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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
02416255	ABACAVIR & LAMIVUDINE & ZIDOVUDINE	Apo-Abacavir-Lamivudine-Zidovudine 300mg & 150mg & 300mg Tab	APX	13.6425	13.6425	YES	NO	NO
02396769	ABACAVIR SULFATE	Apo-Abacavir 300mg Tab	APX	3.4828	3.4828	YES	NO	NO
02399539	ABACAVIR SULFATE & LAMIVUDINE	Apo-Abacavir-Lamivudine 600mg & 300mg Tab	APX	5.9875	5.9875	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
02147602	ACEBUTOLOL HCL	Apo-Acebutolol 100mg Tab	APX	0.1871	0.1871	YES	NO	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
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
00545007	ACETAMINOPHEN	Apo-Acetaminophen Tab 500mg	APX	0.0149	0.0149	YES	NO	NO
00544981	ACETAMINOPHEN	Apo-Acetaminophen Tab 325mg	APX	0.0114	0.0114	YES	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
02477130	ACYCLOVIR	Apo-Acyclovir Ointment (Off-Formulary Interchangeable) 5% Top Oint	APX	12.3114	N/A	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
02454475	ALENDRONATE & CHOLECALCIFEROL	Apo-Alendronate/Vitamin D3 70mg & 140mcg Tab	APX	2.4348	2.4348	YES	NO	NO
02454467	ALENDRONATE & CHOLECALCIFEROL	Apo-Alendronate/Vitamin D3 70mg & 70mcg Tab	APX	2.4348	2.4348	YES	NO	YES
02315866	ALFUZOSIN HYDROCHLORIDE	Apo-Alfuzosin 10mg Prolong-Rel Tab	APX	0.2601	0.2601	YES	YES	NO
02402777	ALLOPURINOL	Apo-Allopurinol (Not a Benefit) 200mg 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
02402769	ALLOPURINOL	Apo-Allopurinol (Not a Benefit) 100mg Tab	APX	N/A	N/A	YES	NO	YES
02405792	ALMOTRIPTAN	Apo-Almotriptan (Off-Formulary Interchangeable) 6.25mg Tab	APX	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
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
02475375	AMBRISENTAN	Apo-Ambrisentan (Off-Formulary Interchangeable) 5mg Tab	APX	106.3288	106.3288	YES	NO	NO
02475383	AMBRISENTAN	Apo-Ambrisentan (Off-Formulary Interchangeable) 10mg Tab	APX	106.3288	106.3288	YES	NO	NO
02246194	AMIODARONE HCL	Apo-Amiodarone 200mg Tab	APX	0.3706	0.3706	YES	NO	YES
02273373	AMLODIPINE	Apo-Amlodipine 5mg Tab	APX	0.1343	0.1343	YES	NO	NO
02273381	AMLODIPINE	Apo-Amlodipine 10mg Tab	APX	0.1993	0.1993	YES	NO	NO
02411288	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 5mg & 40mg Tab	APX	0.7232	0.7232	YES	NO	YES
02411342	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 10mg & 80mg Tab	APX	0.8000	0.8000	YES	NO	YES
02411334	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 10mg & 40mg Tab	APX	0.8000	0.8000	YES	NO	YES
02411326	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Apo-Amlodipine-Atorvastatin 10mg & 20mg Tab	APX	1.5272	1.5272	YES	NO	YES
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
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
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
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
02243350	AMOXICILLIN & CLAVULANIC ACID	Apo-Amoxi Clav 250mg & 125mg Tab	APX	0.2467	0.2467	YES	NO	YES
02243351	AMOXICILLIN & CLAVULANIC ACID	Apo-Amoxi Clav 500mg & 125mg Tab	APX	0.3778	0.3778	YES	NO	YES
02245623	AMOXICILLIN & CLAVULANIC ACID	Apo-Amoxi Clav 875mg & 125mg Tab	APX	0.5551	0.5551	YES	NO	YES
