	SITAGLIPTIN	Taro-Sitagliptin Fumarate 50mg Tab	TAR	0.8197	0.8197	YES	NO	YES
02531666	SITAGLIPTIN	Taro-Sitagliptin Fumarate 100mg Tab	TAR	0.8197	0.8197	YES	NO	YES
02522705	SITAGLIPTIN	Teva-Sitagliptin Malate 25mg Tab	TEV	0.8197	0.8197	YES	NO	YES
02522713	SITAGLIPTIN	Teva-Sitagliptin Malate 50mg Tab	TEV	0.8197	0.8197	YES	NO	YES
02522721	SITAGLIPTIN	Teva-Sitagliptin Malate 100mg Tab	TEV	0.8197	0.8197	YES	NO	YES
02506270	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin/Metformin XR 50mg & 500mg ER Tab	APX	0.8893	0.8893	YES	NO	YES
02506289	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin/Metformin XR 50mg & 1000mg ER Tab	APX	0.8893	0.8893	YES	NO	YES
02506297	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin/Metformin XR 100mg & 1000mg ER Tab	APX	1.7785	1.7784	YES	NO	YES
02416808	SITAGLIPTIN & METFORMIN	Janumet XR 100mg & 1000mg ER Tab	MEK	3.5568	1.7784	YES	NO	YES
02416786	SITAGLIPTIN & METFORMIN	Janumet XR 50mg & 500mg ER Tab	MEK	1.7785	0.8893	YES	NO	YES
02416794	SITAGLIPTIN & METFORMIN	Janumet XR 50mg & 1000mg ER Tab	MEK	1.7785	0.8893	YES	NO	YES
02529114	SITAGLIPTIN & METFORMIN	Sandoz Sitagliptin-Metformin XR 50mg & 1000mg ER Tab	SDZ	0.8893	0.8893	YES	NO	YES
02529106	SITAGLIPTIN & METFORMIN	Sandoz Sitagliptin-Metformin XR 50mg & 500mg ER Tab	SDZ	0.8893	0.8893	YES	NO	YES
02529122	SITAGLIPTIN & METFORMIN	Sandoz Sitagliptin-Metformin XR 100mg & 1000mg ER Tab	SDZ	1.7784	1.7784	YES	NO	YES
02509423	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin Malate/Metformin HCl 50mg & 850mg Tab	APX	0.4446	0.4446	YES	NO	YES
02509431	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin Malate/Metformin HCl 50mg & 1000mg Tab	APX	0.4446	0.4446	YES	NO	YES
02509415	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin Malate/Metformin HCl 50mg & 500mg Tab	APX	0.4446	0.4446	YES	NO	YES
02333864	SITAGLIPTIN & METFORMIN	Janumet 50mg & 850mg Tab	MEK	1.7785	0.4446	YES	NO	YES
02333872	SITAGLIPTIN & METFORMIN	Janumet 50mg & 1000mg Tab	MEK	1.7785	0.4446	YES	NO	YES
02333856	SITAGLIPTIN & METFORMIN	Janumet 50mg & 500mg Tab	MEK	1.7785	0.4446	YES	NO	YES
02540118	SITAGLIPTIN & METFORMIN	Reddy-Sitagliptin and Metformin HCl 50mg & 500mg Tab	DRR	0.4446	0.4446	YES	NO	YES
02540126	SITAGLIPTIN & METFORMIN	Reddy-Sitagliptin and Metformin HCl 50mg & 850mg Tab	DRR	0.4446	0.4446	YES	NO	YES
02540134	SITAGLIPTIN & METFORMIN	Reddy-Sitagliptin and Metformin HCl 50mg & 1000mg Tab	DRR	0.4446	0.4446	YES	NO	YES
02503956	SITAGLIPTIN & METFORMIN	Sandoz Sitagliptin-Metformin 50mg & 500mg Tab	SDZ	0.4446	0.4446	YES	NO	YES
02503972	SITAGLIPTIN & METFORMIN	Sandoz Sitagliptin-Metformin 50mg & 1000mg Tab	SDZ	0.4446	0.4446	YES	NO	YES
02503964	SITAGLIPTIN & METFORMIN	Sandoz Sitagliptin-Metformin 50mg & 850mg Tab	SDZ	0.4446	0.4446	YES	NO	YES
02529165	SITAGLIPTIN & METFORMIN	Sitagliptin-Metformin 50mg & 850mg Tab	SIV	0.4446	0.4446	YES	NO	YES
02529157	SITAGLIPTIN & METFORMIN	Sitagliptin-Metformin 50mg & 500mg Tab	SIV	0.4446	0.4446	YES	NO	YES
02529173	SITAGLIPTIN & METFORMIN	Sitagliptin-Metformin 50mg & 1000mg Tab	SIV	0.4446	0.4446	YES	NO	YES
02520494	SITAGLIPTIN & METFORMIN	Teva-Sitagliptin Malate / Metformin 50mg & 500mg Tab	TEV	0.4446	0.4446	YES	NO	YES
02520516	SITAGLIPTIN & METFORMIN	Teva-Sitagliptin Malate / Metformin 50mg & 1000mg Tab	TEV	0.4446	0.4446	YES	NO	YES
02520508	SITAGLIPTIN & METFORMIN	Teva-Sitagliptin Malate / Metformin 50mg & 850mg Tab	TEV	0.4446	0.4446	YES	NO	YES
00108065	SODIUM BIPHOSPHATE & SODIUM PHOSPHATE	Fleet Enema Pediatric 160mg & 60mg/mL Ped Rect Sol	CBF	0.0630	0.0630	NO	NO	NO
00009911	SODIUM BIPHOSPHATE & SODIUM PHOSPHATE	Fleet Enema 160mg & 60mg/mL Rect Sol (with Preservative)	CBF	0.0313	0.0313	NO	NO	NO
02009277	SODIUM CROMOGLYCATE	Cromolyn Eye Drops 2% Oph Sol	PEN	0.9500	0.9500	YES	NO	NO
02230621	SODIUM CROMOGLYCATE	Opticrom (Not a Benefit) 2% Oph Sol	ALL	N/A	N/A	YES	NO	NO
00586676	SODIUM FUSIDATE	Fucidin 2% Oint	LEO	1.0950	1.0950	NO	NO	NO
02418355	SOFOSBUVIR	Sovaldi 400mg Tab	GIL	654.7619	654.7619	NO	YES	NO
02456370	SOFOSBUVIR & VELPATASVIR	Epclusa 400mg & 100mg Tab	GIL	714.2857	714.2857	NO	YES	NO
02467542	SOFOSBUVIR & VELPATASVIR & VOXILAPREVIR	Vosevi 400mg & 100mg & 100mg Tab	GIL	714.2857	714.2857	NO	YES	NO
02439344	SOLIFENACIN SUCCINATE	Ach-Solifenacin Succinate 5mg Tab	ACH	0.3041	0.3041	YES	YES	NO
02439352	SOLIFENACIN SUCCINATE	Ach-Solifenacin Succinate 10mg Tab	ACH	0.3041	0.3041	YES	YES	NO
02422247	SOLIFENACIN SUCCINATE	Act Solifenacin 10mg Tab	ACV	0.3041	0.3041	YES	YES	NO
02422239	SOLIFENACIN SUCCINATE	Act Solifenacin 5mg Tab	ACV	0.3041	0.3041	YES	YES	NO
02423375	SOLIFENACIN SUCCINATE	Apo-Solifenacin 5mg Tab	APX	0.3041	0.3041	YES	YES	NO
02423383	SOLIFENACIN SUCCINATE	Apo-Solifenacin 10mg Tab	APX	0.3041	0.3041	YES	YES	NO
02446383	SOLIFENACIN SUCCINATE	Auro-Solifenacin 10mg Tab	AUR	0.3041	0.3041	YES	YES	NO
02446375	SOLIFENACIN SUCCINATE	Auro-Solifenacin 5mg Tab	AUR	0.3041	0.3041	YES	YES	NO
02428938	SOLIFENACIN SUCCINATE	Jamp Solifenacin Succinate 10mg Tab	JPC	0.3041	0.3041	YES	YES	NO
02428911	SOLIFENACIN SUCCINATE	Jamp Solifenacin Succinate 5mg Tab	JPC	0.3041	0.3041	YES	YES	NO
02424347	SOLIFENACIN SUCCINATE	Jamp-Solifenacin 10mg Tab	JPC	0.3041	0.3041	YES	YES	NO
02424339	SOLIFENACIN SUCCINATE	Jamp-Solifenacin 5mg Tab	JPC	0.3041	0.3041	YES	YES	NO
02529696	SOLIFENACIN SUCCINATE	M-Solifenacin Succinate 5mg Tab	MAT	0.3041	0.3041	YES	YES	NO
02529718	SOLIFENACIN SUCCINATE	M-Solifenacin Succinate 10mg Tab	MAT	0.3041	0.3041	YES	YES	NO
02417731	SOLIFENACIN SUCCINATE	PMS-Solifenacin 10mg Tab	PMS	0.3041	0.3041	YES	YES	NO
02417723	SOLIFENACIN SUCCINATE	PMS-Solifenacin 5mg Tab	PMS	0.3041	0.3041	YES	YES	NO
02493047	SOLIFENACIN SUCCINATE	PRZ-Solifenacin 10mg Tab	PRZ	0.3041	0.3041	YES	YES	NO
02493039	SOLIFENACIN SUCCINATE	PRZ-Solifenacin 5mg Tab	PRZ	0.3041	0.3041	YES	YES	NO
02437988	SOLIFENACIN SUCCINATE	Ran-Solifenacin 5mg Tab	RAN	0.3041	0.3041	YES	YES	NO
02437996	SOLIFENACIN SUCCINATE	Ran-Solifenacin 10mg Tab	RAN	0.3041	0.3041	YES	YES	NO
02399040	SOLIFENACIN SUCCINATE	Sandoz Solifenacin 10mg Tab	SDZ	0.3041	0.3041	YES	YES	NO
02399032	SOLIFENACIN SUCCINATE	Sandoz Solifenacin 5mg Tab	SDZ	0.3041	0.3041	YES	YES	NO
02458268	SOLIFENACIN SUCCINATE	Solifenacin 10mg Tab	SAI	0.3041	0.3041	YES	YES	NO
02458241	SOLIFENACIN SUCCINATE	Solifenacin 5mg Tab	SAI	0.3041	0.3041	YES	YES	NO
02448343	SOLIFENACIN SUCCINATE	Solifenacin Succinate Tablets 10mg Tab	MDI	0.3041	0.3041	YES	YES	NO
02448335	SOLIFENACIN SUCCINATE	Solifenacin Succinate Tablets 5mg Tab	MDI	0.3041	0.3041	YES	YES	NO
02397919	SOLIFENACIN SUCCINATE	Teva-Solifenacin 10mg Tab	TEV	0.3041	0.3041	YES	YES	NO
02397900	SOLIFENACIN SUCCINATE	Teva-Solifenacin 5mg Tab	TEV	0.3041	0.3041	YES	YES	NO
02277271	SOLIFENACIN SUCCINATE	Vesicare 10mg Tab	ASE	1.6892	0.3041	YES	YES	NO
02277263	SOLIFENACIN SUCCINATE	Vesicare 5mg Tab	ASE	1.6892	0.3041	YES	YES	NO
02167794	SOTALOL HCL	Apo-Sotalol 160mg Tab	APX	0.1623	0.1623	YES	NO	NO
02210428	SOTALOL HCL	Apo-Sotalol 80mg Tab	APX	0.2966	0.2966	YES	NO	NO
02270633	SOTALOL HCL	Co Sotalol 160mg Tab	COB	0.1623	0.1623	YES	NO	NO
02368625	SOTALOL HCL	Jamp-Sotalol 160mg Tab	JPC	0.1623	0.1623	YES	NO	NO
02368617	SOTALOL HCL	Jamp-Sotalol 80mg Tab	JPC	0.2966	0.2966	YES	NO	NO
02231182	SOTALOL HCL	Novo-Sotalol 160mg Tab	NOP	0.1623	0.1623	YES	NO	NO
02238326	SOTALOL HCL	PMS-Sotalol 80mg Tab	PMS	0.2966	0.2966	YES	NO	NO
02238327	SOTALOL HCL	PMS-Sotalol 160mg Tab	PMS	0.1623	0.1623	YES	NO	NO
02084236	SOTALOL HCL	Ratio-Sotalol 160mg Tab	RPH	0.1623	0.1623	YES	NO	NO
00897272	SOTALOL HCL	Sotacor (Not a Benefit) 80mg Tab	BQU	N/A	N/A	YES	NO	NO
00483923	SOTALOL HCL	Sotacor (Not a Benefit) 160mg Tab	BQU	N/A	N/A	YES	NO	NO
02396963	SOYBEAN OIL & MEDIUM CHAIN TRIGLYCERIDES & OLIVE OIL & FISH OIL	SMOFLipid 20% 6% & 6% & 5% & 3% w/v Inj Emuls-250mL Pk	FKC	27.5000	27.5000	NO	YES	NO
09857595	SOYBEAN OIL & MEDIUM CHAIN TRIGLYCERIDES & OLIVE OIL & FISH OIL	SMOFLipid 20% 6% & 6% & 5% & 3% w/v Inj Emuls-500mL Pk	FKC	33.3300	33.3300	NO	YES	NO
00028606	SPIRONOLACTONE	Aldactone 25mg Tab	PFI	0.2746	0.0405	YES	NO	YES
00285455	SPIRONOLACTONE	Aldactone 100mg Tab	PFI	0.6410	0.0955	YES	NO	YES
02518821	SPIRONOLACTONE	Jamp Spironolactone 25mg Tab	JPC	0.0405	0.0405	YES	NO	YES
02518848	SPIRONOLACTONE	Jamp Spironolactone 100mg Tab	JPC	0.0955	0.0955	YES	NO	YES
02488159	SPIRONOLACTONE	Mint-Spironolactone 100mg Tab	MIN	0.0955	0.0955	YES	NO	YES
02488140	SPIRONOLACTONE	Mint-Spironolactone 25mg Tab	MIN	0.0405	0.0405	YES	NO	YES
00613215	SPIRONOLACTONE	Teva-Spironolactone 25mg Tab	TEV	0.0405	0.0405	YES	NO	YES
00613223	SPIRONOLACTONE	Teva-Spironolactone 100mg Tab	TEV	0.0955	0.0955	YES	NO	YES
02423723	STANDARDIZED SHORT RAGWEED POLLEN ALLERGENIC EXTRACT	Ragwitek 12U SL Tab	ALK	4.6533	4.6533	NO	YES	NO
02216116	STAVUDINE	Zerit 40mg Cap	BQU	5.8883	5.8883	NO	NO	NO
02216108	STAVUDINE	Zerit 30mg Cap	BQU	5.6791	5.6791	NO	NO	NO
02216086	STAVUDINE	Zerit 15mg Cap	BQU	5.2358	5.2358	NO	NO	NO
02216094	STAVUDINE	Zerit 20mg Cap	BQU	5.4450	5.4450	NO	NO	NO
02103567	SUCRALFATE	Sulcrate Suspension Plus 1g/5mL Oral Susp	BFI	0.1313	0.1313	NO	NO	NO
02125250	SUCRALFATE	Apo-Sucralfate 1g Tab	APX	0.3089	0.3089	YES	NO	NO
02100622	SUCRALFATE	Sulcrate 1g Tab	BFI	0.7408	0.3089	YES	NO	NO
02045702	SUCRALFATE	Teva-Sucralfate 1g Tab	TEV	0.3089	0.3089	YES	NO	NO
00272485	SULFAMETHOXAZOLE & TRIMETHOPRIM	Bactrim Sugar Free (Not a Benefit) 40mg & 8mg/mL O/L	HLR	N/A	N/A	YES	NO	YES
00270644	SULFAMETHOXAZOLE & TRIMETHOPRIM	Septra (Not a Benefit) 40mg & 8mg/mL O/L	BWE	N/A	N/A	YES	NO	YES
00726540	SULFAMETHOXAZOLE & TRIMETHOPRIM	Teva-Trimel 40mg & 8mg/mL O/L	TEV	0.1026	0.1026	YES	NO	YES
00272469	SULFAMETHOXAZOLE & TRIMETHOPRIM	Bactrim (Not a Benefit) 400mg & 80mg Tab	HLR	N/A	N/A	YES	NO	YES
00371823	SULFAMETHOXAZOLE & TRIMETHOPRIM	Bactrim-DS (Not a Benefit) 800mg & 160mg Tab	HLR	N/A	N/A	YES	NO	YES
00270636	SULFAMETHOXAZOLE & TRIMETHOPRIM	Septra (Not a Benefit) 400mg & 80mg Tab	BWE	N/A	N/A	YES	NO	YES
00368040	SULFAMETHOXAZOLE & TRIMETHOPRIM	Septra DS (Not a Benefit) 800mg & 160mg Tab	BWE	N/A	N/A	YES	NO	YES
00445274	SULFAMETHOXAZOLE & TRIMETHOPRIM	Sulfatrim 400mg & 80mg Tab	AAP	0.2184	0.2184	YES	NO	YES
00445282	SULFAMETHOXAZOLE & TRIMETHOPRIM	Sulfatrim-DS 800mg & 160mg Tab	AAP	0.2074	0.2074	YES	NO	YES
00598488	SULFASALAZINE	PMS-Sulfasalazine-E.C. 500mg Ent Tab	PMS	0.3863	0.3863	YES	NO	NO
02064472	SULFASALAZINE	Salazopyrin EN-TABS 500 MG 500mg Ent Tab	PFI	0.5512	0.3863	YES	NO	NO
00598461	SULFASALAZINE	PMS-Sulfasalazine 500mg Tab	PMS	0.2533	0.2533	YES	NO	NO
02064480	SULFASALAZINE	Salazopyrin 500mg Tab	PFI	0.3614	0.2533	YES	NO	NO
00456888	SULINDAC	Clinoril (Not a Benefit) 150mg Tab	FRS	N/A	N/A	YES	NO	YES
00432369	SULINDAC	Clinoril (Not a Benefit) 200mg Tab	FRS	N/A	N/A	YES	NO	YES
00745588	SULINDAC	Teva-Sulindac 150mg Tab	TEV	0.4427	0.4427	YES	NO	YES
00745596	SULINDAC	Teva-Sulindac 200mg Tab	TEV	0.5253	0.5253	YES	NO	YES
02212188	SUMATRIPTAN SUCCINATE	Imitrex (Off-Formulary Interchangeable) 6mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk	GLW	52.8600	36.5888	YES	NO	NO
02361698	SUMATRIPTAN SUCCINATE	Taro-Sumatriptan (Off-Formulary Interchangeable) 6mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk	TAR	36.5888	36.5888	YES	NO	NO
02268396	SUMATRIPTAN SUCCINATE	Apo-Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	APX	9.9867	9.9867	YES	NO	NO
02268388	SUMATRIPTAN SUCCINATE	Apo-Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	APX	9.0650	9.0650	YES	NO	NO
02257890	SUMATRIPTAN SUCCINATE	Co Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	COB	9.0650	9.0650	YES	NO	NO
02257882	SUMATRIPTAN SUCCINATE	Co Sumatriptan (Off-Formulary Interchangeable) 25mg Tab	COB	8.9900	8.9900	YES	NO	NO
02257904	SUMATRIPTAN SUCCINATE	Co Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	COB	9.9867	9.9867	YES	NO	NO
02163764	SUMATRIPTAN SUCCINATE	Imitrex (Off-Formulary Interchangeable) 50mg Tab	GSK	N/A	N/A	YES	NO	NO
09857299	SUMATRIPTAN SUCCINATE	Imitrex (Off-Formulary Interchangeable) 25mg Tab	GSK	N/A	N/A	YES	NO	NO
01950614	SUMATRIPTAN SUCCINATE	Imitrex (Off-Formulary Interchangeable) 100mg Tab	GSK	N/A	N/A	YES	NO	NO
02212161	SUMATRIPTAN SUCCINATE	Imitrex DF (Off-Formulary Interchangeable) 100mg Tab	GSK	21.7933	9.9866	YES	NO	NO
02239738	SUMATRIPTAN SUCCINATE	Imitrex DF (Off-Formulary Interchangeable) 25mg Tab	GSK	N/A	N/A	YES	NO	NO
02212153	SUMATRIPTAN SUCCINATE	Imitrex DF (Off-Formulary Interchangeable) 50mg Tab	GSK	19.7817	9.0650	YES	NO	NO
02545365	SUMATRIPTAN SUCCINATE	Jamp Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	JPC	9.9866	9.9866	YES	NO	NO
02545357	SUMATRIPTAN SUCCINATE	Jamp Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	JPC	9.0650	9.0650	YES	NO	NO
02545292	SUMATRIPTAN SUCCINATE	Jamp Sumatriptan DF (Off-Formulary Interchangeable) 25mg Tab	JPC	8.9900	N/A	YES	NO	NO
02545306	SUMATRIPTAN SUCCINATE	Jamp Sumatriptan DF (Off-Formulary Interchangeable) 50mg Tab	JPC	9.0650	9.0650	YES	NO	NO
02545314	SUMATRIPTAN SUCCINATE	Jamp Sumatriptan DF (Off-Formulary Interchangeable) 100mg Tab	JPC	9.9866	9.9866	YES	NO	NO
02268906	SUMATRIPTAN SUCCINATE	Mylan-Sumatriptan (Off-Formulary Interchangeable) 25mg Tab	MYL	8.9900	8.9900	YES	NO	NO
02268922	SUMATRIPTAN SUCCINATE	Mylan-Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	MYL	9.9867	9.9867	YES	NO	NO
