| 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 |
| 02418940 | CELECOXIB | Apo-Celecoxib 200mg Cap | APX | 0.2558 | 0.2558 | YES | YES | YES |
| 02418932 | CELECOXIB | Apo-Celecoxib 100mg Cap | APX | 0.1279 | 0.1279 | 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 |
| 02426390 | CELECOXIB | Bio-Celecoxib 200mg Cap | BMP | 0.2558 | 0.2558 | YES | YES | YES |
| 02426382 | CELECOXIB | Bio-Celecoxib 100mg Cap | BMP | 0.1279 | 0.1279 | YES | YES | YES |
| 02239942 | CELECOXIB | Celebrex 200mg Cap | UJC | 1.6601 | 0.2558 | YES | YES | YES |
| 02239941 | CELECOXIB | Celebrex 100mg Cap | UJC | 0.8299 | 0.1279 | YES | YES | YES |
| 02436302 | CELECOXIB | Celecoxib 200mg Cap | SAI | 0.2558 | 0.2558 | YES | YES | YES |
| 02429683 | CELECOXIB | Celecoxib 200mg Cap | SIV | 0.2558 | 0.2558 | YES | YES | YES |
| 02429675 | CELECOXIB | Celecoxib 100mg Cap | SIV | 0.1279 | 0.1279 | YES | YES | YES |
| 02436299 | CELECOXIB | Celecoxib 100mg Cap | SAI | 0.1279 | 0.1279 | YES | YES | YES |
| 02424533 | CELECOXIB | Jamp-Celecoxib 100mg Cap | JPC | 0.1279 | 0.1279 | YES | YES | YES |
| 02424541 | CELECOXIB | Jamp-Celecoxib 200mg Cap | JPC | 0.2558 | 0.2558 | 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 |
| 02420058 | CELECOXIB | Mar-Celecoxib 100mg Cap | MAR | 0.1279 | 0.1279 | YES | YES | YES |
| 02420066 | CELECOXIB | Mar-Celecoxib 200mg Cap | MAR | 0.2558 | 0.2558 | YES | YES | YES |
| 02412500 | CELECOXIB | Mint-Celecoxib 200mg Cap | MIN | 0.2558 | 0.2558 | YES | YES | YES |
| 02412497 | CELECOXIB | Mint-Celecoxib 100mg Cap | MIN | 0.1279 | 0.1279 | YES | YES | YES |
| 02479737 | CELECOXIB | NRA-Celecoxib 100mg Cap | NRA | 0.1279 | 0.1279 | YES | YES | YES |
| 02479745 | CELECOXIB | NRA-Celecoxib 200mg Cap | NRA | 0.2558 | 0.2558 | 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 |
| 02412381 | CELECOXIB | Ran-Celecoxib 200mg Cap | RAN | 0.2558 | 0.2558 | YES | YES | YES |
| 02412373 | CELECOXIB | Ran-Celecoxib 100mg Cap | RAN | 0.1279 | 0.1279 | 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 |
| 02288915 | CELECOXIB | Teva-Celecoxib 100mg Cap | TEV | 0.1279 | 0.1279 | YES | YES | YES |
| 02288923 | CELECOXIB | Teva-Celecoxib 200mg Cap | TEV | 0.2558 | 0.2558 | YES | YES | YES |
| 02243433 | DICLOFENAC POTASSIUM | Apo-Diclo Rapide (Off-Formulary Interchangeable) 50mg Tab | APX | 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 |
| 00839175 | DICLOFENAC SODIUM | Apo-Diclo 25mg Ent Tab | APX | 0.1563 | 0.1563 | YES | NO | YES |
| 00839183 | DICLOFENAC SODIUM | Apo-Diclo 50mg Ent Tab | APX | 0.2064 | 0.2064 | 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 | 0.1563 | 0.1563 | YES | NO | YES |
| 02261960 | DICLOFENAC SODIUM | Sandoz Diclofenac 50mg Ent Tab | SDZ | 0.2064 | 0.2064 | 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 |
| 02162814 | DICLOFENAC SODIUM | Apo-Diclo SR 75mg LA Tab | APX | 0.7699 | 0.7699 | YES | NO | YES |
| 02091194 | DICLOFENAC SODIUM | Apo-Diclo SR 100mg LA Tab | APX | 1.1053 | 1.1053 | 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 |
| 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 |
| 00632724 | DICLOFENAC SODIUM | Voltaren 50mg Sup | NOV | 2.0130 | 1.2818 | YES | NO | YES |
| 00632732 | DICLOFENAC SODIUM | Voltaren (Not a Benefit) 100mg Sup | NOV | N/A | N/A | YES | NO | YES |
| 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 |
| 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 |
| 00441643 | IBUPROFEN | Apo-Ibuprofen 200mg Tab | APX | 0.0309 | 0.0309 | YES | NO | YES |
| 00585114 | IBUPROFEN | Apo-Ibuprofen 600mg Tab | APX | 0.1313 | 0.1313 | YES | NO | YES |
| 00506052 | IBUPROFEN | Apo-Ibuprofen 400mg Tab | APX | 0.0468 | 0.0468 | YES | NO | YES |
| 00441651 | IBUPROFEN | Apo-Ibuprofen 300mg Tab | APX | 0.1377 | 0.1377 | 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 |
| 00364142 | IBUPROFEN | Motrin 400mg Tab | UPJ | 0.1871 | 0.0468 | 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 |
| 00629359 | IBUPROFEN | Novo-Profen 600mg Tab | NOP | 0.1313 | 0.1313 | YES | NO | YES |