02374420	ANASTROZOLE	Apo-Anastrozole 1mg Tab	APX	0.9522	0.9522	YES	NO	NO
02487403	APIXABAN	Apo-Apixaban 5mg Tab	APX	0.4084	0.4084	YES	NO	NO
02487381	APIXABAN	Apo-Apixaban 2.5mg Tab	APX	0.4084	0.4084	YES	NO	NO
02538180	APREMILAST	Apo-Apremilast (Off-Formulary Interchangeable) 30mg Tab	APX	18.7238	N/A	YES	NO	NO
02471094	ARIPIPRAZOLE	Apo-Aripiprazole 5mg Tab	APX	0.9046	0.9046	YES	NO	YES
02471132	ARIPIPRAZOLE	Apo-Aripiprazole 30mg Tab	APX	1.0017	1.0017	YES	NO	YES
02471124	ARIPIPRAZOLE	Apo-Aripiprazole 20mg Tab	APX	1.0017	1.0017	YES	NO	YES
02471086	ARIPIPRAZOLE	Apo-Aripiprazole 2mg Tab	APX	0.8092	0.8092	YES	NO	YES
02471108	ARIPIPRAZOLE	Apo-Aripiprazole 10mg Tab	APX	1.0754	1.0754	YES	NO	YES
02471116	ARIPIPRAZOLE	Apo-Aripiprazole 15mg Tab	APX	1.2692	1.2692	YES	NO	YES
00466611	ASCORBIC ACID	Apo-C (Not a Benefit) 500mg Tab	APX	N/A	N/A	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
02318083	ATOMOXETINE HCL	Apo-Atomoxetine (Off-Formulary Interchangeable) 100mg Cap	APX	4.3521	N/A	YES	NO	NO
02318024	ATOMOXETINE HCL	Apo-Atomoxetine 10mg Cap	APX	0.5106	0.5106	YES	NO	NO
02318032	ATOMOXETINE HCL	Apo-Atomoxetine 18mg Cap	APX	0.5748	0.5748	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
02318067	ATOMOXETINE HCL	Apo-Atomoxetine 60mg Cap	APX	0.8092	0.8092	YES	NO	NO
02318075	ATOMOXETINE HCL	Apo-Atomoxetine (Off-Formulary Interchangeable) 80mg Cap	APX	3.9961	N/A	YES	NO	NO
02295318	ATORVASTATIN CALCIUM	Apo-Atorvastatin 80mg Tab	APX	0.2342	0.2342	YES	NO	NO
02295261	ATORVASTATIN CALCIUM	Apo-Atorvastatin 10mg Tab	APX	0.1743	0.1743	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
02242907	AZATHIOPRINE	Apo-Azathioprine 50mg Tab	APX	0.5185	0.5185	YES	NO	YES
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
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
02139332	BACLOFEN	Apo-Baclofen 10mg Tab	APX	0.1595	0.1595	YES	NO	YES
02139391	BACLOFEN	Apo-Baclofen 20mg Tab	APX	0.3104	0.3104	YES	NO	YES
02238796	BECLOMETHASONE DIPROPIONATE	Apo-Beclomethasone Nasal Spray 50mcg Nas-Sp-200 Dose Pk	APX	12.2600	12.2600	YES	NO	YES
02296063	BICALUTAMIDE	Apo-Bicalutamide 50mg Tab	APX	1.2690	1.2690	YES	NO	NO
02256134	BISOPROLOL FUMARATE	Apo-Bisoprolol 5mg Tab	APX	0.0606	0.0606	YES	NO	NO
02256177	BISOPROLOL FUMARATE	Apo-Bisoprolol 10mg Tab	APX	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
02375311	BRIMONIDINE TARTRATE & TIMOLOL MALEATE	Apo-Brimonidine-Timop 0.2% & 0.5% Oph Sol-10mL Pk	APX	23.2900	23.2900	YES	YES	NO
02177161	BROMAZEPAM	Apo-Bromazepam 3mg Tab	APX	0.0897	0.0897	YES	NO	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
02537788	BROMFENAC	Apo-Bromfenac (Off-Formulary Interchangeable) 0.07% w/v Oph Sol (With Preservative)	APX	7.2307	N/A	YES	NO	YES
02211076	BUSPIRONE HYDROCHLORIDE	Apo-Buspirone 10mg Tab	APX	0.2713	0.2713	YES	NO	NO
02455897	CABERGOLINE	Apo-Cabergoline 0.5mg Tab	APX	12.3941	12.3941	YES	YES	NO
02399105	CANDESARTAN CILEXETIL	Apo-Candesartan 32mg Tab	APX	0.2281	0.2281	YES	NO	NO
02365359	CANDESARTAN CILEXETIL	Apo-Candesartan 8mg Tab	APX	0.2281	0.2281	YES	NO	NO
02365340	CANDESARTAN CILEXETIL	Apo-Candesartan 4mg Tab	APX	0.1700	0.1700	YES	NO	NO
02365367	CANDESARTAN CILEXETIL	Apo-Candesartan 16mg Tab	APX	0.2281	0.2281	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