02268914	SUMATRIPTAN SUCCINATE	Mylan-Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	MYL	9.0650	9.0650	YES	NO	NO
02256436	SUMATRIPTAN SUCCINATE	PMS-Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	PMS	9.0650	9.0650	YES	NO	NO
02256428	SUMATRIPTAN SUCCINATE	PMS-Sumatriptan (Off-Formulary Interchangeable) 25mg Tab	PMS	8.9900	8.9900	YES	NO	NO
02256444	SUMATRIPTAN SUCCINATE	PMS-Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	PMS	9.9867	9.9867	YES	NO	NO
02271591	SUMATRIPTAN SUCCINATE	Ratio-Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	RPH	9.9867	9.9867	YES	NO	NO
02271583	SUMATRIPTAN SUCCINATE	Ratio-Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	RPH	9.0650	9.0650	YES	NO	NO
02263025	SUMATRIPTAN SUCCINATE	Sandoz Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	SDZ	9.0650	9.0650	YES	NO	NO
02263033	SUMATRIPTAN SUCCINATE	Sandoz Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	SDZ	9.9867	9.9867	YES	NO	NO
02546035	SUMATRIPTAN SUCCINATE	Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	SIV	9.0650	9.0650	YES	NO	NO
02286521	SUMATRIPTAN SUCCINATE	Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	SAI	9.0650	9.0650	YES	NO	NO
02286548	SUMATRIPTAN SUCCINATE	Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	SAI	9.9867	9.9867	YES	NO	NO
02546043	SUMATRIPTAN SUCCINATE	Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	SIV	9.9867	9.9867	YES	NO	NO
02385589	SUMATRIPTAN SUCCINATE	Sumatriptan DF (Off-Formulary Interchangeable) 100mg Tab	SIV	9.9866	9.9866	YES	NO	NO
02385570	SUMATRIPTAN SUCCINATE	Sumatriptan DF (Off-Formulary Interchangeable) 50mg Tab	SIV	9.0650	9.0650	YES	NO	NO
02286823	SUMATRIPTAN SUCCINATE	Teva-Sumatriptan DF (Off-Formulary Interchangeable) 50mg Tab	TEV	9.0650	9.0650	YES	NO	NO
02286815	SUMATRIPTAN SUCCINATE	Teva-Sumatriptan DF (Off-Formulary Interchangeable) 25mg Tab	TEV	8.9900	N/A	YES	NO	NO
02286831	SUMATRIPTAN SUCCINATE	Teva-Sumatriptan DF (Off-Formulary Interchangeable) 100mg Tab	TEV	9.9866	9.9866	YES	NO	NO
02532204	SUNITINIB MALATE	Auro-Sunitinib (Off-Formulary Interchangeable) 25mg Cap	AUR	110.7100	110.7100	YES	NO	NO
02532190	SUNITINIB MALATE	Auro-Sunitinib (Off-Formulary Interchangeable) 12.5mg Cap	AUR	55.3553	55.3553	YES	NO	NO
02532220	SUNITINIB MALATE	Auro-Sunitinib (Off-Formulary Interchangeable) 50mg Cap	AUR	221.4208	221.4208	YES	NO	NO
02532840	SUNITINIB MALATE	Sandoz Sunitinib (Off-Formulary Interchangeable) 12.5mg Cap	SDZ	55.3553	55.3553	YES	NO	NO
02532883	SUNITINIB MALATE	Sandoz Sunitinib (Off-Formulary Interchangeable) 50mg Cap	SDZ	221.4208	221.4208	YES	NO	NO
02532867	SUNITINIB MALATE	Sandoz Sunitinib (Off-Formulary Interchangeable) 25mg Cap	SDZ	110.7100	110.7100	YES	NO	NO
02280817	SUNITINIB MALATE	Sutent (Off-Formulary Interchangeable) 50mg Cap	PFI	260.4950	221.4208	YES	NO	NO
02280795	SUNITINIB MALATE	Sutent (Off-Formulary Interchangeable) 12.5mg Cap	PFI	65.1240	55.3553	YES	NO	NO
02280809	SUNITINIB MALATE	Sutent (Off-Formulary Interchangeable) 25mg Cap	PFI	130.2470	110.7100	YES	NO	NO
02524082	SUNITINIB MALATE	Taro-Sunitinib (Off-Formulary Interchangeable) 50mg Cap	TAR	221.4208	221.4208	YES	NO	NO
02524066	SUNITINIB MALATE	Taro-Sunitinib (Off-Formulary Interchangeable) 25mg Cap	TAR	110.7100	110.7100	YES	NO	NO
02524058	SUNITINIB MALATE	Taro-Sunitinib (Off-Formulary Interchangeable) 12.5mg Cap	TAR	55.3553	55.3553	YES	NO	NO
02526212	SUNITINIB MALATE	Teva-Sunitinib (Off-Formulary Interchangeable) 25mg Cap	TEV	110.7100	110.7100	YES	NO	NO
02526220	SUNITINIB MALATE	Teva-Sunitinib (Off-Formulary Interchangeable) 50mg Cap	TEV	221.4208	221.4208	YES	NO	NO
02526204	SUNITINIB MALATE	Teva-Sunitinib (Off-Formulary Interchangeable) 12.5mg Cap	TEV	55.3553	55.3553	YES	NO	NO
02176009	TACROLIMUS	Prograf 5mg/mL Amp	ASE	128.2350	128.2350	NO	YES	NO
02456095	TACROLIMUS	Ach-Tacrolimus 1mg Cap	ACH	1.2978	1.2978	YES	YES	NO
02454068	TACROLIMUS	Ach-Tacrolimus 0.5mg Cap	ACH	1.0146	1.0146	YES	YES	NO
02456109	TACROLIMUS	Ach-Tacrolimus 5mg Cap	ACH	6.4993	6.4993	YES	YES	NO
02175983	TACROLIMUS	Prograf 5mg Cap	ASE	12.9986	6.4993	YES	YES	NO
02243144	TACROLIMUS	Prograf 0.5mg Cap	ASE	2.0291	1.0146	YES	YES	NO
02175991	TACROLIMUS	Prograf 1mg Cap	ASE	2.5956	1.2978	YES	YES	NO
02416832	TACROLIMUS	Sandoz Tacrolimus 5mg Cap	SDZ	6.4993	6.4993	YES	YES	NO
02416816	TACROLIMUS	Sandoz Tacrolimus 0.5mg Cap	SDZ	1.0146	1.0146	YES	YES	NO
02416824	TACROLIMUS	Sandoz Tacrolimus 1mg Cap	SDZ	1.2978	1.2978	YES	YES	NO
02296462	TACROLIMUS	Advagraf 0.5mg ER Cap	ASE	2.2199	2.2199	NO	YES	NO
02296489	TACROLIMUS	Advagraf 5mg ER Cap	ASE	14.2205	14.2205	NO	YES	NO
02331667	TACROLIMUS	Advagraf 3mg ER Cap	ASE	8.5188	8.5188	NO	YES	NO
02296470	TACROLIMUS	Advagraf 1mg ER Cap	ASE	2.8396	2.8396	NO	YES	NO
02485885	TACROLIMUS	Envarsus PA 1mg ER Tab	EVL	2.7430	2.7430	NO	YES	NO
02485877	TACROLIMUS	Envarsus PA 0.75mg ER Tab	EVL	2.0999	2.0999	NO	YES	NO
02485893	TACROLIMUS	Envarsus PA 4mg ER Tab	EVL	10.9719	10.9719	NO	YES	NO
02244149	TACROLIMUS	Protopic 0.03% Oint	LEO	3.3530	3.3530	NO	YES	NO
02244148	TACROLIMUS	Protopic 0.1% Oint	LEO	3.5866	3.5866	NO	YES	NO
02481421	TADALAFIL	AG-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	ANG	12.3569	12.3569	YES	NO	NO
02516004	TADALAFIL	Ach-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	ACH	12.3575	12.3575	YES	NO	NO
02515989	TADALAFIL	Ach-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	ACH	3.6470	3.6470	YES	NO	NO
02515997	TADALAFIL	Ach-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	ACH	11.9250	11.9250	YES	NO	NO
02428652	TADALAFIL	Act Tadalafil (Off-Formulary Interchangeable) 20mg Tab	ACV	12.3569	12.3569	YES	NO	NO
02428628	TADALAFIL	Act Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	ACV	3.6471	3.6471	YES	NO	NO
02428644	TADALAFIL	Act Tadalafil (Off-Formulary Interchangeable) 10mg Tab	ACV	11.9255	11.9255	YES	NO	NO
02428636	TADALAFIL	Act Tadalafil (Off-Formulary Interchangeable) 5mg Tab	ACV	3.6471	3.6471	YES	NO	NO
02338327	TADALAFIL	Adcirca (Off-Formulary Interchangeable) 20mg Tab	LIL	15.0555	11.4725	YES	NO	NO
02422107	TADALAFIL	Apo-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	APX	11.9250	11.9250	YES	NO	NO
02422093	TADALAFIL	Apo-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	APX	3.6470	3.6470	YES	NO	NO
02422085	TADALAFIL	Apo-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	APX	3.6470	3.6470	YES	NO	NO
02422115	TADALAFIL	Apo-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	APX	12.3575	12.3575	YES	NO	NO
02421933	TADALAFIL	Apo-Tadalafil PAH (Off-Formulary Interchangeable) 20mg Tab	APX	11.4725	11.4725	YES	NO	NO
02435942	TADALAFIL	Auro-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	AUR	12.3575	12.3575	YES	NO	NO
02435896	TADALAFIL	Auro-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	AUR	3.6470	3.6470	YES	NO	NO
02435934	TADALAFIL	Auro-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	AUR	11.9250	11.9250	YES	NO	NO
02435926	TADALAFIL	Auro-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	AUR	3.6471	3.6471	YES	NO	NO
02248089	TADALAFIL	Cialis (Off-Formulary Interchangeable) 20mg Tab	LIL	N/A	N/A	YES	NO	NO
02248088	TADALAFIL	Cialis (Off-Formulary Interchangeable) 10mg Tab	LIL	N/A	N/A	YES	NO	NO
02296888	TADALAFIL	Cialis (Off-Formulary Interchangeable) 2.5mg Tab	LIL	N/A	N/A	YES	NO	NO
02296896	TADALAFIL	Cialis (Off-Formulary Interchangeable) 5mg Tab	LIL	N/A	N/A	YES	NO	NO
02451859	TADALAFIL	Jamp-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	JPC	12.3569	12.3569	YES	NO	NO
02451840	TADALAFIL	Jamp-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	JPC	11.9255	11.9255	YES	NO	NO
02451832	TADALAFIL	Jamp-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	JPC	3.6471	3.6471	YES	NO	NO
02451824	TADALAFIL	Jamp-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	JPC	3.6471	3.6471	YES	NO	NO
02512114	TADALAFIL	M-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	MAT	3.6470	3.6470	YES	NO	NO
02512122	TADALAFIL	M-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	MAT	11.9250	11.9250	YES	NO	NO
02512130	TADALAFIL	M-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	MAT	12.3575	12.3575	YES	NO	NO
02452286	TADALAFIL	Mar-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	MAR	3.6471	3.6471	YES	NO	NO
02452251	TADALAFIL	Mar-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	MAR	11.9250	11.9250	YES	NO	NO
02452243	TADALAFIL	Mar-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	MAR	12.3575	12.3575	YES	NO	NO
02452278	TADALAFIL	Mar-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	MAR	3.6471	3.6471	YES	NO	NO
02451670	TADALAFIL	Mint-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	MIN	3.6472	3.6472	YES	NO	NO
02451697	TADALAFIL	Mint-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	MIN	12.3576	12.3576	YES	NO	NO
02451689	TADALAFIL	Mint-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	MIN	11.9255	11.9255	YES	NO	NO
02410648	TADALAFIL	Mylan-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	MYL	3.6471	3.6471	YES	NO	NO
02410656	TADALAFIL	Mylan-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	MYL	11.9255	11.9255	YES	NO	NO
02410621	TADALAFIL	Mylan-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	MYL	3.6471	3.6471	YES	NO	NO
02410664	TADALAFIL	Mylan-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	MYL	12.3569	12.3569	YES	NO	NO
02520966	TADALAFIL	NRA-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	NRA	12.3575	12.3575	YES	NO	NO
02520931	TADALAFIL	NRA-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	NRA	3.6471	3.6471	YES	NO	NO
02409437	TADALAFIL	PMS-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	PMS	11.9255	11.9255	YES	NO	NO
02409445	TADALAFIL	PMS-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	PMS	12.3569	12.3569	YES	NO	NO
02409410	TADALAFIL	PMS-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	PMS	3.6471	3.6471	YES	NO	NO
02409429	TADALAFIL	PMS-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	PMS	3.6471	3.6471	YES	NO	NO
02512270	TADALAFIL	PRZ-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	PRZ	3.6471	3.6471	YES	NO	NO
02512262	TADALAFIL	PRZ-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	PRZ	3.6470	3.6470	YES	NO	NO
02512297	TADALAFIL	PRZ-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	PRZ	12.3575	12.3575	YES	NO	NO
02512289	TADALAFIL	PRZ-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	PRZ	11.9250	11.9250	YES	NO	NO
02452480	TADALAFIL	Priva-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	NRA	3.6471	3.6471	YES	NO	NO
02452502	TADALAFIL	Priva-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	NRA	12.3575	12.3575	YES	NO	NO
02452499	TADALAFIL	Priva-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	NRA	11.9250	11.9250	YES	NO	NO
02452103	TADALAFIL	Ran-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	RAN	11.9255	11.9255	YES	NO	NO
02452081	TADALAFIL	Ran-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	RAN	3.6471	3.6471	YES	NO	NO
02452111	TADALAFIL	Ran-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	RAN	12.3569	12.3569	YES	NO	NO
02452073	TADALAFIL	Ran-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	RAN	3.6471	3.6471	YES	NO	NO
02454726	TADALAFIL	Riva-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	RIA	3.6471	3.6471	YES	NO	NO
02454742	TADALAFIL	Riva-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	RIA	12.3569	12.3569	YES	NO	NO
02536676	TADALAFIL	Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	SIV	3.8616	3.8616	YES	NO	NO
02536692	TADALAFIL	Tadalafil (Off-Formulary Interchangeable) 10mg Tab	SIV	12.6270	12.6270	YES	NO	NO
02457024	TADALAFIL	Tadalafil (Off-Formulary Interchangeable) 10mg Tab	SAI	11.9250	11.9250	YES	NO	NO
02457016	TADALAFIL	Tadalafil (Off-Formulary Interchangeable) 5mg Tab	SAI	3.6471	3.6471	YES	NO	NO
02536684	TADALAFIL	Tadalafil (Off-Formulary Interchangeable) 5mg Tab	SIV	3.8616	3.8616	YES	NO	NO
02457032	TADALAFIL	Tadalafil (Off-Formulary Interchangeable) 20mg Tab	SAI	12.3569	12.3569	YES	NO	NO
02536706	TADALAFIL	Tadalafil (Off-Formulary Interchangeable) 20mg Tab	SIV	13.0838	13.0838	YES	NO	NO
02440156	TADALAFIL	Teva-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	TEV	3.8616	3.8616	YES	NO	NO
02440172	TADALAFIL	Teva-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	TEV	13.0838	13.0838	YES	NO	NO
02440148	TADALAFIL	Teva-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	TEV	3.8616	3.8616	YES	NO	NO
02440164	TADALAFIL	Teva-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	TEV	12.6270	12.6270	YES	NO	NO
00812404	TAMOXIFEN CITRATE	Apo-Tamox 10mg Tab	APX	0.1750	0.1750	YES	NO	NO
00812390	TAMOXIFEN CITRATE	Apo-Tamox 20mg Tab	APX	0.3500	0.3500	YES	NO	NO
02048477	TAMOXIFEN CITRATE	Nolvadex (Not a Benefit) 10mg Tab	AZC	N/A	N/A	YES	NO	NO
02048485	TAMOXIFEN CITRATE	Nolvadex D 20mg Tab	AZC	0.3910	0.3500	YES	NO	NO
01926632	TAMOXIFEN CITRATE	Tamofen (Not a Benefit) 20mg Tab	SAV	N/A	N/A	YES	NO	NO
01926624	TAMOXIFEN CITRATE	Tamofen (Not a Benefit) 10mg Tab	SAV	N/A	N/A	YES	NO	NO
00851965	TAMOXIFEN CITRATE	Teva-Tamoxifen 10mg Tab	TEV	0.1750	0.1750	YES	NO	NO
00851973	TAMOXIFEN CITRATE	Teva-Tamoxifen 20mg Tab	TEV	0.3500	0.3500	YES	NO	NO
02362406	TAMSULOSIN HCL	Apo-Tamsulosin CR Tab 0.4mg	APX	0.1500	0.1500	YES	NO	YES
02545179	TAMSULOSIN HCL	Auro-Tamsulosin CR Tab 0.4mg	AUR	0.1500	0.1500	YES	NO	NO
02270102	TAMSULOSIN HCL	Flomax CR Tab 0.4mg	BOE	0.6700	0.1500	YES	NO	YES