| 00016047 | INDOMETHACIN | Indocid (Not a Benefit) 50mg Cap | MSD | N/A | N/A | YES | NO | YES |
| 00016039 | INDOMETHACIN | Indocid (Not a Benefit) 25mg 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 |
| 00337420 | INDOMETHACIN | Teva-Indomethacin 25mg Cap | TEV | 0.1519 | 0.1519 | YES | NO | YES |
| 00337439 | INDOMETHACIN | Teva-Indomethacin 50mg Cap | TEV | 0.2469 | 0.2469 | 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 |
| 02231800 | INDOMETHACIN | Odan-Indomethacin 100mg Sup | ODN | 1.6500 | 1.6500 | YES | NO | YES |
| 02231799 | INDOMETHACIN | Odan-Indomethacin 50mg Sup | ODN | 1.2500 | 1.2500 | 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 | 0.9111 | 0.9111 | YES | NO | YES |
| 00790435 | KETOPROFEN | Ketoprofen-E 50mg Ent Tab | AAP | 0.4503 | 0.4503 | 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 | 1.8545 | 1.8545 | YES | NO | YES |
| 01926373 | KETOPROFEN | Orudis SR-200 (Not a Benefit) 200mg LA Tab | RPP | N/A | N/A | YES | 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 |
| 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 |
| 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 |
| 02353156 | MELOXICAM | Meloxicam 15mg Tab | SAI | 0.2311 | 0.2311 | YES | NO | YES |
| 02353148 | MELOXICAM | Meloxicam 7.5mg Tab | SAI | 0.2003 | 0.2003 | 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 |
| 02248268 | MELOXICAM | PMS-Meloxicam 15mg Tab | PMS | 0.2311 | 0.2311 | YES | NO | YES |
| 02248267 | MELOXICAM | PMS-Meloxicam 7.5mg Tab | PMS | 0.2003 | 0.2003 | 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 |
| 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 |
| 02246701 | NAPROXEN | Apo-Naproxen EC (Off-Formulary Interchangeable) 500mg Ent Tab | APX | 0.6894 | N/A | YES | NO | YES |
| 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 |
| 02162423 | NAPROXEN | Naprosyn E (Off-Formulary Interchangeable) 500mg Ent Tab | HLR | N/A | N/A | YES | NO | YES |
| 02162415 | NAPROXEN | Naprosyn E (Off-Formulary Interchangeable) 375mg 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 |
| 02243312 | NAPROXEN | Teva-Naproxen EC (Off-Formulary Interchangeable) 250mg Ent Tab | TEV | 0.2835 | N/A | YES | NO | YES |
| 02243314 | NAPROXEN | Teva-Naproxen EC (Off-Formulary Interchangeable) 500mg Ent Tab | TEV | 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 |
| 02162431 | NAPROXEN | Pediapharm Naproxen Suspension 25mg/mL O/L | MPI | 0.0949 | 0.0949 | NO | NO | YES |
| 00522651 | NAPROXEN | Apo-Naproxen 250mg Tab | APX | 0.1068 | 0.1068 | YES | NO | YES |
| 00592277 | NAPROXEN | Apo-Naproxen 500mg Tab | APX | 0.4522 | 0.4522 | YES | NO | YES |
| 00522678 | NAPROXEN | Apo-Naproxen 125mg Tab | APX | 0.0781 | 0.0781 | YES | NO | YES |
| 00600806 | NAPROXEN | Apo-Naproxen 375mg Tab | APX | 0.1458 | 0.1458 | YES | NO | YES |
| 02162490 | NAPROXEN | Naprosyn (Not a Benefit) 500mg Tab | HLR | N/A | N/A | 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 |
| 02162474 | NAPROXEN | Naprosyn (Not a Benefit) 250mg Tab | HLR | N/A | N/A | YES | NO | YES |
| 00589861 | NAPROXEN | Teva-Naproxen 500mg Tab | TEV | 0.4522 | 0.4522 | YES | NO | YES |
| 00627097 | NAPROXEN | Teva-Naproxen 375mg Tab | TEV | 0.1458 | 0.1458 | YES | NO | YES |
| 00565350 | NAPROXEN | Teva-Naproxen 250mg Tab | TEV | 0.1068 | 0.1068 | 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 |
| 02458608 | NAPROXEN & ESOMEPRAZOLE MAGNESIUM | Mylan-Naproxen & Esomeprazole MR (Off-Formulary Interchangeable) 375mg & 20mg MR Tab | MYL | 0.9308 | 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 |
| 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 |
| 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 |
| 00525618 | PIROXICAM | Feldene (Not a Benefit) 20mg Cap | PFI | N/A | N/A | YES | NO | YES |
| 00525596 | PIROXICAM | Feldene (Not a Benefit) 10mg 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 |
| 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 |
| 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 |