02541300	CANDESARTAN CILEXETIL	Apo-Candesartan Tablets 16mg Tab	APX	0.2281	0.2281	YES	NO	NO
02541319	CANDESARTAN CILEXETIL	Apo-Candesartan Tablets 32mg Tab	APX	0.2281	0.2281	YES	NO	NO
00893595	CAPTOPRIL	Apo-Capto 12.5mg Tab	APX	0.2120	0.2120	YES	NO	NO
00893625	CAPTOPRIL	Apo-Capto 100mg Tab	APX	1.0395	1.0395	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
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
02247933	CARVEDILOL	Apo-Carvedilol 3.125mg Tab	APX	0.2060	0.2060	YES	YES	NO
02247936	CARVEDILOL	Apo-Carvedilol 25mg Tab	APX	0.2060	0.2060	YES	YES	NO
02240774	CEFADROXIL	Apo-Cefadroxil 500mg Cap	APX	0.8421	0.8421	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
02292904	CEFTRIAXONE DISODIUM	Ceftriaxone for Injection USP (Off-Formulary Interchangeable) 10g/Vial Inj Pd-1 Vial Pk	APX	214.2000	214.2000	YES	NO	NO
02244393	CEFUROXIME AXETIL	Apo-Cefuroxime 250mg Tab	APX	0.8388	0.8388	YES	NO	NO
02244394	CEFUROXIME AXETIL	Apo-Cefuroxime 500mg Tab	APX	1.6616	1.6616	YES	NO	NO
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
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
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
02298953	CICLOPIROX	Apo-Ciclopirox (Off-Formulary Interchangeable) 8% W/W Top Sol	APX	7.7433	N/A	YES	NO	YES
02291150	CILAZAPRIL	Apo-Cilazapril 5mg Tab	APX	0.4989	0.4989	YES	NO	NO
02291142	CILAZAPRIL	Apo-Cilazapril 2.5mg Tab	APX	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
02452693	CINACALCET	Apo-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	APX	10.1947	10.1947	YES	NO	NO
02452707	CINACALCET	Apo-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	APX	18.5900	18.5900	YES	NO	NO
02452715	CINACALCET	Apo-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	APX	27.0517	27.0517	YES	NO	NO
02263130	CIPROFLOXACIN	Apo-Ciproflox (Off-Formulary Interchangeable) 0.3% Oph Sol-5mL Pk	APX	1.7600	N/A	YES	NO	YES
02229521	CIPROFLOXACIN	Apo-Ciproflox 250mg Tab	APX	0.4454	0.4454	YES	NO	YES
02229522	CIPROFLOXACIN	Apo-Ciproflox 500mg Tab	APX	0.5025	0.5025	YES	NO	YES
02229523	CIPROFLOXACIN	Apo-Ciproflox 750mg Tab	APX	0.9201	0.9201	YES	NO	YES
02246057	CITALOPRAM HYDROBROMIDE	Apo-Citalopram 40mg Tab	APX	0.1332	0.1332	YES	NO	NO
02246056	CITALOPRAM HYDROBROMIDE	Apo-Citalopram 20mg Tab	APX	0.1332	0.1332	YES	NO	NO
02413345	CLARITHROMYCIN	Apo-Clarithromycin XL 500mg ER Tab	APX	1.2572	1.2572	YES	NO	YES
02274744	CLARITHROMYCIN	Apo-Clarithromycin 250mg Tab	APX	0.4122	0.4122	YES	NO	YES
02274752	CLARITHROMYCIN	Apo-Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	APX	2.2009	N/A	YES	NO	YES
02245233	CLINDAMYCIN HCL	Apo-Clindamycin 300mg Cap	APX	0.4434	0.4434	YES	NO	NO
02245232	CLINDAMYCIN HCL	Apo-Clindamycin 150mg Cap	APX	0.2217	0.2217	YES	NO	NO
02244638	CLOBAZAM	Apo-Clobazam 10mg Tab	APX	0.2197	0.2197	YES	YES	NO
02475162	CLOBETASOL PROPIONATE	Apo-Clobetasol Spray (Off-Formulary Interchangeable) 0.05% w/w Top Sol Sp	APX	1.9259	N/A	YES	NO	YES
00402591	CLOMIPRAMINE HCL	Anafranil Tab 50mg	APX	0.7401	0.6291	YES	NO	NO
00324019	CLOMIPRAMINE HCL	Anafranil Tab 25mg	APX	0.4020	0.3417	YES	NO	NO
00330566	CLOMIPRAMINE HCL	Anafranil 10mg Tab	APX	0.2949	0.2949	NO	NO	NO