02340208	TAMSULOSIN HCL	Sandoz Tamsulosin CR Tab 0.4mg	SDZ	0.1500	0.1500	YES	NO	YES
02429667	TAMSULOSIN HCL	Tamsulosin CR Tab 0.4mg	SIV	0.1500	0.1500	YES	NO	YES
02427117	TAMSULOSIN HCL	Tamsulosin CR Tab 0.4mg	SAI	0.1500	0.1500	YES	NO	YES
02368242	TAMSULOSIN HCL	Teva-Tamsulosin CR Tab 0.4mg	TEV	0.1500	0.1500	YES	NO	YES
02238123	TAMSULOSIN HCL	Flomax (Not a Benefit) 0.4mg ER Cap	BOE	N/A	N/A	YES	NO	YES
02352419	TAMSULOSIN HCL	Jamp Tamsulosin 0.4mg ER Cap	JPC	0.4750	0.4750	YES	NO	YES
02319217	TAMSULOSIN HCL	Sandoz Tamsulosin 0.4mg ER Cap	SDZ	0.4750	0.4750	YES	NO	YES
02517868	TAZAROTENE	Arazlo 0.045% w/w Lot	BHC	1.4051	1.4051	NO	YES	NO
02407485	TELMISARTAN	Ach-Telmisartan 40mg Tab	ACH	0.2161	0.2161	YES	NO	NO
02407493	TELMISARTAN	Ach-Telmisartan 80mg Tab	ACH	0.2161	0.2161	YES	NO	NO
02420090	TELMISARTAN	Apo-Telmisartan 80mg Tab	APX	0.2161	0.2161	YES	NO	NO
02420082	TELMISARTAN	Apo-Telmisartan 40mg Tab	APX	0.2161	0.2161	YES	NO	NO
02453568	TELMISARTAN	Auro-Telmisartan 40mg Tab	AUR	0.2161	0.2161	YES	NO	NO
02453576	TELMISARTAN	Auro-Telmisartan 80mg Tab	AUR	0.2161	0.2161	YES	NO	NO
02393255	TELMISARTAN	Co Telmisartan 80mg Tab	COB	0.2161	0.2161	YES	NO	NO
02386763	TELMISARTAN	Jamp Telmisartan 80mg Tab	JPC	0.2161	0.2161	YES	NO	NO
02386755	TELMISARTAN	Jamp Telmisartan 40mg Tab	JPC	0.2161	0.2161	YES	NO	NO
02240769	TELMISARTAN	Micardis 40mg Tab	BOE	1.3897	0.2161	YES	NO	NO
02240770	TELMISARTAN	Micardis 80mg Tab	BOE	1.3897	0.2161	YES	NO	NO
02486369	TELMISARTAN	Mint-Telmisartan 40mg Tab	MIN	0.2161	0.2161	YES	NO	NO
02486377	TELMISARTAN	Mint-Telmisartan 80mg Tab	MIN	0.2161	0.2161	YES	NO	NO
02503794	TELMISARTAN	NRA-Telmisartan 40mg Tab	NRA	0.2161	0.2161	YES	NO	NO
02503808	TELMISARTAN	NRA-Telmisartan 80mg Tab	NRA	0.2161	0.2161	YES	NO	NO
02499630	TELMISARTAN	PMS-Telmisartan 80mg Tab	PMS	0.2161	0.2161	YES	NO	NO
02499622	TELMISARTAN	PMS-Telmisartan 40mg Tab	PMS	0.2161	0.2161	YES	NO	NO
02375958	TELMISARTAN	Sandoz Telmisartan 40mg Tab	SDZ	0.2161	0.2161	YES	NO	NO
02375966	TELMISARTAN	Sandoz Telmisartan 80mg Tab	SDZ	0.2161	0.2161	YES	NO	NO
02432900	TELMISARTAN	Telmisartan 80mg Tab	PMS	0.2161	0.2161	YES	NO	NO
02388944	TELMISARTAN	Telmisartan 40mg Tab	SAI	0.2161	0.2161	YES	NO	NO
02390353	TELMISARTAN	Telmisartan 80mg Tab	SIV	0.2161	0.2161	YES	NO	NO
02388952	TELMISARTAN	Telmisartan 80mg Tab	SAI	0.2161	0.2161	YES	NO	NO
02432897	TELMISARTAN	Telmisartan 40mg Tab	PMS	0.2161	0.2161	YES	NO	NO
02390345	TELMISARTAN	Telmisartan 40mg Tab	SIV	0.2161	0.2161	YES	NO	NO
02320185	TELMISARTAN	Teva-Telmisartan 80mg Tab	TEV	0.2161	0.2161	YES	NO	NO
02320177	TELMISARTAN	Teva-Telmisartan 40mg Tab	TEV	0.2161	0.2161	YES	NO	NO
02371030	TELMISARTAN & AMLODIPINE BESYLATE	Twynsta 40mg & 10mg Tab	BOE	0.8128	0.8128	NO	NO	NO
02371022	TELMISARTAN & AMLODIPINE BESYLATE	Twynsta 40mg & 5mg Tab	BOE	0.8128	0.8128	NO	NO	NO
02371057	TELMISARTAN & AMLODIPINE BESYLATE	Twynsta 80mg & 10mg Tab	BOE	0.8128	0.8128	NO	NO	NO
02371049	TELMISARTAN & AMLODIPINE BESYLATE	Twynsta 80mg & 5mg Tab	BOE	0.8128	0.8128	NO	NO	NO
02420023	TELMISARTAN & HYDROCHLOROTHIAZIDE	Apo-Telmisartan/HCTZ 80mg & 12.5mg Tab	APX	0.2098	0.2098	YES	NO	NO
02420031	TELMISARTAN & HYDROCHLOROTHIAZIDE	Apo-Telmisartan/HCTZ 80mg & 25mg Tab	APX	0.2098	0.2098	YES	NO	NO
02456397	TELMISARTAN & HYDROCHLOROTHIAZIDE	Auro-Telmisartan HCTZ 80mg & 25mg Tab	AUR	0.2098	0.2098	YES	NO	NO
02456389	TELMISARTAN & HYDROCHLOROTHIAZIDE	Auro-Telmisartan HCTZ 80mg & 12.5mg Tab	AUR	0.2098	0.2098	YES	NO	NO
02393263	TELMISARTAN & HYDROCHLOROTHIAZIDE	Co Telmisartan/HCT 80mg & 12.5mg Tab	COB	0.2098	0.2098	YES	NO	NO
02393271	TELMISARTAN & HYDROCHLOROTHIAZIDE	Co Telmisartan/HCT 80mg & 25mg Tab	COB	0.2098	0.2098	YES	NO	NO
02389940	TELMISARTAN & HYDROCHLOROTHIAZIDE	Jamp Telmisartan-HCT 80mg & 12.5mg Tab	JPC	0.2098	0.2098	YES	NO	NO
02389959	TELMISARTAN & HYDROCHLOROTHIAZIDE	Jamp Telmisartan-HCT 80mg & 25mg Tab	JPC	0.2098	0.2098	YES	NO	NO
02318709	TELMISARTAN & HYDROCHLOROTHIAZIDE	Micardis Plus 80mg & 25mg Tab	BOE	1.3897	0.2098	YES	NO	NO
02244344	TELMISARTAN & HYDROCHLOROTHIAZIDE	Micardis Plus 80mg & 12.5mg Tab	BOE	1.3897	0.2098	YES	NO	NO
02504138	TELMISARTAN & HYDROCHLOROTHIAZIDE	NRA-Telmisartan HCTZ 80mg & 25mg Tab	NRA	0.2098	0.2098	YES	NO	NO
02504146	TELMISARTAN & HYDROCHLOROTHIAZIDE	NRA-Telmisartan HCTZ 80mg & 12.5mg Tab	NRA	0.2098	0.2098	YES	NO	NO
02393557	TELMISARTAN & HYDROCHLOROTHIAZIDE	Sandoz Telmisartan HCT 80mg & 12.5mg Tab	SDZ	0.2098	0.2098	YES	NO	NO
02393565	TELMISARTAN & HYDROCHLOROTHIAZIDE	Sandoz Telmisartan HCT 80mg & 25mg Tab	SDZ	0.2098	0.2098	YES	NO	NO
02390310	TELMISARTAN & HYDROCHLOROTHIAZIDE	Telmisartan HCTZ 80mg & 25mg Tab	SIV	0.2098	0.2098	YES	NO	NO
02390302	TELMISARTAN & HYDROCHLOROTHIAZIDE	Telmisartan HCTZ 80mg & 12.5mg Tab	SIV	0.2098	0.2098	YES	NO	NO
02419114	TELMISARTAN & HYDROCHLOROTHIAZIDE	Telmisartan and Hydrochlorothiazide Tab 80mg & 12.5mg Tab	ACH	0.2098	0.2098	YES	NO	NO
02419122	TELMISARTAN & HYDROCHLOROTHIAZIDE	Telmisartan and Hydrochlorothiazide Tab 80mg & 25mg Tab	ACH	0.2098	0.2098	YES	NO	NO
02395363	TELMISARTAN & HYDROCHLOROTHIAZIDE	Telmisartan/HCTZ 80mg & 25mg Tab	SAI	0.2098	0.2098	YES	NO	NO
02395355	TELMISARTAN & HYDROCHLOROTHIAZIDE	Telmisartan/HCTZ 80mg & 12.5mg Tab	SAI	0.2098	0.2098	YES	NO	NO
02330288	TELMISARTAN & HYDROCHLOROTHIAZIDE	Teva-Telmisartan HCTZ 80mg & 12.5mg Tab	TEV	0.2098	0.2098	YES	NO	NO
02379252	TELMISARTAN & HYDROCHLOROTHIAZIDE	Teva-Telmisartan HCTZ 80mg & 25mg Tab	TEV	0.2098	0.2098	YES	NO	NO
00604461	TEMAZEPAM	Restoril 30mg Cap	AAP	0.2980	0.2980	NO	NO	NO
00604453	TEMAZEPAM	Restoril 15mg Cap	AAP	0.2461	0.2461	NO	NO	NO
02516802	TEMOZOLOMIDE	Jamp Temozolomide 20mg Cap	JPC	7.8000	7.8000	YES	NO	NO
02516799	TEMOZOLOMIDE	Jamp Temozolomide 5mg Cap	JPC	1.9500	1.9500	YES	NO	NO
02516829	TEMOZOLOMIDE	Jamp Temozolomide 140mg Cap	JPC	54.6025	54.6025	YES	NO	NO
02516810	TEMOZOLOMIDE	Jamp Temozolomide 100mg Cap	JPC	39.0015	39.0015	YES	NO	NO
02516845	TEMOZOLOMIDE	Jamp Temozolomide 250mg Cap	JPC	97.5010	97.5010	YES	NO	NO
02443481	TEMOZOLOMIDE	Taro-Temozolomide 20mg Cap	TAR	7.8000	7.8000	YES	NO	NO
02443473	TEMOZOLOMIDE	Taro-Temozolomide 5mg Cap	TAR	1.9500	1.9500	YES	NO	NO
02443511	TEMOZOLOMIDE	Taro-Temozolomide 100mg Cap	TAR	39.0015	39.0015	YES	NO	NO
02443554	TEMOZOLOMIDE	Taro-Temozolomide 250mg Cap	TAR	97.5010	97.5010	YES	NO	NO
02443538	TEMOZOLOMIDE	Taro-Temozolomide 140mg Cap	TAR	54.6025	54.6025	YES	NO	NO
02312794	TEMOZOLOMIDE	Temodal 140mg Cap	MEK	224.9623	54.6025	YES	NO	NO
02241096	TEMOZOLOMIDE	Temodal 250mg Cap	MEK	401.7041	97.5010	YES	NO	NO
02241095	TEMOZOLOMIDE	Temodal 100mg Cap	MEK	160.6862	39.0015	YES	NO	NO
02241093	TEMOZOLOMIDE	Temodal 5mg Cap	MEK	8.0340	1.9500	YES	NO	NO
02241094	TEMOZOLOMIDE	Temodal 20mg Cap	MEK	32.1360	7.8000	YES	NO	NO
02395312	TEMOZOLOMIDE	Teva-Temozolomide 250mg Cap	TEV	97.5010	97.5010	YES	NO	NO
02395282	TEMOZOLOMIDE	Teva-Temozolomide 100mg Cap	TEV	39.0015	39.0015	YES	NO	NO
02395274	TEMOZOLOMIDE	Teva-Temozolomide 20mg Cap	TEV	7.8000	7.8000	YES	NO	NO
02441160	TEMOZOLOMIDE	Teva-Temozolomide 5mg Cap	TEV	1.9500	1.9500	YES	NO	NO
02395290	TEMOZOLOMIDE	Teva-Temozolomide 140mg Cap	TEV	54.6025	54.6025	YES	NO	NO
02451980	TENOFOVIR DISOPROXIL	Apo-Tenofovir 300mg Tab	APX	4.8884	4.8884	YES	YES	NO
02460173	TENOFOVIR DISOPROXIL	Auro-Tenofovir 300mg Tab	AUR	4.8884	4.8884	YES	YES	NO
02479087	TENOFOVIR DISOPROXIL	Jamp-Tenofovir 300mg Tab	JPC	4.8884	4.8884	YES	YES	NO
02512939	TENOFOVIR DISOPROXIL	Mint-Tenofovir 300mg Tab	MIN	4.8884	4.8884	YES	YES	NO
02452634	TENOFOVIR DISOPROXIL	Mylan-Tenofovir Disoproxil 300mg Tab	MYL	4.8884	4.8884	YES	YES	NO
02472511	TENOFOVIR DISOPROXIL	Nat-Tenofovir 300mg Tab	NAT	4.8884	4.8884	YES	YES	NO
02453940	TENOFOVIR DISOPROXIL	PMS-Tenofovir 300mg Tab	PMS	4.8884	4.8884	YES	YES	NO
02523922	TENOFOVIR DISOPROXIL	Tenofovir 300mg Tab	SIV	4.8884	4.8884	YES	YES	NO
02512327	TENOFOVIR DISOPROXIL	Tenofovir 300mg Tab	SAI	4.8884	4.8884	YES	YES	NO
02403889	TENOFOVIR DISOPROXIL	Teva-Tenofovir 300mg Tab	TEV	4.8884	4.8884	YES	YES	NO
02247128	TENOFOVIR DISOPROXIL	Viread 300mg Tab	GIL	19.5537	4.8884	YES	YES	NO
02234503	TERAZOSIN HCL	Apo-Terazosin 2mg Tab	APX	0.5005	0.5005	YES	NO	NO
02234502	TERAZOSIN HCL	Apo-Terazosin 1mg Tab	APX	0.3938	0.3938	YES	NO	NO
02234504	TERAZOSIN HCL	Apo-Terazosin 5mg Tab	APX	0.3168	0.3168	YES	NO	NO
02234505	TERAZOSIN HCL	Apo-Terazosin 10mg Tab	APX	0.9950	0.9950	YES	NO	NO
00818666	TERAZOSIN HCL	Hytrin (Not a Benefit) 5mg Tab	ABB	N/A	N/A	YES	NO	NO
00818674	TERAZOSIN HCL	Hytrin (Not a Benefit) 10mg Tab	ABB	N/A	N/A	YES	NO	NO
00818658	TERAZOSIN HCL	Hytrin (Not a Benefit) 1mg Tab	ABB	N/A	N/A	YES	NO	NO
00818682	TERAZOSIN HCL	Hytrin (Not a Benefit) 2mg Tab	ABB	N/A	N/A	YES	NO	NO
02243519	TERAZOSIN HCL	PMS-Terazosin 2mg Tab	PMS	0.5005	0.5005	YES	NO	NO
02243520	TERAZOSIN HCL	PMS-Terazosin 5mg Tab	PMS	0.3168	0.3168	YES	NO	NO
02243518	TERAZOSIN HCL	PMS-Terazosin 1mg Tab	PMS	0.3938	0.3938	YES	NO	NO
02243521	TERAZOSIN HCL	PMS-Terazosin 10mg Tab	PMS	0.9950	0.9950	YES	NO	NO
02230807	TERAZOSIN HCL	Teva-Terazosin 5mg Tab	TEV	0.3168	0.3168	YES	NO	NO
02031094	TERBINAFINE HCL	Lamisil 1% Cr	NOV	0.6596	0.6596	NO	NO	YES
02239893	TERBINAFINE HCL	Apo-Terbinafine 250mg Tab	APX	0.7714	0.7714	YES	NO	NO
02320134	TERBINAFINE HCL	Auro-Terbinafine 250mg Tab	AUR	0.7714	0.7714	YES	NO	NO
02254727	TERBINAFINE HCL	Co Terbinafine 250mg Tab	COB	0.7714	0.7714	YES	NO	NO
02031116	TERBINAFINE HCL	Lamisil (Not a Benefit) 250mg Tab	NOV	N/A	N/A	YES	NO	NO
02294273	TERBINAFINE HCL	PMS-Terbinafine 250mg Tab	PMS	0.7714	0.7714	YES	NO	NO
02353121	TERBINAFINE HCL	Terbinafine 250mg Tab	SAI	0.7714	0.7714	YES	NO	NO
02385279	TERBINAFINE HCL	Terbinafine 250mg Tab	SIV	0.7714	0.7714	YES	NO	NO
02240346	TERBINAFINE HCL	Teva-Terbinafine 250mg Tab	TEV	0.7714	0.7714	YES	NO	NO
00786616	TERBUTALINE SULFATE	Bricanyl Turbuhaler 0.5mg/Dose Inh-100 Dose Pk	AZC	8.4900	8.4900	NO	NO	NO
09858138	TERBUTALINE SULFATE	Bricanyl Turbuhaler 0.5mg/Dose Inh-120 Dose Pk	AZC	11.3160	11.3160	NO	NO	NO
02247651	TERCONAZOLE	Taro-Terconazole 0.4% Vag Cr	TAR	0.6354	0.6354	YES	NO	YES
00894729	TERCONAZOLE	Terazol 7 (Not a Benefit) 0.4% Vag Cr	JAN	N/A	N/A	YES	NO	YES
02502933	TERIFLUNOMIDE	Ach-Teriflunomide 14mg Tab	ACH	14.9300	14.9300	YES	YES	NO
02500639	TERIFLUNOMIDE	Apo-Teriflunomide 14mg Tab	APX	14.9300	14.9300	YES	YES	NO
02416328	TERIFLUNOMIDE	Aubagio (Not a Benefit) 14mg Tab	SAG	N/A	N/A	YES	NO	NO
02504170	TERIFLUNOMIDE	Jamp Teriflunomide 14mg Tab	JPC	14.9300	14.9300	YES	YES	NO
02523833	TERIFLUNOMIDE	M-Teriflunomide 14mg Tab	MAT	14.9300	14.9300	YES	YES	NO
02500469	TERIFLUNOMIDE	Mar-Teriflunomide 14mg Tab	MAR	14.9300	14.9300	YES	YES	NO
02500310	TERIFLUNOMIDE	Nat-Teriflunomide 14mg Tab	NAT	14.9300	14.9300	YES	YES	NO
02500434	TERIFLUNOMIDE	PMS-Teriflunomide 14mg Tab	PMS	14.9300	14.9300	YES	YES	NO
02505843	TERIFLUNOMIDE	Sandoz Teriflunomide 14mg Tab	SDZ	14.9300	14.9300	YES	YES	NO
02501090	TERIFLUNOMIDE	Teva-Teriflunomide 14mg Tab	TEV	14.9300	14.9300	YES	YES	NO
02498804	TERIPARATIDE	Apo-Teriparatide Injection 250mcg/mL Inj Sol-2.4mL Pref Pen	APX	535.4700	535.4700	YES	YES	NO
09857535	TERIPARATIDE	Forteo 250mcg/mL Inj Sol-2.4mL Pref Pen	LIL	1238.8400	535.4700	YES	YES	NO
02486423	TERIPARATIDE	Teva-Teriparatide Injection 250mcg/mL Inj Sol-2.4mL Pref Pen	TEV	535.4700	535.4700	YES	YES	NO
02495589	TERIPARATIDE	Osnuvo 250mcg/mL Inj Sol-3mL Cart Pk	AVP	565.2600	565.2600	NO	YES	NO
02245345	TESTOSTERONE	Androgel 1% 2.5g Foil Packet	SPH	2.4965	1.6726	YES	YES	NO
02463792	TESTOSTERONE	Taro-Testosterone Gel 1% 2.5g Foil Packet	TAR	1.6726	1.6726	YES	YES	NO
02245346	TESTOSTERONE	Androgel 1% 5.0g Foil Packet	SPH	4.4145	2.9575	YES	YES	NO
02463806	TESTOSTERONE	Taro-Testosterone Gel 1% 5.0g Foil Packet	TAR	2.9575	2.9575	YES	YES	NO
02280248	TESTOSTERONE	Testim 1% Top Gel-5g Pk	PPI	4.3180	4.3180	NO	YES	NO
00030783	TESTOSTERONE CYPIONATE	Depo-Testosterone 100mg/mL Oily Inj Sol-10mL Pk	PFI	48.1300	34.8780	YES	YES	NO
02496003	TESTOSTERONE CYPIONATE	Taro-Testosterone Cypionate Injection 100mg/mL Oily Inj Sol-10mL Pk	TAR	34.8780	34.8780	YES	YES	NO
00029246	TESTOSTERONE ENANTHATE	Delatestryl (Not a Benefit) 1000mg/5mL Oily Inj Sol-5mL Pk	VAL	N/A	N/A	YES	NO	NO
02536315	TESTOSTERONE ENANTHATE	Testosterone Enanthate Injection, USP 1000mg/5mL Oily Inj Sol-5mL Pk	HIK	35.5943	35.5943	YES	YES	NO
00782327	TESTOSTERONE UNDECANOATE	Andriol (Not a Benefit) 40mg Cap	ORG	N/A	N/A	YES	NO	NO
02322498	TESTOSTERONE UNDECANOATE	PMS-Testosterone 40mg Cap	PMS	0.4700	0.4700	YES	YES	NO
02421186	TESTOSTERONE UNDECANOATE	Taro-Testosterone 40mg Cap	TAR	0.4700	0.4700	YES	YES	NO
02407590	TETRABENAZINE	Apo-Tetrabenazine (Off-Formulary Interchangeable) 25mg Tab	APX	4.8551	4.8551	YES	NO	NO
02199270	TETRABENAZINE	Nitoman (Off-Formulary Interchangeable) 25mg Tab	VAL	N/A	N/A	YES	NO	NO
02402424	TETRABENAZINE	PMS-Tetrabenazine (Off-Formulary Interchangeable) 25mg Tab	PMS	4.8551	4.8551	YES	NO	NO
02410338	TETRABENAZINE	Tetrabenazine Tablets (Off-Formulary Interchangeable) 25mg Tab	STE	4.8551	4.8551	YES	NO	NO
00580929	TETRACYCLINE	Tetracycline 250mg Cap	AAP	0.0670	0.0670	YES	NO	YES
00024422	TETRACYCLINE	Tetracyn (Not a Benefit) 250mg Cap	PFI	N/A	N/A	YES	NO	YES
02360101	THEOPHYLLINE ANHYDROUS	Theo ER 400mg SR Tab	AAP	0.3735	0.3734	YES	NO	NO
02360128	THEOPHYLLINE ANHYDROUS	Theo ER 600mg SR Tab	AAP	0.4524	0.4524	YES	NO	NO
02014165	THEOPHYLLINE ANHYDROUS	Uniphyl (Not a Benefit) 400mg SR Tab	ELV	N/A	N/A	YES	NO	NO
02014181	THEOPHYLLINE ANHYDROUS	Uniphyl (Not a Benefit) 600mg SR Tab	ELV	N/A	N/A	YES	NO	NO
00610267	THIAMINE HCL	Vitamin B1 (Not a Benefit) 50mg Tab	LEA	N/A	N/A	YES	NO	NO
00268631	THIAMINE HCL	Vitamin B1-ICN (Not a Benefit) 50mg Tab	VAL	N/A	N/A	YES	NO	NO
00282081	THIOGUANINE	Lanvis 40mg Tab	ASN	6.4201	6.4201	NO	NO	NO
02246016	THYROTROPIN ALFA	Thyrogen 0.9mg/mL Inj Pd-2x1.1mg Vial Pk	GZM	1887.4200	1887.4200	NO	NO	NO
02230828	TIAPROFENIC ACID	PMS-Tiaprofenic (Not a Benefit) 300mg Tab	PMS	N/A	N/A	YES	NO	YES
01989782	TIAPROFENIC ACID	Surgam (Not a Benefit) 200mg Tab	HRU	N/A	N/A	YES	NO	YES
02221950	TIAPROFENIC ACID	Surgam (Not a Benefit) 300mg Tab	SAV	N/A	N/A	YES	NO	YES
02179679	TIAPROFENIC ACID	Teva-Tiaprofenic 200mg Tab	TEV	0.5728	0.5728	YES	NO	YES
02179687	TIAPROFENIC ACID	Teva-Tiaprofenic 300mg Tab	TEV	0.8070	0.8070	YES	NO	YES
02482622	TICAGRELOR	Apo-Ticagrelor (Off-Formulary Interchangeable) 60mg Tab	APX	1.2844	N/A	YES	NO	NO
02482630	TICAGRELOR	Apo-Ticagrelor 90mg Tab	APX	0.3960	0.3960	YES	YES	NO
02455005	TICAGRELOR	Brilinta (Off-Formulary Interchangeable) 60mg Tab	AZC	N/A	N/A	YES	NO	NO
02368544	TICAGRELOR	Brilinta 90mg Tab	AZC	1.7849	0.3960	YES	YES	NO
02531801	TICAGRELOR	Jamp Ticagrelor 90mg Tab	JPC	0.3960	0.3960	YES	YES	NO
02531798	TICAGRELOR	Jamp Ticagrelor (Off-Formulary Interchangeable) 60mg Tab	JPC	1.2844	N/A	YES	NO	NO
02529769	TICAGRELOR	M-Ticagrelor 90mg Tab	MAT	0.3960	0.3960	YES	YES	NO
02529750	TICAGRELOR	M-Ticagrelor (Off-Formulary Interchangeable) 60mg Tab	MAT	1.2844	N/A	YES	NO	NO
02492598	TICAGRELOR	Taro-Ticagrelor 90mg Tab	TAR	0.3960	0.3960	YES	YES	NO
02492571	TICAGRELOR	Taro-Ticagrelor (Off-Formulary Interchangeable) 60mg Tab	TAR	1.2844	N/A	YES	NO	NO
02162776	TICLOPIDINE HCL	Ticlid (Not a Benefit) 250mg Tab	HLR	N/A	N/A	YES	NO	NO
02237701	TICLOPIDINE HCL	Ticlopidine 250mg Tab	AAP	1.0679	1.0679	YES	YES	NO
02285401	TIGECYCLINE	Tygacil 50mg/Vial Pd for Inj-5mLVial Pk (Preservative-Free)	PFI	83.4740	83.4740	NO	NO	NO
02516098	TILDRAKIZUMAB	Ilumya 100mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	SPC	4935.0000	4935.0000	NO	YES	NO
02242276	TIMOLOL MALEATE	Timolol Maleate-EX 0.5% Oph Gellan Sol	ALC	3.5320	3.5320	YES	NO	YES
02242275	TIMOLOL MALEATE	Timolol Maleate-EX 0.25% Oph Gellan Sol	ALC	2.9540	2.9540	YES	NO	YES
02171899	TIMOLOL MALEATE	Timoptic-XE 0.5% Oph Gellan Sol	ELV	9.1190	3.5320	YES	NO	YES
02171880	TIMOLOL MALEATE	Timoptic-XE (Not a Benefit) 0.25% Oph Gellan Sol	PFP	N/A	N/A	YES	NO	YES
00755834	TIMOLOL MALEATE	Apo-Timop 0.5% Oph Sol	APX	1.2145	1.2145	YES	NO	YES
02447800	TIMOLOL MALEATE	Jamp-Timolol 0.5% Oph Sol	JPC	1.2145	1.2145	YES	NO	YES
02083345	TIMOLOL MALEATE	PMS-Timolol 0.5% Oph Sol	PMS	1.2145	1.2145	YES	NO	YES
02166720	TIMOLOL MALEATE	Sandoz Timolol 0.5% Oph Sol	SDZ	1.2145	1.2145	YES	NO	YES
02166712	TIMOLOL MALEATE	Sandoz Timolol 0.25% Oph Sol	SDZ	2.3503	2.3503	YES	NO	YES
00451207	TIMOLOL MALEATE	Timoptic 0.5% Oph Sol	ELV	7.1408	1.2145	YES	NO	YES
00451193	TIMOLOL MALEATE	Timoptic (Not a Benefit) 0.25% Oph Sol	MFC	N/A	N/A	YES	NO	YES
00495611	TIMOLOL MALEATE	Blocadren (Not a Benefit) 20mg Tab	FRS	N/A	N/A	YES	NO	NO
00353922	TIMOLOL MALEATE	Blocadren (Not a Benefit) 10mg Tab	FRS	N/A	N/A	YES	NO	NO
00353914	TIMOLOL MALEATE	Blocadren (Not a Benefit) 5mg Tab	FRS	N/A	N/A	YES	NO	NO
00755869	TIMOLOL MALEATE	Timolol 20mg Tab	AAP	0.6304	0.6304	YES	NO	NO
00755842	TIMOLOL MALEATE	Timolol 5mg Tab	AAP	0.2077	0.2077	YES	NO	NO
00755850	TIMOLOL MALEATE	Timolol 10mg Tab	AAP	0.3239	0.3239	YES	NO	NO
02415305	TIMOLOL MALEATE & TRAVOPROST	Apo-Travoprost-Timop 0.5% & 0.004% Oph Sol	APX	8.8425	8.8425	YES	YES	NO
02278251	TIMOLOL MALEATE & TRAVOPROST	DuoTrav (Not a Benefit) 0.5% & 0.004% Oph Sol	ALC	N/A	N/A	YES	NO	NO
09857644	TIMOLOL MALEATE & TRAVOPROST	Apo-Travoprost-Timop PQ 0.5% & 0.004% Oph Sol-5mL Pk	APX	44.2125	44.2125	YES	YES	YES
09857513	TIMOLOL MALEATE & TRAVOPROST	DuoTrav PQ 0.5% & 0.004% Oph Sol-5mL Pk	NOV	56.7000	44.2125	YES	YES	YES
02429462	TINZAPARIN SODIUM	Innohep 8000IU/0.4mL Inj Pref Syr	LEO	22.2100	22.2100	NO	YES	NO
02358182	TINZAPARIN SODIUM	Innohep 18000IU/0.9mL Inj Pref Syr	LEO	52.4660	52.4660	NO	YES	NO
02358174	TINZAPARIN SODIUM	Innohep 14000IU/0.7mL Inj Pref Syr	LEO	40.8110	40.8110	NO	YES	NO
02231478	TINZAPARIN SODIUM	Innohep 10000IU/0.5mL Inj Pref Syr	LEO	29.1240	29.1240	NO	YES	NO
02358166	TINZAPARIN SODIUM	Innohep 4500IU/0.45mL Inj Pref Syr	LEO	12.8420	12.8420	NO	YES	NO
09857367	TINZAPARIN SODIUM	Innohep 2500IU/0.25mL Inj Pref Syr	LEO	7.1400	7.1400	NO	YES	NO
02429470	TINZAPARIN SODIUM	Innohep 12000IU/0.6mL Inj Pref Syr	LEO	34.9820	34.9820	NO	YES	NO
02429489	TINZAPARIN SODIUM	Innohep 16000IU/0.8mL Inj Pref Syr	LEO	46.6430	46.6430	NO	YES	NO
02358158	TINZAPARIN SODIUM	Innohep 3500IU/0.35mL Inj Pref Syr	LEO	9.9860	9.9860	NO	YES	NO
02229515	TINZAPARIN SODIUM	Innohep 20000IU/mL Inj-2mL Pk	LEO	114.9800	114.9800	NO	YES	NO
02167840	TINZAPARIN SODIUM	Innohep 10000IU/mL Inj-2mL Pk	LEO	53.9070	53.9070	NO	YES	NO
02550865	TIOTROPIUM BROMIDE MONOHYDRATE	Apo-Tiotropium 18mcg Inh Cap	APX	0.9143	0.9143	YES	NO	NO
02537850	TIOTROPIUM BROMIDE MONOHYDRATE	Lupin-Tiotropium 18mcg Inh Cap	LUP	0.9143	0.9143	YES	NO	YES
02246793	TIOTROPIUM BROMIDE MONOHYDRATE	Spiriva 18mcg Inh Cap	BOE	0.9143	0.9143	YES	NO	YES
02435381	TIOTROPIUM BROMIDE MONOHYDRATE	Spiriva Respimat 2.5mcg/Actuation Inh Sol-60 Actuation Pk	BOE	54.8580	54.8580	NO	NO	YES
02441888	TIOTROPIUM BROMIDE MONOHYDRATE & OLODATEROL HYDROCHLORIDE	Inspiolto Respimat 2.5mcg & 2.5mcg/Actuation Inh Sol-60 Actuation Pk	BOE	64.3740	64.3740	NO	YES	YES
02259893	TIZANIDINE HCL	Apo-Tizanidine (Off-Formulary Interchangeable) 4mg Tab	APX	0.8758	0.8758	YES	NO	YES
02536765	TIZANIDINE HCL	Mint-Tizanidine (Off-Formulary Interchangeable) 4mg Tab	MIN	0.8758	0.8758	YES	NO	YES
02239170	TIZANIDINE HCL	Zanaflex (Off-Formulary Interchangeable) 4mg Tab	ELA	N/A	N/A	YES	NO	YES
02365154	TOBRAMYCIN	TOBI Podhaler 28mg Inh Pd-Cap	BGP	14.6911	14.6911	NO	YES	NO
02239630	TOBRAMYCIN	TOBI 300mg/5mL Inh Sol-5mL Pk	BGP	63.1930	41.0985	YES	NO	YES
02389622	TOBRAMYCIN	Teva-Tobramycin 300mg/5mL Inh Sol-5mL Pk	TEV	41.0985	41.0985	YES	NO	YES
00614254	TOBRAMYCIN	Tobrex 0.3% Oph Oint	NOV	2.7514	2.7514	NO	NO	NO
02241755	TOBRAMYCIN	Sandoz Tobramycin 0.3% Oph Sol	SDZ	1.3620	1.3620	YES	NO	NO
00513962	TOBRAMYCIN	Tobrex 0.3% Oph Sol	NOV	1.9400	1.3620	YES	NO	NO
00778915	TOBRAMYCIN & DEXAMETHASONE	TobraDex 0.3% & 0.1% Oph Oint	NOV	3.3171	3.3171	NO	NO	NO
00778907	TOBRAMYCIN & DEXAMETHASONE	TobraDex 0.3% & 0.1% Oph Susp	NOV	2.2500	2.2500	NO	NO	NO
00325449	TOBRAMYCIN SULFATE	Nebcin (Not a Benefit) 80mg/2mL Inj Sol-2mL Pk	LIL	N/A	N/A	YES	NO	YES
02241210	TOBRAMYCIN SULFATE	Tobramycin 80mg/2mL Inj Sol-2mL Pk	SDZ	3.1500	3.1500	YES	NO	YES
02502372	TOBRAMYCIN SULFATE	Tobramycin Injection USP 80mg/2mL Inj Sol-2mL Pk	STE	3.1500	3.1500	YES	NO	YES
02533103	TOBRAMYCIN SULFATE	Tobramycin Injection USP 80mg/2mL Inj Sol-2mL Pk	JPC	3.1500	3.1500	YES	NO	YES
02552469	TOCILIZUMAB	Tyenne 200mg/10mL Inj Sol-10mL Vial Pk	FKC	311.9025	311.9025	NO	YES	NO
02552477	TOCILIZUMAB	Tyenne 400mg/20mL Inj Sol-20mL Vial Pk	FKC	623.8050	623.8050	NO	YES	NO
02552450	TOCILIZUMAB	Tyenne 80mg/4mL Inj Sol-4mL Vial Pk	FKC	124.7610	124.7610	NO	YES	NO
02552485	TOCILIZUMAB	Tyenne 162mg/0.9mL Inj Sol-Pref Autoinj	FKC	242.2875	242.2875	NO	YES	NO
02552493	TOCILIZUMAB	Tyenne 162mg/0.9mL Inj Sol-Pref Syr	FKC	244.9525	244.9525	NO	YES	NO
02530007	TOFACITINIB	Auro-Tofacitinib 5mg Tab	AUR	5.9897	5.9897	YES	YES	NO
02530015	TOFACITINIB	Auro-Tofacitinib 10mg Tab	AUR	21.1718	21.1718	YES	YES	NO
02522896	TOFACITINIB	Jamp Tofacitinib 5mg Tab	JPC	5.9897	5.9897	YES	YES	NO
02522799	TOFACITINIB	PMS-Tofacitinib 5mg Tab	PMS	5.9897	5.9897	YES	YES	NO
02511312	TOFACITINIB	Taro-Tofacitinib 10mg Tab	TAR	21.1718	21.1718	YES	YES	NO
02511304	TOFACITINIB	Taro-Tofacitinib 5mg Tab	TAR	5.9897	5.9897	YES	YES	NO
02480786	TOFACITINIB	Xeljanz 10mg Tab	PFI	43.7833	21.1718	YES	YES	NO
02423898	TOFACITINIB	Xeljanz 5mg Tab	PFI	24.7733	5.9897	YES	YES	NO
02553988	TOFACITINIB CITRATE	Taro-Tofacitinib XR 11mg ER Tab	TAR	27.2507	27.2507	YES	YES	NO
02470608	TOFACITINIB CITRATE	Xeljanz XR 11mg ER Tab	PFI	49.5467	27.2507	YES	YES	NO
02244612	TOLTERODINE L-TARTRATE	Detrol LA 2mg SR Cap	UJC	2.3187	0.9822	YES	YES	NO
02244613	TOLTERODINE L-TARTRATE	Detrol LA 4mg SR Cap	UJC	2.3187	0.9822	YES	YES	NO
02413140	TOLTERODINE L-TARTRATE	Sandoz Tolterodine LA 2mg SR Cap	SDZ	0.9822	0.9822	YES	YES	NO
02413159	TOLTERODINE L-TARTRATE	Sandoz Tolterodine LA 4mg SR Cap	SDZ	0.9822	0.9822	YES	YES	NO
02412209	TOLTERODINE L-TARTRATE	Teva-Tolterodine LA 4mg SR Cap	TEV	0.9822	0.9822	YES	YES	NO
02412195	TOLTERODINE L-TARTRATE	Teva-Tolterodine LA 2mg SR Cap	TEV	0.9822	0.9822	YES	YES	NO
02239064	TOLTERODINE L-TARTRATE	Detrol 1mg Tab	UJC	1.1592	0.2455	YES	YES	NO
02239065	TOLTERODINE L-TARTRATE	Detrol 2mg Tab	UJC	1.1592	0.2455	YES	YES	NO
02496844	TOLTERODINE L-TARTRATE	Jamp Tolterodine 2mg Tab	JPC	0.2455	0.2455	YES	YES	NO
02496836	TOLTERODINE L-TARTRATE	Jamp Tolterodine 1mg Tab	JPC	0.2455	0.2455	YES	YES	NO
02423316	TOLTERODINE L-TARTRATE	Mint-Tolterodine 2mg Tab	MIN	0.2455	0.2455	YES	YES	NO
02423308	TOLTERODINE L-TARTRATE	Mint-Tolterodine 1mg Tab	MIN	0.2455	0.2455	YES	YES	NO
02299593	TOLTERODINE L-TARTRATE	Teva-Tolterodine 1mg Tab	TEV	0.2455	0.2455	YES	YES	NO
02299607	TOLTERODINE L-TARTRATE	Teva-Tolterodine 2mg Tab	TEV	0.2455	0.2455	YES	YES	NO
02491575	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 15mg & 15mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO
02437503	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 45mg & 15mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO
02437538	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 90mg & 30mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO
02491583	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 30mg & 15mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO
02437511	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 60mg & 30mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO
02557193	TOLVAPTAN	Lupin-Tolvaptan (Off-Formulary Interchangeable) 45mg & 15mg 14-Tabs Pk	LUP	863.8125	N/A	YES	NO	NO
02557185	TOLVAPTAN	Lupin-Tolvaptan (Off-Formulary Interchangeable) 30mg & 15mg 14-Tabs Pk	LUP	863.8125	N/A	YES	NO	NO
02557215	TOLVAPTAN	Lupin-Tolvaptan (Off-Formulary Interchangeable) 90mg & 30mg 14-Tabs Pk	LUP	864.0000	N/A	YES	NO	NO
02557207	TOLVAPTAN	Lupin-Tolvaptan (Off-Formulary Interchangeable) 60mg & 30mg 14-Tabs Pk	LUP	864.0000	N/A	YES	NO	NO
02557177	TOLVAPTAN	Lupin-Tolvaptan (Off-Formulary Interchangeable) 15mg & 15mg 14-Tabs Pk	LUP	863.8125	N/A	YES	NO	NO
02239907	TOPIRAMATE	Topamax Sprinkle 15mg Sprinkle Cap	JNO	2.2095	2.2095	NO	YES	NO
02239908	TOPIRAMATE	Topamax Sprinkle 25mg Sprinkle Cap	JNO	2.3100	2.3100	NO	YES	NO
02475944	TOPIRAMATE	AG-Topiramate 100mg Tab	ANG	0.4583	0.4583	YES	NO	NO
02475936	TOPIRAMATE	AG-Topiramate 25mg Tab	ANG	0.2433	0.2433	YES	NO	NO
02395754	TOPIRAMATE	Ach-Topiramate 200mg Tab	ACH	0.6748	0.6748	YES	NO	NO
02395746	TOPIRAMATE	Ach-Topiramate 100mg Tab	ACH	0.4583	0.4583	YES	NO	NO
02395738	TOPIRAMATE	Ach-Topiramate 25mg Tab	ACH	0.2433	0.2433	YES	NO	NO
02279630	TOPIRAMATE	Apo-Topiramate 100mg Tab	APX	0.4583	0.4583	YES	NO	NO
02279649	TOPIRAMATE	Apo-Topiramate 200mg Tab	APX	0.6748	0.6748	YES	NO	NO
02279614	TOPIRAMATE	Apo-Topiramate 25mg Tab	APX	0.2433	0.2433	YES	NO	NO
02345803	TOPIRAMATE	Auro-Topiramate 25mg Tab	AUR	0.2433	0.2433	YES	NO	NO
02345838	TOPIRAMATE	Auro-Topiramate 100mg Tab	AUR	0.4583	0.4583	YES	NO	NO
02345846	TOPIRAMATE	Auro-Topiramate 200mg Tab	AUR	0.6748	0.6748	YES	NO	NO
02345250	TOPIRAMATE	Jamp Topiramate Tablets 25mg Tab	JPC	0.2433	0.2433	YES	NO	NO
02345277	TOPIRAMATE	Jamp Topiramate Tablets 200mg Tab	JPC	0.6748	0.6748	YES	NO	NO
02345269	TOPIRAMATE	Jamp Topiramate Tablets 100mg Tab	JPC	0.4583	0.4583	YES	NO	NO
02435608	TOPIRAMATE	Jamp-Topiramate 25mg Tab	JPC	0.2433	0.2433	YES	NO	NO
02435624	TOPIRAMATE	Jamp-Topiramate 200mg Tab	JPC	0.6748	0.6748	YES	NO	NO
02435616	TOPIRAMATE	Jamp-Topiramate 100mg Tab	JPC	0.4583	0.4583	YES	NO	NO
02544377	TOPIRAMATE	Jamp-Topiramate Tablets (Off-Formulary Interchangeable) 50mg Tab	JPC	1.2434	N/A	YES	NO	NO
02432110	TOPIRAMATE	Mar-Topiramate 200mg Tab	MAR	0.6748	0.6748	YES	NO	NO
02432102	TOPIRAMATE	Mar-Topiramate 100mg Tab	MAR	0.4583	0.4583	YES	NO	NO
02432099	TOPIRAMATE	Mar-Topiramate 25mg Tab	MAR	0.2433	0.2433	YES	NO	NO
02315661	TOPIRAMATE	Mint-Topiramate 200mg Tab	MIN	0.6748	0.6748	YES	NO	NO
02315645	TOPIRAMATE	Mint-Topiramate 25mg Tab	MIN	0.2433	0.2433	YES	NO	NO
02315653	TOPIRAMATE	Mint-Topiramate 100mg Tab	MIN	0.4583	0.4583	YES	NO	NO
02263386	TOPIRAMATE	Mylan-Topiramate 200mg Tab	MYL	0.6748	0.6748	YES	NO	NO
02263378	TOPIRAMATE	Mylan-Topiramate 100mg Tab	MYL	0.4583	0.4583	YES	NO	NO
02263351	TOPIRAMATE	Mylan-Topiramate 25mg Tab	MYL	0.2433	0.2433	YES	NO	NO
02538458	TOPIRAMATE	NRA-Topiramate 100mg Tab	NRA	0.4583	0.4583	YES	NO	NO
02538466	TOPIRAMATE	NRA-Topiramate 25mg Tab	NRA	0.2433	0.2433	YES	NO	NO
02538474	TOPIRAMATE	NRA-Topiramate 200mg Tab	NRA	0.6748	0.6748	YES	NO	NO
02312085	TOPIRAMATE	PMS-Topiramate (Off-Formulary Interchangeable) 50mg Tab	PMS	1.2434	N/A	YES	NO	NO
02263009	TOPIRAMATE	PMS-Topiramate 100mg Tab	PMS	0.4583	0.4583	YES	NO	NO
02262991	TOPIRAMATE	PMS-Topiramate 25mg Tab	PMS	0.2433	0.2433	YES	NO	NO
02263017	TOPIRAMATE	PMS-Topiramate 200mg Tab	PMS	0.6748	0.6748	YES	NO	NO
02396084	TOPIRAMATE	Ran-Topiramate 100mg Tab	RAN	0.4583	0.4583	YES	NO	NO
02396092	TOPIRAMATE	Ran-Topiramate 200mg Tab	RAN	0.6748	0.6748	YES	NO	NO
02431807	TOPIRAMATE	Sandoz Topiramate Tablets 25mg Tab	SDZ	0.2433	0.2433	YES	NO	NO
02431823	TOPIRAMATE	Sandoz Topiramate Tablets 200mg Tab	SDZ	0.6748	0.6748	YES	NO	NO
02431815	TOPIRAMATE	Sandoz Topiramate Tablets 100mg Tab	SDZ	0.4583	0.4583	YES	NO	NO
02248862	TOPIRAMATE	Teva-Topiramate 200mg Tab	TEV	0.6748	0.6748	YES	NO	NO
02248860	TOPIRAMATE	Teva-Topiramate 25mg Tab	TEV	0.2433	0.2433	YES	NO	NO
02248861	TOPIRAMATE	Teva-Topiramate 100mg Tab	TEV	0.4583	0.4583	YES	NO	NO
02230896	TOPIRAMATE	Topamax 200mg Tab	JNO	6.4275	0.6748	YES	NO	NO
02231385	TOPIRAMATE	Topamax (Off-Formulary Interchangeable) 50mg Tab	JNO	N/A	N/A	YES	NO	NO
02230893	TOPIRAMATE	Topamax 25mg Tab	JNO	2.3213	0.2433	YES	NO	NO
02230894	TOPIRAMATE	Topamax 100mg Tab	JNO	4.3530	0.4583	YES	NO	NO
02356856	TOPIRAMATE	Topiramate 25mg Tab	SAI	0.2433	0.2433	YES	NO	NO
02356872	TOPIRAMATE	Topiramate 200mg Tab	SAI	0.6748	0.6748	YES	NO	NO
02356864	TOPIRAMATE	Topiramate 100mg Tab	SAI	0.4583	0.4583	YES	NO	NO
02389487	TOPIRAMATE	Topiramate 100mg Tab	SIV	0.4583	0.4583	YES	NO	NO
02389460	TOPIRAMATE	Topiramate 25mg Tab	SIV	0.2433	0.2433	YES	NO	NO
02450429	TRAMADOL HCL	Taro-Tramadol ER (Off-Formulary Interchangeable) 100mg ER Tab	TAR	0.7853	N/A	YES	NO	YES
02450445	TRAMADOL HCL	Taro-Tramadol ER (Off-Formulary Interchangeable) 300mg ER Tab	TAR	1.2854	N/A	YES	NO	YES
02450437	TRAMADOL HCL	Taro-Tramadol ER (Off-Formulary Interchangeable) 200mg ER Tab	TAR	0.9244	N/A	YES	NO	YES
02296403	TRAMADOL HCL	Tridural (Off-Formulary Interchangeable) 200mg ER Tab	PAL	N/A	N/A	YES	NO	YES
02296411	TRAMADOL HCL	Tridural (Off-Formulary Interchangeable) 300mg ER Tab	PAL	N/A	N/A	YES	NO	YES
02296381	TRAMADOL HCL	Tridural (Off-Formulary Interchangeable) 100mg ER Tab	PAL	N/A	N/A	YES	NO	YES
02426153	TRAMADOL HCL	Apo-Tramadol (Off-Formulary Interchangeable) 50mg Tab	APX	0.6386	N/A	YES	NO	YES
02479672	TRAMADOL HCL	Auro-Tramadol (Off-Formulary Interchangeable) 50mg Tab	AUR	0.6386	N/A	YES	NO	YES
02507005	TRAMADOL HCL	Jamp Tramadol (Off-Formulary Interchangeable) 50mg Tab	JPC	0.6386	N/A	YES	NO	YES
02518759	TRAMADOL HCL	Jamp Tramadol HCl (Off-Formulary Interchangeable) 50mg Tab	JPC	0.6386	N/A	YES	NO	YES
02480859	TRAMADOL HCL	Mar-Tramadol (Off-Formulary Interchangeable) 50mg Tab	MAR	0.6386	N/A	YES	NO	YES
02493764	TRAMADOL HCL	Sandoz Tramadol (Off-Formulary Interchangeable) 50mg Tab	SDZ	0.6386	N/A	YES	NO	YES
02349469	TRAMADOL HCL	Ultram (Off-Formulary Interchangeable) 50mg Tab	JAN	N/A	N/A	YES	NO	YES
02336790	TRAMADOL HCL & ACETAMINOPHEN	Apo-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	APX	0.6264	N/A	YES	NO	YES
02439050	TRAMADOL HCL & ACETAMINOPHEN	Auro-Tramadol/Acetaminophen (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	AUR	0.6264	N/A	YES	NO	YES
02383209	TRAMADOL HCL & ACETAMINOPHEN	Co Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	COB	0.6264	N/A	YES	NO	YES
02388308	TRAMADOL HCL & ACETAMINOPHEN	Jamp-Acet-Tramadol (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	JPC	0.6264	N/A	YES	NO	YES
02388324	TRAMADOL HCL & ACETAMINOPHEN	Mar-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	MAR	0.6264	N/A	YES	NO	YES
02389800	TRAMADOL HCL & ACETAMINOPHEN	Mint-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	MIN	0.6264	N/A	YES	NO	YES
02469650	TRAMADOL HCL & ACETAMINOPHEN	NRA-Tramadol/ACET (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	NRA	0.6264	N/A	YES	NO	YES
02401657	TRAMADOL HCL & ACETAMINOPHEN	PMS-Tramadol-Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	PMS	0.6264	N/A	YES	NO	YES
02388197	TRAMADOL HCL & ACETAMINOPHEN	Taro-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	SPC	0.6264	N/A	YES	NO	YES
02347180	TRAMADOL HCL & ACETAMINOPHEN	Teva-Tramadol/Acetaminophen (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	TEV	0.6264	N/A	YES	NO	YES
02264846	TRAMADOL HCL & ACETAMINOPHEN	Tramacet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	JAN	N/A	N/A	YES	NO	YES
02471892	TRANDOLAPRIL	Auro-Trandolapril 4mg Cap	AUR	0.2498	0.2498	YES	NO	NO
02471884	TRANDOLAPRIL	Auro-Trandolapril 2mg Cap	AUR	0.2025	0.2025	YES	NO	NO
02471876	TRANDOLAPRIL	Auro-Trandolapril 1mg Cap	AUR	0.1762	0.1762	YES	NO	NO
02471868	TRANDOLAPRIL	Auro-Trandolapril (Off-Formulary Interchangeable) 0.5mg Cap	AUR	0.2372	N/A	YES	NO	NO
02231457	TRANDOLAPRIL	Mavik (Off-Formulary Interchangeable) 0.5mg Cap	BGP	N/A	N/A	YES	NO	NO
02231459	TRANDOLAPRIL	Mavik 1mg Cap	BGP	0.7471	0.1762	YES	NO	NO
02231460	TRANDOLAPRIL	Mavik 2mg Cap	BGP	0.8586	0.2025	YES	NO	NO
02239267	TRANDOLAPRIL	Mavik 4mg Cap	BGP	1.0594	0.2498	YES	NO	NO
02357771	TRANDOLAPRIL	PMS-Trandolapril 2mg Cap	PMS	0.2025	0.2025	YES	NO	NO
02357755	TRANDOLAPRIL	PMS-Trandolapril (Off-Formulary Interchangeable) 0.5mg Cap	PMS	0.2372	N/A	YES	NO	NO
02357763	TRANDOLAPRIL	PMS-Trandolapril 1mg Cap	PMS	0.1762	0.1762	YES	NO	NO
02357798	TRANDOLAPRIL	PMS-Trandolapril 4mg Cap	PMS	0.2498	0.2498	YES	NO	NO
02325756	TRANDOLAPRIL	Sandoz Trandolapril 2mg Cap	SDZ	0.2025	0.2025	YES	NO	NO
02325764	TRANDOLAPRIL	Sandoz Trandolapril 4mg Cap	SDZ	0.2498	0.2498	YES	NO	NO
02325721	TRANDOLAPRIL	Sandoz Trandolapril (Off-Formulary Interchangeable) 0.5mg Cap	SDZ	0.2372	N/A	YES	NO	NO
02325748	TRANDOLAPRIL	Sandoz Trandolapril 1mg Cap	SDZ	0.1762	0.1762	YES	NO	NO
02415429	TRANDOLAPRIL	Teva-Trandolapril (Off-Formulary Interchangeable) 0.5mg Cap	TEV	0.2372	N/A	YES	NO	NO
02415437	TRANDOLAPRIL	Teva-Trandolapril 1mg Cap	TEV	0.1762	0.1762	YES	NO	NO
02415453	TRANDOLAPRIL	Teva-Trandolapril 4mg Cap	TEV	0.2498	0.2498	YES	NO	NO
02415445	TRANDOLAPRIL	Teva-Trandolapril 2mg Cap	TEV	0.2025	0.2025	YES	NO	NO
02526581	TRANDOLAPRIL	Trandolapril 4mg Cap	SIV	0.2498	0.2498	YES	NO	NO
02525070	TRANDOLAPRIL	Trandolapril 4mg Cap	SAI	0.2498	0.2498	YES	NO	NO
02526573	TRANDOLAPRIL	Trandolapril 2mg Cap	SIV	0.2025	0.2025	YES	NO	NO
02526565	TRANDOLAPRIL	Trandolapril 1mg Cap	SIV	0.1762	0.1762	YES	NO	NO
02525054	TRANDOLAPRIL	Trandolapril 2mg Cap	SAI	0.2025	0.2025	YES	NO	NO
02525046	TRANDOLAPRIL	Trandolapril 1mg Cap	SAI	0.1762	0.1762	YES	NO	NO
02064405	TRANEXAMIC ACID	Cyklokapron (Off-Formulary Interchangeable) 500mg Tab	PFI	N/A	N/A	YES	NO	NO
02409097	TRANEXAMIC ACID	Gd-Tranexamic Acid (Off-Formulary Interchangeable) 500mg Tab	GEM	0.8071	0.8071	YES	NO	NO
02496232	TRANEXAMIC ACID	Mar-Tranexamic Acid (Off-Formulary Interchangeable) 500mg Tab	MAR	0.8071	0.8071	YES	NO	NO
02519194	TRANEXAMIC ACID	Tranexamic Acid (Off-Formulary Interchangeable) 500mg Tab	JPC	0.8071	0.8071	YES	NO	NO
02401231	TRANEXAMIC ACID	Tranexamic Acid Tablets (Off-Formulary Interchangeable) 500mg Tab	STE	0.8071	0.8071	YES	NO	NO
01919598	TRANYLCYPROMINE SULFATE	Parnate 10mg Tab	GSK	0.5374	0.5374	NO	NO	YES
02457997	TRAVOPROST	IZBA 0.003% Oph Sol (with Preservative)	NOV	3.9400	3.9400	NO	YES	NO
02548089	TRAVOPROST	Jamp Travoprost Z 0.004% Oph Sol-5mL Pk	JPC	28.7600	28.7600	YES	YES	NO
02413167	TRAVOPROST	Sandoz Travoprost 0.004% Oph Sol-5mL Pk	SDZ	28.7600	28.7600	YES	YES	NO
09857332	TRAVOPROST	Travatan Z 0.004% Oph Sol-5mL Pk	NOV	58.9600	28.7600	YES	YES	NO
02147637	TRAZODONE HYDROCHLORIDE	Apo-Trazodone 50mg Tab	APX	0.0554	0.0554	YES	NO	NO
02147645	TRAZODONE HYDROCHLORIDE	Apo-Trazodone 100mg Tab	APX	0.0989	0.0989	YES	NO	NO
02147653	TRAZODONE HYDROCHLORIDE	Apo-Trazodone D 150mg Tab	APX	0.1453	0.1453	YES	NO	NO
00579351	TRAZODONE HYDROCHLORIDE	Desyrel (Not a Benefit) 50mg Tab	BQU	N/A	N/A	YES	NO	NO
00579378	TRAZODONE HYDROCHLORIDE	Desyrel (Not a Benefit) 100mg Tab	BQU	N/A	N/A	YES	NO	NO
00702277	TRAZODONE HYDROCHLORIDE	Desyrel Dividose (Not a Benefit) 150mg Tab	BQU	N/A	N/A	YES	NO	NO
02442809	TRAZODONE HYDROCHLORIDE	Jamp Trazodone 50mg Tab	JPC	0.0554	0.0554	YES	NO	NO
02442817	TRAZODONE HYDROCHLORIDE	Jamp Trazodone 100mg Tab	JPC	0.0989	0.0989	YES	NO	NO
02442825	TRAZODONE HYDROCHLORIDE	Jamp Trazodone 150mg Tab	JPC	0.1453	0.1453	YES	NO	NO
01937227	TRAZODONE HYDROCHLORIDE	PMS-Trazodone 50mg Tab	PMS	0.0554	0.0554	YES	NO	NO
01937235	TRAZODONE HYDROCHLORIDE	PMS-Trazodone 100mg Tab	PMS	0.0989	0.0989	YES	NO	NO
02144298	TRAZODONE HYDROCHLORIDE	Teva-Trazodone 150mg Tab	TEV	0.1453	0.1453	YES	NO	NO
02144271	TRAZODONE HYDROCHLORIDE	Teva-Trazodone 100mg Tab	TEV	0.0989	0.0989	YES	NO	NO
02144263	TRAZODONE HYDROCHLORIDE	Teva-Trazodone 50mg Tab	TEV	0.0554	0.0554	YES	NO	NO
02348780	TRAZODONE HYDROCHLORIDE	Trazodone 100mg Tab	SAI	0.0989	0.0989	YES	NO	NO
02348772	TRAZODONE HYDROCHLORIDE	Trazodone 50mg Tab	SAI	0.0554	0.0554	YES	NO	NO
02348799	TRAZODONE HYDROCHLORIDE	Trazodone 150mg Tab	SAI	0.1453	0.1453	YES	NO	NO
02520036	TRETINOIN	Jamp Tretinoin (Off-Formulary Interchangeable) 10mg Cap	JPC	13.9284	13.9284	YES	NO	NO
02145839	TRETINOIN	Vesanoid (Off-Formulary Interchangeable) 10mg Cap	HLR	N/A	N/A	YES	NO	NO
00657204	TRETINOIN	Stieva-A 0.01% Cr	STI	0.3212	0.3212	NO	YES	NO
00578576	TRETINOIN	Stieva-A 0.025% Cr	STI	0.3212	0.3212	NO	YES	NO
00518182	TRETINOIN	Stieva-A 0.05% Cr	STI	0.2144	0.2144	YES	YES	NO
01926519	TRETINOIN	Vitamin A Acid (Not a Benefit) 0.05% Cr	SAV	N/A	N/A	YES	NO	NO
01926462	TRETINOIN	Vitamin A Acid 0.01% Gel	VAL	0.4266	0.4266	NO	YES	NO
01926489	TRETINOIN	Vitamin A Acid 0.05% Gel	VAL	0.4266	0.4266	NO	YES	NO
02194058	TRIAMCINOLONE ACETONIDE	Aristocort R (Not a Benefit) 0.1% Cr	VAL	N/A	N/A	YES	NO	NO
00029114	TRIAMCINOLONE ACETONIDE	Kenalog (Not a Benefit) 0.1% Cr	WSQ	N/A	N/A	YES	NO	NO
00716960	TRIAMCINOLONE ACETONIDE	Triaderm 0.1% Cr	TAR	0.0533	0.0533	YES	NO	NO
00990876	TRIAMCINOLONE ACETONIDE	Kenalog-40 40mg/mL Inj Susp-1mL Pk	BQU	8.9610	8.9610	NO	NO	NO
01999761	TRIAMCINOLONE ACETONIDE	Kenalog-10 50mg/5mL Inj Susp-5mL Pk	BQU	19.4500	19.4500	NO	NO	NO
01999869	TRIAMCINOLONE ACETONIDE	Kenalog-40 200mg/5mL Inj Susp-5mL Pk	BQU	31.6500	31.6500	NO	NO	NO
02437635	TRIAMCINOLONE ACETONIDE	Apo-Triamcinolone AQ (Off-Formulary Interchangeable) 55mcg/Metered Dose Nas Sp-120 Dose Pk (with Preservative)	APX	18.0000	18.0000	YES	NO	YES
02213834	TRIAMCINOLONE ACETONIDE	Nasacort AQ (Off-Formulary Interchangeable) 55mcg/Metered Dose Nas Sp-120 Dose Pk (with Preservative)	SCO	N/A	N/A	YES	NO	YES
02194031	TRIAMCINOLONE ACETONIDE	Aristocort R 0.1% Oint	VAE	0.1821	0.1821	YES	NO	NO
01999796	TRIAMCINOLONE ACETONIDE	Kenalog (Not a Benefit) 0.1% Oint	WSQ	N/A	N/A	YES	NO	NO
01999788	TRIAMCINOLONE ACETONIDE 0.1% IN ORABASE	Kenalog-Orabase (Not a Benefit) Oral Top Oint	BQU	N/A	N/A	YES	NO	NO
01964054	TRIAMCINOLONE ACETONIDE 0.1% IN ORABASE	Oracort Oral Top Oint	TAR	1.5607	1.5607	YES	NO	NO
02470632	TRIAMCINOLONE HEXACETONIDE	Trispan 20mg/mL 1mL-Amp Pk	MDX	18.0000	18.0000	NO	YES	NO
00512559	TRIAZOLAM	Halcion (Not a Benefit) 0.125mg Tab	UPJ	N/A	N/A	YES	NO	NO
00443158	TRIAZOLAM	Halcion (Not a Benefit) 0.25mg Tab	PFI	N/A	N/A	YES	NO	NO
00808571	TRIAZOLAM	Triazolam 0.25mg Tab	AAP	0.2551	0.2551	YES	NO	NO
00808563	TRIAZOLAM	Triazolam 0.125mg Tab	AAP	0.1496	0.1496	YES	NO	NO
01918206	TRIFLUOPERAZINE	Stelazine (Not a Benefit) 1mg Tab	SMJ	N/A	N/A	YES	NO	NO
01918214	TRIFLUOPERAZINE	Stelazine (Not a Benefit) 2mg Tab	SMJ	N/A	N/A	YES	NO	NO
01918222	TRIFLUOPERAZINE	Stelazine (Not a Benefit) 5mg Tab	SMJ	N/A	N/A	YES	NO	NO
01918230	TRIFLUOPERAZINE	Stelazine (Not a Benefit) 10mg Tab	SMJ	N/A	N/A	YES	NO	NO
00345539	TRIFLUOPERAZINE	Trifluoperazine 1mg Tab	AAP	0.1340	0.1340	YES	NO	NO
00312754	TRIFLUOPERAZINE	Trifluoperazine 2mg Tab	AAP	0.1793	0.1793	YES	NO	NO
00312746	TRIFLUOPERAZINE	Trifluoperazine 5mg Tab	AAP	0.2375	0.2375	YES	NO	NO
00326836	TRIFLUOPERAZINE	Trifluoperazine 10mg Tab	AAP	0.2846	0.2846	YES	NO	NO
00015059	TRIHEXYPHENIDYL HCL	Artane (Not a Benefit) 5mg Tab	LED	N/A	N/A	YES	NO	NO
00015040	TRIHEXYPHENIDYL HCL	Artane (Not a Benefit) 2mg Tab	LED	N/A	N/A	YES	NO	NO
00545058	TRIHEXYPHENIDYL HCL	Trihexyphenidyl 2mg Tab	AAP	0.0376	0.0376	YES	NO	NO
00545074	TRIHEXYPHENIDYL HCL	Trihexyphenidyl 5mg Tab	AAP	0.0681	0.0681	YES	NO	NO
02245663	TRIMEBUTINE MALEATE	Apo-Trimebutine (Off-Formulary Interchangeable) 100mg Tab	APX	0.3265	0.3265	YES	NO	NO
02245664	TRIMEBUTINE MALEATE	Apo-Trimebutine (Off-Formulary Interchangeable) 200mg Tab	APX	0.7677	0.7677	YES	NO	NO
02538202	TRIMEBUTINE MALEATE	Mint-Trimebutine (Off-Formulary Interchangeable) 100mg Tab	MIN	0.3265	0.3265	YES	NO	NO
02538210	TRIMEBUTINE MALEATE	Mint-Trimebutine (Off-Formulary Interchangeable) 200mg Tab	MIN	0.7677	0.7677	YES	NO	NO
00803499	TRIMEBUTINE MALEATE	Modulon (Off-Formulary Interchangeable) 200mg Tab	BFI	N/A	N/A	YES	NO	NO
00587869	TRIMEBUTINE MALEATE	Modulon (Off-Formulary Interchangeable) 100mg Tab	BFI	N/A	N/A	YES	NO	NO
00677590	TRIMETHOPRIM	Proloprim (Not a Benefit) 200mg Tab	BWE	N/A	N/A	YES	NO	NO
00675229	TRIMETHOPRIM	Proloprim (Not a Benefit) 100mg Tab	BWE	N/A	N/A	YES	NO	NO
02243116	TRIMETHOPRIM	Trimethoprim 100mg Tab	AAP	0.2617	0.2617	YES	NO	NO
02243117	TRIMETHOPRIM	Trimethoprim 200mg Tab	AAP	0.5378	0.5378	YES	NO	NO
01926349	TRIMIPRAMINE	Surmontil (Not a Benefit) 75mg Cap	RPP	N/A	N/A	YES	NO	NO
02070987	TRIMIPRAMINE	Trimipramine 75mg Cap	AAP	0.7800	0.7800	YES	NO	NO
01926330	TRIMIPRAMINE	Surmontil (Not a Benefit) 50mg Tab	RPP	N/A	N/A	YES	NO	NO
01926357	TRIMIPRAMINE	Surmontil (Not a Benefit) 12.5mg Tab	RPP	N/A	N/A	YES	NO	NO
01926322	TRIMIPRAMINE	Surmontil (Not a Benefit) 25mg Tab	RPP	N/A	N/A	YES	NO	NO
01926284	TRIMIPRAMINE	Surmontil (Not a Benefit) 100mg Tab	RPP	N/A	N/A	YES	NO	NO
00740829	TRIMIPRAMINE	Trimipramine 100mg Tab	AAP	0.9889	0.9889	YES	NO	NO
00740810	TRIMIPRAMINE	Trimipramine 50mg Tab	AAP	0.5795	0.5795	YES	NO	NO
00740802	TRIMIPRAMINE	Trimipramine 25mg Tab	AAP	0.2960	0.2960	YES	NO	NO
00740799	TRIMIPRAMINE	Trimipramine 12.5mg Tab	AAP	0.2156	0.2156	YES	NO	NO
09857199	TRIPTORELIN PAMOATE	Trelstar (1 Month) 3.75mg/Vial Inj Pd with Sterile Water-Vial Pk	KNT	346.3100	346.3100	NO	NO	NO
09857200	TRIPTORELIN PAMOATE	Trelstar LA (3 Month) 11.25mg/Vial Inj Pd with Sterile Water-Vial Pk	KNT	1038.9700	1038.9700	NO	NO	NO
02240000	TRIPTORELIN PAMOATE	Trelstar (1 Month) 3.75mg/Vial Inj Pd-Vial Pk	KNT	346.3100	346.3100	NO	NO	NO
02243856	TRIPTORELIN PAMOATE	Trelstar LA (3 Month) 11.25mg/Vial Inj Pd-Vial Pk	KNT	1038.9700	1038.9700	NO	NO	NO
02412322	TRIPTORELIN PAMOATE	Trelstar 22.5mg/Vial SR Inj Pd with Sterile Water-Vial Pk	KNT	1659.9000	1659.9000	NO	NO	NO
02506661	TROSPIUM CHLORIDE	Jamp Trospium 20mg Tab	JPC	0.4072	0.4072	YES	YES	NO
02488353	TROSPIUM CHLORIDE	Mar-Trospium 20mg Tab	MAR	0.4072	0.4072	YES	YES	NO
02275066	TROSPIUM CHLORIDE	Trosec 20mg Tab	SUO	0.8144	0.4072	YES	YES	NO
02248540	TRYPTOPHAN	Apo-Tryptophan (Off-Formulary Interchangeable) 500mg Cap	APX	0.4987	N/A	YES	NO	NO
02240334	TRYPTOPHAN	Ratio-Tryptophan (Off-Formulary Interchangeable) 500mg Cap	RPH	0.4987	N/A	YES	NO	NO
00718149	TRYPTOPHAN	Tryptan (Off-Formulary Interchangeable) 500mg Cap	VAL	N/A	N/A	YES	NO	NO
02248538	TRYPTOPHAN	Apo-Tryptophan (Off-Formulary Interchangeable) 500mg Tab	APX	0.4987	N/A	YES	NO	NO
02248539	TRYPTOPHAN	Apo-Tryptophan (Off-Formulary Interchangeable) 1g Tab	APX	0.8978	N/A	YES	NO	NO
02458721	TRYPTOPHAN	Apo-Tryptophan (Off-Formulary Interchangeable) 750mg Tab	APX	0.9889	N/A	YES	NO	NO
02237250	TRYPTOPHAN	Ratio-Tryptophan (Off-Formulary Interchangeable) 1g Tab	RPH	0.8978	N/A	YES	NO	NO
02240333	TRYPTOPHAN	Ratio-Tryptophan (Off-Formulary Interchangeable) 500mg Tab	RPH	0.4987	N/A	YES	NO	NO
02029456	TRYPTOPHAN	Tryptan (Off-Formulary Interchangeable) 500mg Tab	VAL	N/A	N/A	YES	NO	NO
00654531	TRYPTOPHAN	Tryptan (Off-Formulary Interchangeable) 1g Tab	VAL	N/A	N/A	YES	NO	NO
02239327	TRYPTOPHAN	Tryptan (Off-Formulary Interchangeable) 750mg Tab	VAL	N/A	N/A	YES	NO	NO
02423596	UMECLIDINIUM	Incruse Ellipta 62.5mcg Blister Pd Inh-30 Dose Pk	GSK	50.0000	50.0000	NO	NO	NO
02418401	UMECLIDINIUM & VILANTEROL	Anoro Ellipta 62.5mcg & 25mcg Blister Pd Inh-30 Dose Pk	GSK	88.5100	88.5100	NO	YES	NO
02520893	UPADACITINIB	Rinvoq 30mg ER Tab	ABV	76.9600	76.9600	NO	YES	NO
02539721	UPADACITINIB	Rinvoq 45mg ER Tab	ABV	101.8100	101.8100	NO	YES	NO
02495155	UPADACITINIB	Rinvoq 15mg ER Tab	ABV	51.6810	51.6810	NO	YES	NO
02505371	URSODIOL	AG-Ursodiol 500mg Tab	ANG	0.7242	0.7242	YES	YES	NO
02505363	URSODIOL	AG-Ursodiol 250mg Tab	ANG	0.3818	0.3818	YES	YES	NO
02426900	URSODIOL	GLN-Ursodiol 250mg Tab	GLP	0.3818	0.3818	YES	YES	NO
02426919	URSODIOL	GLN-Ursodiol 500mg Tab	GLP	0.7242	0.7242	YES	YES	NO
02472392	URSODIOL	Jamp-Ursodiol 250mg Tab	JPC	0.3818	0.3818	YES	YES	NO
02472406	URSODIOL	Jamp-Ursodiol 500mg Tab	JPC	0.7242	0.7242	YES	YES	NO
02544032	URSODIOL	NRA-Ursodiol 250mg Tab	NRA	0.3818	0.3818	YES	YES	NO
02544024	URSODIOL	NRA-Ursodiol 500mg Tab	NRA	0.7242	0.7242	YES	YES	NO
02273500	URSODIOL	PMS-Ursodiol C 500mg Tab	PMS	0.7242	0.7242	YES	YES	NO
02273497	URSODIOL	PMS-Ursodiol C 250mg Tab	PMS	0.3818	0.3818	YES	YES	NO
02238984	URSODIOL	Urso (Not a Benefit) 250mg Tab	BFI	N/A	N/A	YES	NO	NO
02245894	URSODIOL	Urso DS 500mg Tab	BFI	3.1751	0.7242	YES	YES	NO
02515539	URSODIOL	Ursodiol C 500mg Tab	SAI	0.7242	0.7242	YES	YES	NO
02515520	URSODIOL	Ursodiol C 250mg Tab	SAI	0.3818	0.3818	YES	YES	NO
02553317	USTEKINUMAB	Wezlana 45mg/0.5mL Inj Sol-0.5mL Pref Autoinj (Preservative-Free)	AMG	2755.8840	2755.8840	NO	YES	NO
02543036	USTEKINUMAB	Jamteki 45mg/0.5mL Inj Sol-0.5mL Pref Syr Pk	JPC	2755.8840	2755.8840	NO	YES	NO
02544180	USTEKINUMAB	Wezlana 45mg/0.5mL Inj Sol-0.5mL Pref Syr Pk	AMG	2755.8840	2755.8840	NO	YES	NO
02550245	USTEKINUMAB	Steqeyma 45mg/0.5mL Inj Sol-0.5mL Pref Syr Pk (Preservative-Free)	CEH	2755.8840	2755.8840	NO	YES	NO
02544202	USTEKINUMAB	Wezlana 45mg/0.5mL Inj Sol-0.5mL Vial Pk	AMG	2755.8840	2755.8840	NO	YES	NO
09858364	USTEKINUMAB	Jamteki 45mg/0.5mL Inj Sol-0.5mL Vial Pk (Preservative-Free)	JPC	2755.8840	2755.8840	NO	YES	NO
02550253	USTEKINUMAB	Steqeyma 90mg/1.0mL Inj Sol-1.0mL Pref Syr Pk (Preservative-Free)	CEH	2755.8840	2755.8840	NO	YES	NO
02553309	USTEKINUMAB	Wezlana 90mg/mL Inj Sol-1mL Pref Autoinj (Preservative-Free)	AMG	2755.8840	2755.8840	NO	YES	NO
02543044	USTEKINUMAB	Jamteki 90mg/mL Inj Sol-1mL Pref Syr Pk	JPC	2755.8840	2755.8840	NO	YES	NO
02544199	USTEKINUMAB	Wezlana 90mg/mL Inj Sol-1mL Pref Syr Pk	AMG	2755.8840	2755.8840	NO	YES	NO
02544210	USTEKINUMAB	Wezlana I.V. 130mg/26mL Inj Sol-26mL Vial Pk	AMG	1248.0000	1248.0000	NO	YES	NO
02553120	USTEKINUMAB	Jamteki I.V. 5mg/mL Inj Sol-26mL Vial Pk (Preservative-Free)	JPC	1248.0000	1248.0000	NO	YES	NO
02550261	USTEKINUMAB	Steqeyma I.V. 5mg/mL Inj Sol-26mL Vial Pk (Preservative-Free)	CEH	1248.0000	1248.0000	NO	YES	NO
02320673	USTEKINUMAB	Stelara 45mg/0.5mL Inj Sol-Pref Syr Pk	JAN	4593.1400	4593.1400	NO	YES	NO
02320681	USTEKINUMAB	Stelara 90mg/mL Inj Sol-Pref Syr Pk	JAN	4593.1400	4593.1400	NO	YES	NO
02354705	VALACYCLOVIR	Apo-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	APX	5.8537	N/A	YES	NO	NO
02295822	VALACYCLOVIR	Apo-Valacyclovir 500mg Tab	APX	0.6198	0.6198	YES	NO	NO
02405040	VALACYCLOVIR	Auro-Valacyclovir 500mg Tab	AUR	0.6198	0.6198	YES	NO	NO
02405059	VALACYCLOVIR	Auro-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	AUR	5.8537	N/A	YES	NO	NO
02331748	VALACYCLOVIR	Co Valacyclovir 500mg Tab	COB	0.6198	0.6198	YES	NO	NO
02440598	VALACYCLOVIR	Jamp Valacyclovir 500mg Tab	JPC	0.6198	0.6198	YES	NO	NO
02441454	VALACYCLOVIR	Jamp-Valacyclovir 500mg Tab	JPC	0.6198	0.6198	YES	NO	NO
02351579	VALACYCLOVIR	Mylan-Valacyclovir 500mg Tab	MYL	0.6198	0.6198	YES	NO	NO
02351560	VALACYCLOVIR	Mylan-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	MYL	5.8537	N/A	YES	NO	NO
02381230	VALACYCLOVIR	PMS-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	PMS	5.8537	N/A	YES	NO	NO
02298457	VALACYCLOVIR	PMS-Valacyclovir 500mg Tab	PMS	0.6198	0.6198	YES	NO	NO
02347091	VALACYCLOVIR	Sandoz Valacyclovir 500mg Tab	SDZ	0.6198	0.6198	YES	NO	NO
02357534	VALACYCLOVIR	Teva-Valacyclovir 500mg Tab	TEV	0.6198	0.6198	YES	NO	NO
02454645	VALACYCLOVIR	Valacyclovir 500mg Tab	SAI	0.6198	0.6198	YES	NO	NO
02442000	VALACYCLOVIR	Valacyclovir 500mg Tab	SIV	0.6198	0.6198	YES	NO	NO
02519585	VALACYCLOVIR	Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	SAI	5.8537	N/A	YES	NO	NO
02219492	VALACYCLOVIR	Valtrex 500mg Tab	GSK	4.5647	0.6198	YES	NO	NO
02246559	VALACYCLOVIR	Valtrex (Off-Formulary Interchangeable) 1000mg Tab	GSK	N/A	N/A	YES	NO	NO
02535483	VALGANCICLOVIR	Auro-Valganciclovir 50mg/mL Pd for Oral Sol-100mL Pk	AUR	150.9900	150.9900	YES	YES	NO
02306085	VALGANCICLOVIR	Valcyte 50mg/mL Pd for Oral Sol-100mL Pk	CHE	315.5347	150.9900	YES	YES	NO
02435179	VALGANCICLOVIR	Auro-Valganciclovir 450mg Tab	AUR	5.8553	5.8553	YES	YES	NO
02495457	VALGANCICLOVIR	Mint-Valganciclovir 450mg Tab	MIN	5.8553	5.8553	YES	YES	NO
02413825	VALGANCICLOVIR	Teva-Valganciclovir 450mg Tab	TEV	5.8553	5.8553	YES	YES	NO
02245777	VALGANCICLOVIR	Valcyte 450mg Tab	CHE	28.4003	5.8553	YES	YES	NO
02238370	VALPROATE SODIUM	Apo-Valproic 50mg/mL O/L	APX	0.0605	0.0398	YES	NO	NO
00443832	VALPROATE SODIUM	Depakene 50mg/mL O/L	BGP	0.1473	0.0398	YES	NO	NO
02532441	VALPROATE SODIUM	Jamp Valproic Acid Oral Solution 50mg/mL O/L	JPC	0.0398	0.0398	YES	NO	NO
02549190	VALPROATE SODIUM	Odan-Valproic Acid 50mg/mL O/L	ODN	0.0398	0.0398	YES	NO	NO
02236807	VALPROATE SODIUM	PMS-Valproic Acid 50mg/mL O/L	PMS	0.0398	0.0398	YES	NO	NO
02238048	VALPROIC ACID	Apo-Valproic 250mg Cap	APX	0.2905	0.2905	YES	NO	NO
00443840	VALPROIC ACID	Depakene (Not a Benefit) 250mg Cap	ABB	N/A	N/A	YES	NO	NO
02230768	VALPROIC ACID	PMS-Valproic Acid 250mg Cap	PMS	0.2905	0.2905	YES	NO	NO
00507989	VALPROIC ACID	Depakene (Not a Benefit) 500mg Ent Cap	ABB	N/A	N/A	YES	NO	NO
02229628	VALPROIC ACID	PMS-Valproic Acid 500mg Ent Cap	PMS	0.8102	0.8102	YES	NO	NO
02371545	VALSARTAN	Apo-Valsartan 320mg Tab	APX	0.2098	0.2098	YES	NO	NO
02371537	VALSARTAN	Apo-Valsartan 160mg Tab	APX	0.2159	0.2159	YES	NO	NO
02371529	VALSARTAN	Apo-Valsartan 80mg Tab	APX	0.2159	0.2159	YES	NO	NO
02371510	VALSARTAN	Apo-Valsartan (Off-Formulary Interchangeable) 40mg Tab	APX	0.5823	N/A	YES	NO	NO
02414236	VALSARTAN	Auro-Valsartan 160mg Tab	AUR	0.2159	0.2159	YES	NO	NO
02414201	VALSARTAN	Auro-Valsartan (Off-Formulary Interchangeable) 40mg Tab	AUR	0.5823	N/A	YES	NO	NO
02414228	VALSARTAN	Auro-Valsartan 80mg Tab	AUR	0.2159	0.2159	YES	NO	NO
02414244	VALSARTAN	Auro-Valsartan 320mg Tab	AUR	0.2098	0.2098	YES	NO	NO
02337517	VALSARTAN	Co Valsartan 320mg Tab	COB	0.2098	0.2098	YES	NO	NO
02337487	VALSARTAN	Co Valsartan (Off-Formulary Interchangeable) 40mg Tab	COB	0.5823	N/A	YES	NO	NO
02337495	VALSARTAN	Co Valsartan 80mg Tab	COB	0.2159	0.2159	YES	NO	NO
02337509	VALSARTAN	Co Valsartan 160mg Tab	COB	0.2159	0.2159	YES	NO	NO
02244782	VALSARTAN	Diovan 160mg Tab	NOV	1.5225	0.2159	YES	NO	NO
02289504	VALSARTAN	Diovan 320mg Tab	NOV	1.4828	0.2098	YES	NO	NO
02244781	VALSARTAN	Diovan 80mg Tab	NOV	1.5275	0.2159	YES	NO	NO
02270528	VALSARTAN	Diovan (Off-Formulary Interchangeable) 40mg Tab	NOV	N/A	N/A	YES	NO	NO
02524546	VALSARTAN	M-Valsartan 160mg Tab	MAT	0.2159	0.2159	YES	NO	NO
02524538	VALSARTAN	M-Valsartan 80mg Tab	MAT	0.2159	0.2159	YES	NO	NO
02524511	VALSARTAN	M-Valsartan (Off-Formulary Interchangeable) 40mg Tab	MAT	0.5823	N/A	YES	NO	NO
02356740	VALSARTAN	Sandoz Valsartan (Off-Formulary Interchangeable) 40mg Tab	SDZ	0.5823	N/A	YES	NO	NO
02356759	VALSARTAN	Sandoz Valsartan 80mg Tab	SDZ	0.2159	0.2159	YES	NO	NO
02356767	VALSARTAN	Sandoz Valsartan 160mg Tab	SDZ	0.2159	0.2159	YES	NO	NO
02356775	VALSARTAN	Sandoz Valsartan 320mg Tab	SDZ	0.2098	0.2098	YES	NO	NO
02363100	VALSARTAN	Taro-Valsartan 80mg Tab	SPC	0.2159	0.2159	YES	NO	NO
02363062	VALSARTAN	Taro-Valsartan (Off-Formulary Interchangeable) 40mg Tab	SPC	0.5823	N/A	YES	NO	NO
02363119	VALSARTAN	Taro-Valsartan 160mg Tab	SPC	0.2159	0.2159	YES	NO	NO
02356678	VALSARTAN	Teva-Valsartan 160mg Tab	TEV	0.2159	0.2159	YES	NO	NO
02356643	VALSARTAN	Teva-Valsartan (Off-Formulary Interchangeable) 40mg Tab	TEV	0.5823	N/A	YES	NO	NO
02356651	VALSARTAN	Teva-Valsartan 80mg Tab	TEV	0.2159	0.2159	YES	NO	NO
02356686	VALSARTAN	Teva-Valsartan 320mg Tab	TEV	0.2098	0.2098	YES	NO	NO
02384566	VALSARTAN	Valsartan 320mg Tab	SIV	0.2098	0.2098	YES	NO	NO
02366975	VALSARTAN	Valsartan 320mg Tab	SAI	0.2098	0.2098	YES	NO	NO
02366967	VALSARTAN	Valsartan 160mg Tab	SAI	0.2159	0.2159	YES	NO	NO
02384558	VALSARTAN	Valsartan 160mg Tab	SIV	0.2159	0.2159	YES	NO	NO
02384531	VALSARTAN	Valsartan 80mg Tab	SIV	0.2159	0.2159	YES	NO	NO
02366959	VALSARTAN	Valsartan 80mg Tab	SAI	0.2159	0.2159	YES	NO	NO
02384523	VALSARTAN	Valsartan (Off-Formulary Interchangeable) 40mg Tab	SIV	0.5823	N/A	YES	NO	NO
02366940	VALSARTAN	Valsartan (Off-Formulary Interchangeable) 40mg Tab	SAI	0.5823	N/A	YES	NO	NO
02382571	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 320mg & 12.5mg Tab	APX	0.2235	0.2235	YES	NO	NO
02382547	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 80mg & 12.5mg Tab	APX	0.2213	0.2213	YES	NO	NO
02382555	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 160mg & 12.5mg Tab	APX	0.2240	0.2240	YES	NO	NO
02382598	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 320mg & 25mg Tab	APX	0.2231	0.2231	YES	NO	NO
02382563	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 160mg & 25mg Tab	APX	0.2238	0.2238	YES	NO	NO
02408120	VALSARTAN & HYDROCHLOROTHIAZIDE	Auro-Valsartan HCT 160mg & 12.5mg Tab	AUR	0.2240	0.2240	YES	NO	NO
02408112	VALSARTAN & HYDROCHLOROTHIAZIDE	Auro-Valsartan HCT 80mg & 12.5mg Tab	AUR	0.2213	0.2213	YES	NO	NO
02408147	VALSARTAN & HYDROCHLOROTHIAZIDE	Auro-Valsartan HCT 320mg & 12.5mg Tab	AUR	0.2235	0.2235	YES	NO	NO
02408155	VALSARTAN & HYDROCHLOROTHIAZIDE	Auro-Valsartan HCT 320mg & 25mg Tab	AUR	0.2231	0.2231	YES	NO	NO
02408139	VALSARTAN & HYDROCHLOROTHIAZIDE	Auro-Valsartan HCT 160mg & 25mg Tab	AUR	0.2238	0.2238	YES	NO	NO
02308908	VALSARTAN & HYDROCHLOROTHIAZIDE	Diovan-HCT 320mg & 12.5mg Tab	NOV	1.5275	0.2235	YES	NO	NO
02308916	VALSARTAN & HYDROCHLOROTHIAZIDE	Diovan-HCT 320mg & 25mg Tab	NOV	1.5250	0.2231	YES	NO	NO
02241901	VALSARTAN & HYDROCHLOROTHIAZIDE	Diovan-HCT 160mg & 12.5mg Tab	NOV	1.5310	0.2240	YES	NO	NO
02241900	VALSARTAN & HYDROCHLOROTHIAZIDE	Diovan-HCT 80mg & 12.5mg Tab	NOV	1.5139	0.2213	YES	NO	NO
02246955	VALSARTAN & HYDROCHLOROTHIAZIDE	Diovan-HCT 160mg & 25mg Tab	NOV	1.5310	0.2238	YES	NO	NO
02356732	VALSARTAN & HYDROCHLOROTHIAZIDE	Sandoz Valsartan HCT 320mg & 25mg Tab	SDZ	0.2231	0.2231	YES	NO	NO
02356708	VALSARTAN & HYDROCHLOROTHIAZIDE	Sandoz Valsartan HCT 160mg & 12.5mg Tab	SDZ	0.2240	0.2240	YES	NO	NO
02356724	VALSARTAN & HYDROCHLOROTHIAZIDE	Sandoz Valsartan HCT 320mg & 12.5mg Tab	SDZ	0.2235	0.2235	YES	NO	NO
02356694	VALSARTAN & HYDROCHLOROTHIAZIDE	Sandoz Valsartan HCT 80mg & 12.5mg Tab	SDZ	0.2213	0.2213	YES	NO	NO
02356716	VALSARTAN & HYDROCHLOROTHIAZIDE	Sandoz Valsartan HCT 160mg & 25mg Tab	SDZ	0.2238	0.2238	YES	NO	NO
02357003	VALSARTAN & HYDROCHLOROTHIAZIDE	Teva-Valsartan/HCTZ 160mg & 12.5mg Tab	TEV	0.2240	0.2240	YES	NO	NO
02356996	VALSARTAN & HYDROCHLOROTHIAZIDE	Teva-Valsartan/HCTZ 80mg & 12.5mg Tab	TEV	0.2213	0.2213	YES	NO	NO
02357046	VALSARTAN & HYDROCHLOROTHIAZIDE	Teva-Valsartan/HCTZ 320mg & 25mg Tab	TEV	0.2231	0.2231	YES	NO	NO
02357011	VALSARTAN & HYDROCHLOROTHIAZIDE	Teva-Valsartan/HCTZ 160mg & 25mg Tab	TEV	0.2238	0.2238	YES	NO	NO
02357038	VALSARTAN & HYDROCHLOROTHIAZIDE	Teva-Valsartan/HCTZ 320mg & 12.5mg Tab	TEV	0.2235	0.2235	YES	NO	NO
02367009	VALSARTAN & HYDROCHLOROTHIAZIDE	Valsartan HCT 80mg & 12.5mg Tab	SAI	0.2213	0.2213	YES	NO	NO
02367017	VALSARTAN & HYDROCHLOROTHIAZIDE	Valsartan HCT 160mg & 12.5mg Tab	SAI	0.2240	0.2240	YES	NO	NO
02384744	VALSARTAN & HYDROCHLOROTHIAZIDE	Valsartan HCT 160mg & 12.5mg Tab	SIV	0.2240	0.2240	YES	NO	NO
02367041	VALSARTAN & HYDROCHLOROTHIAZIDE	Valsartan HCT 320mg & 25mg Tab	SAI	0.2231	0.2231	YES	NO	NO
02384736	VALSARTAN & HYDROCHLOROTHIAZIDE	Valsartan HCT 80mg & 12.5mg Tab	SIV	0.2213	0.2213	YES	NO	NO
02384752	VALSARTAN & HYDROCHLOROTHIAZIDE	Valsartan HCT 160mg & 25mg Tab	SIV	0.2238	0.2238	YES	NO	NO
02367033	VALSARTAN & HYDROCHLOROTHIAZIDE	Valsartan HCT 320mg & 12.5mg Tab	SAI	0.2235	0.2235	YES	NO	NO
02367025	VALSARTAN & HYDROCHLOROTHIAZIDE	Valsartan HCT 160mg & 25mg Tab	SAI	0.2238	0.2238	YES	NO	NO
02384760	VALSARTAN & HYDROCHLOROTHIAZIDE	Valsartan HCT 320mg & 12.5mg Tab	SIV	0.2235	0.2235	YES	NO	NO
09858007	VALVED HOLDING CHAMBER	A2A Spacer with Medium Mask	CCI	N/A	12.0000	NO	NO	NO
09858006	VALVED HOLDING CHAMBER	A2A Spacer with Small Mask	CCI	N/A	12.0000	NO	NO	NO
09858018	VALVED HOLDING CHAMBER	AeroChamber Plus FlowVu Adult Large Mask	TMI	N/A	42.8500	NO	NO	NO
09858016	VALVED HOLDING CHAMBER	AeroChamber Plus FlowVu Adult Mouthpiece	TMI	N/A	25.3200	NO	NO	NO
09858017	VALVED HOLDING CHAMBER	AeroChamber Plus FlowVu Adult Sm. Mask	TMI	N/A	42.8500	NO	NO	NO
09858013	VALVED HOLDING CHAMBER	AeroChamber Plus FlowVu Child Med. Mask	TMI	N/A	40.5000	NO	NO	NO
09858015	VALVED HOLDING CHAMBER	AeroChamber Plus FlowVu Girls Mouthpiece	TMI	N/A	25.3200	NO	NO	NO
09858012	VALVED HOLDING CHAMBER	AeroChamber Plus FlowVu Infant Sm. Mask	TMI	N/A	40.5000	NO	NO	NO
09858014	VALVED HOLDING CHAMBER	AeroChamber Plus FlowVu Youth Mouthpiece	TMI	N/A	25.3200	NO	NO	NO
09858008	VALVED HOLDING CHAMBER	Optichamber Diamond Chamber	RRD	N/A	16.3400	NO	NO	NO
09858011	VALVED HOLDING CHAMBER	Optichamber Diamond Chamber + Large Mask	RRD	N/A	30.7800	NO	NO	NO
09858009	VALVED HOLDING CHAMBER	Optichamber Diamond Chamber + Small Mask	RRD	N/A	27.9300	NO	NO	NO
09858010	VALVED HOLDING CHAMBER	Optichamber Diamond Chamber+Medium Mask	RRD	N/A	27.9300	NO	NO	NO
09858005	VALVED HOLDING CHAMBER	A2A Aerosol to Airways Spacer Chamber	CCI	N/A	9.0000	NO	NO	NO
02407744	VANCOMYCIN HCL	Jamp-Vancomycin 125mg Cap	JPC	5.1800	5.1800	YES	YES	NO
02407752	VANCOMYCIN HCL	Jamp-Vancomycin (Off-Formulary Interchangeable) 250mg Cap	JPC	10.3600	10.3600	YES	NO	NO
00788716	VANCOMYCIN HCL	Vancocin (Off-Formulary Interchangeable) 250mg Cap	SLP	10.3600	10.3600	YES	NO	NO
00800430	VANCOMYCIN HCL	Vancocin 125mg Cap	SLP	5.1800	5.1800	YES	YES	NO
02476088	VARDENAFIL HCL	Jamp-Vardenafil ODT (Off-Formulary Interchangeable) 10mg Orally Disintergrating Tab	JPC	5.8778	N/A	YES	NO	NO
02372436	VARDENAFIL HCL	Staxyn (Off-Formulary Interchangeable) 10mg Orally Disintergrating Tab	BAH	N/A	N/A	YES	NO	NO
02471655	VARDENAFIL HCL	Apo-Vardenafil (Off-Formulary Interchangeable) 10mg Tab	APX	10.3976	N/A	YES	NO	NO
02471647	VARDENAFIL HCL	Apo-Vardenafil (Off-Formulary Interchangeable) 5mg Tab	APX	9.3203	N/A	YES	NO	NO
02471663	VARDENAFIL HCL	Apo-Vardenafil (Off-Formulary Interchangeable) 20mg Tab	APX	11.6811	N/A	YES	NO	NO
02475685	VARDENAFIL HCL	Jamp-Vardenafil IR (Off-Formulary Interchangeable) 10mg Tab	JPC	10.4019	N/A	YES	NO	NO
02475693	VARDENAFIL HCL	Jamp-Vardenafil IR (Off-Formulary Interchangeable) 20mg Tab	JPC	11.6811	N/A	YES	NO	NO
02475677	VARDENAFIL HCL	Jamp-Vardenafil IR (Off-Formulary Interchangeable) 5mg Tab	JPC	9.3203	N/A	YES	NO	NO
02250470	VARDENAFIL HCL	Levitra (Off-Formulary Interchangeable) 10mg Tab	BAY	N/A	N/A	YES	NO	NO
02250462	VARDENAFIL HCL	Levitra (Off-Formulary Interchangeable) 5mg Tab	BAY	N/A	N/A	YES	NO	NO
02250489	VARDENAFIL HCL	Levitra (Off-Formulary Interchangeable) 20mg Tab	BAY	N/A	N/A	YES	NO	NO
02464233	VARDENAFIL HCL	Mylan-Vardenafil (Off-Formulary Interchangeable) 20mg Tab	MYL	11.6811	N/A	YES	NO	NO
02464225	VARDENAFIL HCL	Mylan-Vardenafil (Off-Formulary Interchangeable) 10mg Tab	MYL	10.3976	N/A	YES	NO	NO
02464209	VARDENAFIL HCL	Mylan-Vardenafil (Off-Formulary Interchangeable) 5mg Tab	MYL	9.3203	N/A	YES	NO	NO
02520397	VARDENAFIL HCL	Vardenafil (Off-Formulary Interchangeable) 10mg Tab	SAI	10.3976	N/A	YES	NO	NO
02520400	VARDENAFIL HCL	Vardenafil (Off-Formulary Interchangeable) 20mg Tab	SAI	11.6811	N/A	YES	NO	NO
02419882	VARENICLINE TARTRATE	Apo-Varenicline 0.5mg Tab	APX	0.4618	0.4618	YES	YES	NO
02419890	VARENICLINE TARTRATE	Apo-Varenicline 1.0mg Tab	APX	0.4618	0.4618	YES	YES	NO
02291185	VARENICLINE TARTRATE	Champix (Not a Benefit) 1.0mg Tab	PFI	N/A	N/A	YES	NO	NO
02291177	VARENICLINE TARTRATE	Champix (Not a Benefit) 0.5mg Tab	PFI	N/A	N/A	YES	NO	NO
02546949	VARENICLINE TARTRATE	Mint-Varenicline 0.5mg Tab	MIN	0.4618	0.4618	YES	YES	NO
02546957	VARENICLINE TARTRATE	Mint-Varenicline 1.0mg Tab	MIN	0.4618	0.4618	YES	YES	NO
02542978	VARENICLINE TARTRATE	NRA-Varenicline 1.0mg Tab	NRA	0.4618	0.4618	YES	YES	NO
02542951	VARENICLINE TARTRATE	NRA-Varenicline 0.5mg Tab	NRA	0.4618	0.4618	YES	YES	NO
02426226	VARENICLINE TARTRATE	Teva-Varenicline 0.5mg Tab	TEV	0.4618	0.4618	YES	YES	NO
02426234	VARENICLINE TARTRATE	Teva-Varenicline 1.0mg Tab	TEV	0.4618	0.4618	YES	YES	NO
02435675	VARENICLINE TARTRATE	Apo-Varenicline 0.5mg & 1.0mg Tab (Starter Pack-53 Tabs)	APX	24.3853	24.3853	YES	YES	NO
09857519	VARENICLINE TARTRATE	Champix (Not a Benefit) 0.5mg & 1.0mg Tab (Starter Pack-53 Tabs)	PFI	N/A	N/A	YES	NO	NO
02546965	VARENICLINE TARTRATE	Mint-Varenicline 0.5mg & 1.0mg Tab (Starter Pack-53 Tabs)	MIN	24.3853	24.3853	YES	YES	NO
02542986	VARENICLINE TARTRATE	NRA-Varenicline 0.5mg & 1.0mg Tab (Starter Pack-53 Tabs)	NRA	24.3853	24.3853	YES	YES	NO
09857631	VARENICLINE TARTRATE	Teva-Varenicline 0.5mg & 1.0mg Tab (Starter Pack-53 Tabs)	TEV	24.3853	24.3853	YES	YES	YES
02304317	VENLAFAXINE HCL	ACT Venlafaxine XR 37.5mg ER Cap	TEV	0.0913	0.0913	YES	NO	NO
02304333	VENLAFAXINE HCL	ACT Venlafaxine XR 150mg ER Cap	TEV	0.1927	0.1927	YES	NO	NO
02304325	VENLAFAXINE HCL	ACT Venlafaxine XR 75mg ER Cap	TEV	0.1825	0.1825	YES	NO	NO
02331683	VENLAFAXINE HCL	Apo-Venlafaxine XR 37.5mg ER Cap	APX	0.0913	0.0913	YES	NO	NO
02331705	VENLAFAXINE HCL	Apo-Venlafaxine XR 150mg ER Cap	APX	0.1927	0.1927	YES	NO	NO
02331691	VENLAFAXINE HCL	Apo-Venlafaxine XR 75mg ER Cap	APX	0.1825	0.1825	YES	NO	NO
02452855	VENLAFAXINE HCL	Auro-Venlafaxine XR 150mg ER Cap	AUR	0.1927	0.1927	YES	NO	NO
02452839	VENLAFAXINE HCL	Auro-Venlafaxine XR 37.5mg ER Cap	AUR	0.0913	0.0913	YES	NO	NO
02452847	VENLAFAXINE HCL	Auro-Venlafaxine XR 75mg ER Cap	AUR	0.1825	0.1825	YES	NO	NO
02237279	VENLAFAXINE HCL	Effexor XR 37.5mg ER Cap	UJC	1.1374	0.0913	YES	NO	NO
02237280	VENLAFAXINE HCL	Effexor XR 75mg ER Cap	UJC	2.2741	0.1825	YES	NO	NO
02237282	VENLAFAXINE HCL	Effexor XR 150mg ER Cap	UJC	2.4018	0.1927	YES	NO	NO
02471280	VENLAFAXINE HCL	M-Venlafaxine XR 37.5mg ER Cap	MAT	0.0913	0.0913	YES	NO	NO
02471302	VENLAFAXINE HCL	M-Venlafaxine XR 150mg ER Cap	MAT	0.1927	0.1927	YES	NO	NO
02471299	VENLAFAXINE HCL	M-Venlafaxine XR 75mg ER Cap	MAT	0.1825	0.1825	YES	NO	NO
02522985	VENLAFAXINE HCL	Mint-Venlafaxine XR 75mg ER Cap	MIN	0.1825	0.1825	YES	NO	NO
02522977	VENLAFAXINE HCL	Mint-Venlafaxine XR 37.5mg ER Cap	MIN	0.0913	0.0913	YES	NO	NO
02522993	VENLAFAXINE HCL	Mint-Venlafaxine XR 150mg ER Cap	MIN	0.1927	0.1927	YES	NO	NO
02278553	VENLAFAXINE HCL	PMS-Venlafaxine XR 75mg ER Cap	PMS	0.1825	0.1825	YES	NO	NO
02278561	VENLAFAXINE HCL	PMS-Venlafaxine XR 150mg ER Cap	PMS	0.1927	0.1927	YES	NO	NO
02278545	VENLAFAXINE HCL	PMS-Venlafaxine XR 37.5mg ER Cap	PMS	0.0913	0.0913	YES	NO	NO
02521466	VENLAFAXINE HCL	PMSC-Venlafaxine XR 37.5mg ER Cap	PMS	0.0913	0.0913	YES	NO	NO
02521474	VENLAFAXINE HCL	PMSC-Venlafaxine XR 150mg ER Cap	PMS	0.1927	0.1927	YES	NO	NO
02521482	VENLAFAXINE HCL	PMSC-Venlafaxine XR 75mg ER Cap	PMS	0.1825	0.1825	YES	NO	NO
02310333	VENLAFAXINE HCL	Sandoz Venlafaxine XR 150mg ER Cap	SDZ	0.1927	0.1927	YES	NO	NO
02310325	VENLAFAXINE HCL	Sandoz Venlafaxine XR 75mg ER Cap	SDZ	0.1825	0.1825	YES	NO	NO
02310317	VENLAFAXINE HCL	Sandoz Venlafaxine XR 37.5mg ER Cap	SDZ	0.0913	0.0913	YES	NO	NO
02380080	VENLAFAXINE HCL	Taro-Venlafaxine XR 75mg ER Cap	SPC	0.1825	0.1825	YES	NO	NO
02380099	VENLAFAXINE HCL	Taro-Venlafaxine XR 150mg ER Cap	SPC	0.1927	0.1927	YES	NO	NO
02380072	VENLAFAXINE HCL	Taro-Venlafaxine XR 37.5mg ER Cap	SPC	0.0913	0.0913	YES	NO	NO
02275031	VENLAFAXINE HCL	Teva-Venlafaxine XR 75mg ER Cap	TEV	0.1825	0.1825	YES	NO	NO
02275058	VENLAFAXINE HCL	Teva-Venlafaxine XR 150mg ER Cap	TEV	0.1927	0.1927	YES	NO	NO
02275023	VENLAFAXINE HCL	Teva-Venlafaxine XR 37.5mg ER Cap	TEV	0.0913	0.0913	YES	NO	NO
02516535	VENLAFAXINE HCL	Venlafaxine XR 37.5mg ER Cap	JPC	0.0913	0.0913	YES	NO	NO
02489678	VENLAFAXINE HCL	Venlafaxine XR 37.5mg ER Cap	RIA	0.0913	0.0913	YES	NO	NO
02385929	VENLAFAXINE HCL	Venlafaxine XR 37.5mg ER Cap	SIV	0.0913	0.0913	YES	NO	NO
02354713	VENLAFAXINE HCL	Venlafaxine XR 37.5mg ER Cap	SAI	0.0913	0.0913	YES	NO	NO
02489694	VENLAFAXINE HCL	Venlafaxine XR 150mg ER Cap	RIA	0.1927	0.1927	YES	NO	NO
02385945	VENLAFAXINE HCL	Venlafaxine XR 150mg ER Cap	SIV	0.1927	0.1927	YES	NO	NO
02354748	VENLAFAXINE HCL	Venlafaxine XR 150mg ER Cap	SAI	0.1927	0.1927	YES	NO	NO
02516551	VENLAFAXINE HCL	Venlafaxine XR 150mg ER Cap	JPC	0.1927	0.1927	YES	NO	NO
02516543	VENLAFAXINE HCL	Venlafaxine XR 75mg ER Cap	JPC	0.1825	0.1825	YES	NO	NO
02489686	VENLAFAXINE HCL	Venlafaxine XR 75mg ER Cap	RIA	0.1825	0.1825	YES	NO	NO
02385937	VENLAFAXINE HCL	Venlafaxine XR 75mg ER Cap	SIV	0.1825	0.1825	YES	NO	NO
02354721	VENLAFAXINE HCL	Venlafaxine XR 75mg ER Cap	SAI	0.1825	0.1825	YES	NO	NO
02246893	VERAPAMIL HCL	Apo-Verap SR (Off-Formulary Interchangeable) 120mg LA Tab	APX	0.6900	N/A	YES	NO	NO
02246894	VERAPAMIL HCL	Apo-Verap SR 180mg LA Tab	APX	0.5204	0.5204	YES	NO	NO
00742554	VERAPAMIL HCL	Isoptin SR 240mg LA Tab	BGP	2.7323	1.7143	YES	NO	NO
01934317	VERAPAMIL HCL	Isoptin SR 180mg LA Tab	BGP	2.0488	0.5204	YES	NO	NO
01907123	VERAPAMIL HCL	Isoptin SR (Off-Formulary Interchangeable) 120mg LA Tab	BGP	N/A	N/A	YES	NO	NO
02210347	VERAPAMIL HCL	Mylan-Verapamil SR (Off-Formulary Interchangeable) 120mg LA Tab	MYL	0.6900	N/A	YES	NO	NO
02450488	VERAPAMIL HCL	Mylan-Verapamil SR 180mg LA Tab	MYL	0.5204	0.5204	YES	NO	NO
02450496	VERAPAMIL HCL	Mylan-Verapamil SR 240mg LA Tab	MYL	1.7143	1.7143	YES	NO	NO
00782491	VERAPAMIL HCL	Apo-Verap 120mg Tab	APX	0.4250	0.4250	YES	NO	NO
00782483	VERAPAMIL HCL	Apo-Verap 80mg Tab	APX	0.2735	0.2735	YES	NO	NO
00554324	VERAPAMIL HCL	Isoptin (Not a Benefit) 120mg Tab	ABB	N/A	N/A	YES	NO	NO
00554316	VERAPAMIL HCL	Isoptin (Not a Benefit) 80mg Tab	ABB	N/A	N/A	YES	NO	NO
02237921	VERAPAMIL HCL	Mylan-Verapamil 80mg Tab	MYL	0.2735	0.2735	YES	NO	NO
02237922	VERAPAMIL HCL	Mylan-Verapamil 120mg Tab	MYL	0.4250	0.4250	YES	NO	NO
02537044	VERICIGUAT	Verquvo 2.5mg Tab	BAH	4.8300	4.8300	NO	YES	NO
02537052	VERICIGUAT	Verquvo 5mg Tab	BAH	4.8300	4.8300	NO	YES	NO
02537060	VERICIGUAT	Verquvo 10mg Tab	BAH	4.8300	4.8300	NO	YES	NO
09858315	VIGABATRIN	Vigabatrin for Oral Solution, USP 500mg (Temporary Benefit) 500mg/Sachet Pd for Oral Sol	DRR	5.0000	5.0000	NO	NO	NO
02065819	VIGABATRIN	Sabril 500mg Tab	OVA	0.9566	0.9566	NO	YES	NO
09858318	VIGABATRIN	Vigabatrin Tablets, USP (Temporary Benefit) 500mg Tab	DRR	5.0000	5.0000	NO	NO	NO
02551829	VILAZODONE HYDROCHLORIDE	Apo-Vilazodone (Off-Formulary Interchangeable) 20mg Tab	APX	3.0482	N/A	YES	NO	NO
02551810	VILAZODONE HYDROCHLORIDE	Apo-Vilazodone (Off-Formulary Interchangeable) 10mg Tab	APX	3.0482	N/A	YES	NO	NO
02551837	VILAZODONE HYDROCHLORIDE	Apo-Vilazodone (Off-Formulary Interchangeable) 40mg Tab	APX	4.0577	N/A	YES	NO	NO
02443724	VILAZODONE HYDROCHLORIDE	Viibryd (Off-Formulary Interchangeable) 10mg Tab	ABV	N/A	N/A	YES	NO	NO
02443740	VILAZODONE HYDROCHLORIDE	Viibryd (Off-Formulary Interchangeable) 40mg Tab	ABV	N/A	N/A	YES	NO	NO
02443732	VILAZODONE HYDROCHLORIDE	Viibryd (Off-Formulary Interchangeable) 20mg Tab	ABV	N/A	N/A	YES	NO	NO
00611182	VINCRISTINE SULFATE	Oncovin (Not a Benefit) 1mg/mL Inj Sol	LIL	N/A	N/A	YES	NO	NO
02143305	VINCRISTINE SULFATE	Vincristine Sulfate 1mg/mL Inj Sol	NOP	30.6000	30.6000	YES	NO	NO
02525798	VORICONAZOLE	Jamp Voriconazole 200mg Tab	JPC	13.2403	13.2403	YES	YES	NO
02525771	VORICONAZOLE	Jamp Voriconazole 50mg Tab	JPC	3.3909	3.3909	YES	YES	NO
02399245	VORICONAZOLE	Sandoz Voriconazole 50mg Tab	SDZ	3.3909	3.3909	YES	YES	NO
02399253	VORICONAZOLE	Sandoz Voriconazole 200mg Tab	SDZ	13.2403	13.2403	YES	YES	NO
02396874	VORICONAZOLE	Teva-Voriconazole 200mg Tab	TEV	13.2403	13.2403	YES	YES	NO
02396866	VORICONAZOLE	Teva-Voriconazole 50mg Tab	TEV	3.3909	3.3909	YES	YES	NO
02256460	VORICONAZOLE	Vfend 50mg Tab	PFI	13.5635	3.3909	YES	YES	NO
02256479	VORICONAZOLE	Vfend 200mg Tab	PFI	54.2323	13.2403	YES	YES	NO
02552752	VORTIOXETINE HYDROBROMIDE	Apo-Vortioxetine 10mg Tab	APX	2.2644	2.2644	YES	NO	NO
02552779	VORTIOXETINE HYDROBROMIDE	Apo-Vortioxetine 20mg Tab	APX	2.4584	2.4584	YES	NO	NO
02552744	VORTIOXETINE HYDROBROMIDE	Apo-Vortioxetine 5mg Tab	APX	2.1618	2.1618	YES	NO	NO
02432943	VORTIOXETINE HYDROBROMIDE	Trintellix 20mg Tab	VLH	3.2779	2.4584	YES	NO	NO
02432927	VORTIOXETINE HYDROBROMIDE	Trintellix 10mg Tab	VLH	3.0192	2.2644	YES	NO	NO
02432919	VORTIOXETINE HYDROBROMIDE	Trintellix 5mg Tab	VLH	2.8824	2.1618	YES	NO	NO
02242927	WARFARIN	Apo-Warfarin 4mg Tab	APX	0.1043	0.1043	YES	NO	YES
02242925	WARFARIN	Apo-Warfarin 2mg Tab	APX	0.0841	0.0841	YES	NO	YES
02245618	WARFARIN	Apo-Warfarin 3mg Tab	APX	0.1043	0.1043	YES	NO	YES
02242924	WARFARIN	Apo-Warfarin 1mg Tab	APX	0.0796	0.0796	YES	NO	YES
02242928	WARFARIN	Apo-Warfarin 5mg Tab	APX	0.0675	0.0675	YES	NO	YES
02242926	WARFARIN	Apo-Warfarin 2.5mg Tab	APX	0.0674	0.0674	YES	NO	YES
02242929	WARFARIN	Apo-Warfarin 10mg Tab	APX	0.1211	0.1211	YES	NO	YES
01918338	WARFARIN	Coumadin (Not a Benefit) 2mg Tab	BQU	N/A	N/A	YES	NO	YES
02007959	WARFARIN	Coumadin (Not a Benefit) 4mg Tab	BQU	N/A	N/A	YES	NO	YES
02240205	WARFARIN	Coumadin (Not a Benefit) 3mg Tab	BQU	N/A	N/A	YES	NO	YES
01918354	WARFARIN	Coumadin (Not a Benefit) 5mg Tab	BQU	N/A	N/A	YES	NO	YES
01918311	WARFARIN	Coumadin (Not a Benefit) 1mg Tab	BQU	N/A	N/A	YES	NO	YES
02240206	WARFARIN	Coumadin (Not a Benefit) 6mg Tab	BQU	N/A	N/A	YES	NO	YES
01918346	WARFARIN	Coumadin (Not a Benefit) 2.5mg Tab	BQU	N/A	N/A	YES	NO	YES
01918362	WARFARIN	Coumadin (Not a Benefit) 10mg Tab	BQU	N/A	N/A	YES	NO	YES
02242687	WARFARIN	Taro-Warfarin 10mg Tab	TAR	0.1211	0.1211	YES	NO	YES
02242686	WARFARIN	Taro-Warfarin (Off-Formulary Interchangeable) 6mg Tab	TAR	0.2805	N/A	YES	NO	YES
02242685	WARFARIN	Taro-Warfarin 5mg Tab	TAR	0.0675	0.0675	YES	NO	YES
02242684	WARFARIN	Taro-Warfarin 4mg Tab	TAR	0.1043	0.1043	YES	NO	YES
02242683	WARFARIN	Taro-Warfarin 3mg Tab	TAR	0.1043	0.1043	YES	NO	YES
02242682	WARFARIN	Taro-Warfarin 2.5mg Tab	TAR	0.0674	0.0674	YES	NO	YES
02242681	WARFARIN	Taro-Warfarin 2mg Tab	TAR	0.0841	0.0841	YES	NO	YES
02242680	WARFARIN	Taro-Warfarin 1mg Tab	TAR	0.0796	0.0796	YES	NO	YES
02240863	ZANAMIVIR	Relenza 5mg Pd Inh-5 Rotadisks Pk	GSK	49.2300	49.2300	NO	YES	NO
01946323	ZIDOVUDINE	Apo-Zidovudine (Off-Formulary Interchangeable) 100mg Cap	APX	1.3977	N/A	YES	NO	NO
01902660	ZIDOVUDINE	Retrovir (Off-Formulary Interchangeable) 100mg Cap	VIH	N/A	N/A	YES	NO	NO
01945939	ZINC SULFATE	Anusol Ointment 0.5% Oint	CDC	0.2187	0.2187	NO	NO	NO
00621439	ZINC SULFATE	Anuzinc 10mg Sup	SDZ	0.3542	0.3542	NO	NO	NO
02449544	ZIPRASIDONE HCL MONOHYDRATE	Auro-Ziprasidone 20mg Cap	AUR	1.3784	1.3784	YES	NO	NO
02449552	ZIPRASIDONE HCL MONOHYDRATE	Auro-Ziprasidone 40mg Cap	AUR	1.5786	1.5786	YES	NO	NO
02449560	ZIPRASIDONE HCL MONOHYDRATE	Auro-Ziprasidone 60mg Cap	AUR	1.5786	1.5786	YES	NO	NO
02449579	ZIPRASIDONE HCL MONOHYDRATE	Auro-Ziprasidone 80mg Cap	AUR	1.5786	1.5786	YES	NO	NO
02298600	ZIPRASIDONE HCL MONOHYDRATE	Zeldox 40mg Cap	UJC	2.5105	1.5786	YES	NO	NO
02298619	ZIPRASIDONE HCL MONOHYDRATE	Zeldox 60mg Cap	UJC	2.5105	1.5786	YES	NO	NO
02298597	ZIPRASIDONE HCL MONOHYDRATE	Zeldox 20mg Cap	UJC	2.1916	1.3784	YES	NO	NO
02298627	ZIPRASIDONE HCL MONOHYDRATE	Zeldox 80mg Cap	UJC	2.5105	1.5786	YES	NO	NO
02269198	ZOLEDRONIC ACID	Aclasta 5mg/100mL Inj Sol-100mL Pk (Preservative-Free)	SDZ	882.0900	356.0100	YES	YES	NO
02415100	ZOLEDRONIC ACID	Taro-Zoledronic Acid 5mg/100mL Inj Sol-100mL Pk (Preservative-Free)	TAR	356.0100	356.0100	YES	YES	NO
02422433	ZOLEDRONIC ACID	Zoledronic Acid Injection 5mg/100mL Inj Sol-100mL Pk (Preservative-Free)	DRR	356.0100	356.0100	YES	YES	NO
02482525	ZOLEDRONIC ACID	Jamp-Zoledronic Acid (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	JPC	415.5600	415.5600	YES	NO	NO
02415186	ZOLEDRONIC ACID	Taro-Zoledronic Acid Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	TAR	415.5600	415.5600	YES	NO	NO
02422425	ZOLEDRONIC ACID	Zoledronic Acid for Inj. Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	DRR	415.5600	415.5600	YES	NO	NO
02413701	ZOLEDRONIC ACID	Zoledronic Acid for Inj. Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	OMG	415.0000	415.0000	YES	NO	NO
02472805	ZOLEDRONIC ACID	Zoledronic Acid for Injection (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	MAR	415.5600	415.5600	YES	NO	NO
02444739	ZOLEDRONIC ACID	Zoledronic Acid for Injection (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	MDI	415.5600	415.5600	YES	NO	NO
02407639	ZOLEDRONIC ACID	Zoledronic Acid for Injection (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	TEV	415.5600	415.5600	YES	NO	NO
02434458	ZOLEDRONIC ACID	Zoledronic Acid for Injection (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	FKC	415.5600	415.5600	YES	NO	NO
02401606	ZOLEDRONIC ACID	Zoledronic Acid-Z (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	SDZ	415.5600	415.5600	YES	NO	NO
02248296	ZOLEDRONIC ACID	Zometa Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	NOV	N/A	N/A	YES	NO	NO
02381575	ZOLMITRIPTAN	Apo-Zolmitriptan Rapid (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	APX	6.8633	6.8633	YES	NO	NO
02428237	ZOLMITRIPTAN	Jamp-Zolmitriptan ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	JPC	6.8633	6.8633	YES	NO	NO
02419513	ZOLMITRIPTAN	Mint-Zolmitriptan ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	MIN	6.8625	6.8625	YES	NO	NO
02324768	ZOLMITRIPTAN	PMS-Zolmitriptan ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	PMS	6.8625	6.8625	YES	NO	NO
02362996	ZOLMITRIPTAN	Sandoz Zolmitriptan ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	SDZ	6.8625	6.8625	YES	NO	NO
02428474	ZOLMITRIPTAN	Septa-Zolmitriptan-ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	SET	6.8633	6.8633	YES	NO	NO
02342545	ZOLMITRIPTAN	Teva-Zolmitriptan OD (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	TEV	6.8633	6.8633	YES	NO	NO
02442671	ZOLMITRIPTAN	Zolmitriptan ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	SAI	6.8633	6.8633	YES	NO	NO
02243045	ZOLMITRIPTAN	Zomig Rapimelt (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	AZC	17.3848	6.8633	YES	NO	NO
02380951	ZOLMITRIPTAN	Apo-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	APX	6.8583	6.8583	YES	NO	NO
02481030	ZOLMITRIPTAN	Auro-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	AUR	6.8633	6.8633	YES	NO	NO
02458780	ZOLMITRIPTAN	CCP-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	CCP	6.8586	6.8586	YES	NO	NO
02477106	ZOLMITRIPTAN	Jamp Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	JPC	6.8583	6.8583	YES	NO	NO
02421623	ZOLMITRIPTAN	Jamp-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	JPC	6.8583	6.8583	YES	NO	NO
02399458	ZOLMITRIPTAN	Mar-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	MAR	6.8583	6.8583	YES	NO	NO
02419521	ZOLMITRIPTAN	Mint-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	MIN	6.8583	6.8583	YES	NO	NO
02489392	ZOLMITRIPTAN	NRA-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	NRA	6.8600	6.8600	YES	NO	NO
02421534	ZOLMITRIPTAN	Nat-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	NAT	6.8633	6.8633	YES	NO	NO
02324229	ZOLMITRIPTAN	PMS-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	PMS	6.8586	6.8586	YES	NO	NO
02362988	ZOLMITRIPTAN	Sandoz Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	SDZ	6.8586	6.8586	YES	NO	NO
02313960	ZOLMITRIPTAN	Teva-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	TEV	6.8583	6.8583	YES	NO	NO
02442655	ZOLMITRIPTAN	Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	SAI	6.8583	6.8583	YES	NO	NO
02238660	ZOLMITRIPTAN	Zomig (Off-Formulary Interchangeable) 2.5mg Tab	AZC	17.3848	6.8633	YES	NO	NO
02436159	ZOLPIDEM TARTRATE	Apo-Zolpidem ODT (Off-Formulary Interchangeable) 5mg SL Tab	APX	1.1825	N/A	YES	NO	NO
02434946	ZOLPIDEM TARTRATE	Apo-Zolpidem ODT (Off-Formulary Interchangeable) 10mg SL Tab	APX	1.1884	N/A	YES	NO	NO
02540592	ZOLPIDEM TARTRATE	Jamp Zolpidem ODT (Off-Formulary Interchangeable) 5mg SL Tab	JPC	1.1827	N/A	YES	NO	NO
02540606	ZOLPIDEM TARTRATE	Jamp Zolpidem ODT (Off-Formulary Interchangeable) 10mg SL Tab	JPC	1.1883	N/A	YES	NO	NO
02472821	ZOLPIDEM TARTRATE	Mint-Zolpidem ODT (Off-Formulary Interchangeable) 5mg SL Tab	MIN	1.1827	N/A	YES	NO	NO
02472848	ZOLPIDEM TARTRATE	Mint-Zolpidem ODT (Off-Formulary Interchangeable) 10mg SL Tab	MIN	1.1883	N/A	YES	NO	NO
02436175	ZOLPIDEM TARTRATE	PMS-Zolpidem ODT (Off-Formulary Interchangeable) 5mg SL Tab	PMS	1.1827	N/A	YES	NO	NO
02436183	ZOLPIDEM TARTRATE	PMS-Zolpidem ODT (Off-Formulary Interchangeable) 10mg SL Tab	PMS	1.1883	N/A	YES	NO	NO
02391678	ZOLPIDEM TARTRATE	Sublinox (Off-Formulary Interchangeable) 5mg SL Tab	VAL	N/A	N/A	YES	NO	NO
02370433	ZOLPIDEM TARTRATE	Sublinox (Off-Formulary Interchangeable) 10mg SL Tab	VAL	N/A	N/A	YES	NO	NO
02475847	ZOPICLONE	AG-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	ANG	0.4685	0.4685	YES	NO	NO
02475839	ZOPICLONE	AG-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	ANG	0.2231	0.2231	YES	NO	NO
02218313	ZOPICLONE	Apo-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	APX	0.4685	0.4685	YES	NO	NO
02245077	ZOPICLONE	Apo-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	APX	0.2231	0.2231	YES	NO	NO
02271958	ZOPICLONE	Co Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	COB	0.4685	0.4685	YES	NO	NO
02271931	ZOPICLONE	Co Zopiclone (Off-Formulary Interchangeable) 5mg Tab	COB	0.2231	0.2231	YES	NO	NO
02216167	ZOPICLONE	Imovane (Off-Formulary Interchangeable) 5mg Tab	SAV	N/A	N/A	YES	NO	NO
02125285	ZOPICLONE	Imovane (Off-Formulary Interchangeable) 3.75mg Tab	SAV	N/A	N/A	YES	NO	NO
01926799	ZOPICLONE	Imovane (Off-Formulary Interchangeable) 7.5mg Tab	SAV	N/A	N/A	YES	NO	NO
02549271	ZOPICLONE	Jamp Zopiclone (Off-Formulary Interchangeable) 3.75mg Tab	JPC	0.2343	N/A	YES	NO	NO
02549301	ZOPICLONE	Jamp Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	JPC	0.4685	0.4685	YES	NO	NO
02356805	ZOPICLONE	Jamp-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	JPC	0.4685	0.4685	YES	NO	NO
02406969	ZOPICLONE	Jamp-Zopiclone Tablets (Off-Formulary Interchangeable) 5mg Tab	JPC	0.2231	0.2231	YES	NO	NO
02406977	ZOPICLONE	Jamp-Zopiclone Tablets (Off-Formulary Interchangeable) 7.5mg Tab	JPC	0.4685	0.4685	YES	NO	NO
02467968	ZOPICLONE	M-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	MAT	0.4685	0.4685	YES	NO	NO
02467941	ZOPICLONE	M-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	MAT	0.2231	0.2231	YES	NO	NO
02386771	ZOPICLONE	Mar-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	MAR	0.2231	0.2231	YES	NO	NO
02386798	ZOPICLONE	Mar-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	MAR	0.4685	0.4685	YES	NO	NO
02391724	ZOPICLONE	Mint-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	MIN	0.4685	0.4685	YES	NO	NO
02391716	ZOPICLONE	Mint-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	MIN	0.2231	0.2231	YES	NO	NO
02477378	ZOPICLONE	NRA-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	NRA	0.2231	0.2231	YES	NO	NO
02477386	ZOPICLONE	NRA-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	NRA	0.4685	0.4685	YES	NO	NO
02243426	ZOPICLONE	PMS-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	PMS	0.2231	0.2231	YES	NO	NO
02458543	ZOPICLONE	PMS-Zopiclone (Off-Formulary Interchangeable) 3.75mg Tab	PMS	0.2343	N/A	YES	NO	NO
02240606	ZOPICLONE	PMS-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	PMS	0.4685	0.4685	YES	NO	NO
02267926	ZOPICLONE	Ran-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	RAN	0.4685	0.4685	YES	NO	NO
02267918	ZOPICLONE	Ran-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	RAN	0.2231	0.2231	YES	NO	NO
02246534	ZOPICLONE	Ratio-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	RPH	0.2231	0.2231	YES	NO	NO
02242481	ZOPICLONE	Ratio-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	RPH	0.4685	0.4685	YES	NO	NO
02278049	ZOPICLONE	Riva-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	RIA	0.4685	0.4685	YES	NO	NO
02278030	ZOPICLONE	Riva-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	RIA	0.2231	0.2231	YES	NO	NO
02257572	ZOPICLONE	Sandoz Zopiclone (Off-Formulary Interchangeable) 5mg Tab	SDZ	0.2231	0.2231	YES	NO	NO
02008203	ZOPICLONE	Sandoz Zopiclone Tablet (Off-Formulary Interchangeable) 7.5mg Tab	SDZ	0.4685	0.4685	YES	NO	NO
02386917	ZOPICLONE	Septa-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	SET	0.4685	0.4685	YES	NO	NO
02386909	ZOPICLONE	Septa-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	SET	0.2231	0.2231	YES	NO	NO
02344122	ZOPICLONE	Zopiclone (Off-Formulary Interchangeable) 5mg Tab	SAI	0.2231	0.2231	YES	NO	NO
02282445	ZOPICLONE	Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	SAI	0.4685	0.4685	YES	NO	NO
02385848	ZOPICLONE	Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	SIV	0.4685	0.4685	YES	NO	NO
02385821	ZOPICLONE	Zopiclone (Off-Formulary Interchangeable) 5mg Tab	SIV	0.2231	0.2231	YES	NO	NO
02230406	ZUCLOPENTHIXOL DECANOATE	Clopixol Depot 200mg/mL Inj-1mL Pk	VLH	21.3154	21.3154	NO	NO	NO
02230403	ZUCLOPENTHIXOL DIHYDROCHLORIDE	Clopixol 25mg Tab	VLH	1.3705	1.3705	NO	NO	NO
02230402	ZUCLOPENTHIXOL DIHYDROCHLORIDE	Clopixol 10mg Tab	VLH	0.5483	0.5483	NO	NO	NO

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