02177889	CLONAZEPAM	Apo-Clonazepam 0.5mg Tab	APX	0.0418	0.0418	YES	NO	NO
02177897	CLONAZEPAM	Apo-Clonazepam 2mg Tab	APX	0.0721	0.0721	YES	NO	NO
02252767	CLOPIDOGREL BISULFATE	Apo-Clopidogrel 75mg Tab	APX	0.2631	0.2631	YES	NO	NO
02398591	CLOPIDOGREL BISULFATE	Apo-Clopidogrel (Off-Formulary Interchangeable) 300mg Tab	APX	9.5447	N/A	YES	NO	NO
02494051	COLESEVELAM HYDROCHLORIDE	Apo-Colesevelam 625mg Tab	APX	0.5931	0.5931	YES	NO	YES
02177145	CYCLOBENZAPRINE HCL	Apo-Cyclobenzaprine (Not a Benefit) 10mg Tab	APX	N/A	N/A	YES	NO	YES
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	1.4711	N/A	YES	NO	NO
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
02536153	DAPAGLIFLOZIN & METFORMIN	Apo-Dapagliflozin-Metformin 5mg & 850mg Tab	APX	0.6432	0.6432	YES	NO	YES
02536161	DAPAGLIFLOZIN & METFORMIN	Apo-Dapagliflozin-Metformin 5mg & 1000mg Tab	APX	0.6432	0.6432	YES	NO	YES
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
02487268	DARUNAVIR	Apo-Darunavir 800mg Tab	APX	5.8295	5.8295	YES	NO	NO
02487241	DARUNAVIR	Apo-Darunavir 600mg Tab	APX	4.2970	4.2970	YES	NO	NO
02481499	DASATINIB	Apo-Dasatinib (Off-Formulary Interchangeable) 70mg Tab	APX	72.9336	72.9336	YES	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
02470721	DASATINIB	Apo-Dasatinib (Off-Formulary Interchangeable) 100mg Tab	APX	132.2671	132.2671	YES	NO	NO
02485265	DEFERASIROX	Apo-Deferasirox (Type J) 90mg Tab	APX	2.6303	2.6303	YES	NO	NO
02485273	DEFERASIROX	Apo-Deferasirox (Type J) 180mg Tab	APX	5.2610	5.2610	YES	NO	NO
02485281	DEFERASIROX	Apo-Deferasirox (Type J) 360mg Tab	APX	10.5228	10.5228	YES	NO	NO
02461544	DEFERASIROX	Apo-Deferasirox 125mg Tab for Susp	APX	5.2408	5.2408	YES	NO	NO
02461552	DEFERASIROX	Apo-Deferasirox 250mg Tab for Susp	APX	10.4820	10.4820	YES	NO	NO
02461560	DEFERASIROX	Apo-Deferasirox 500mg Tab for Susp	APX	20.9649	20.9649	YES	NO	NO
02284030	DESMOPRESSIN ACETATE	Apo-Desmopressin 0.1mg Tab	APX	0.6609	0.6609	YES	NO	NO
02284049	DESMOPRESSIN ACETATE	Apo-Desmopressin 0.2mg Tab	APX	1.3217	1.3217	YES	NO	NO
02410249	DESOGESTREL & ETHINYL ESTRADIOL	Mirvala 21 0.15mg & 0.03mg Tab-21 Pk	APX	7.7700	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
02466996	DESVENLAFAXINE	Apo-Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	APX	2.3409	N/A	YES	NO	NO
02466988	DESVENLAFAXINE	Apo-Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	APX	2.3409	N/A	YES	NO	NO
02467127	DESVENLAFAXINE	Desvenlafaxine (Off-Formulary Interchangeable) 100mg ER Tab	APX	2.3409	N/A	YES	NO	NO
02467119	DESVENLAFAXINE	Desvenlafaxine (Off-Formulary Interchangeable) 50mg ER Tab	APX	2.3409	N/A	YES	NO	NO
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
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
02243433	DICLOFENAC POTASSIUM	Apo-Diclo Rapide (Off-Formulary Interchangeable) 50mg Tab	APX	0.3937	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
02091194	DICLOFENAC SODIUM	Apo-Diclo SR 100mg LA Tab	APX	0.6502	0.6502	YES	NO	YES
02162814	DICLOFENAC SODIUM	Apo-Diclo SR 75mg LA Tab	APX	0.4529	0.4529	YES	NO	YES
02441020	DICLOFENAC SODIUM	Apo-Diclofenac Ophthalmic 0.1% Oph Sol	APX	1.2397	1.2397	YES	NO	YES
02229526	DILTIAZEM HCL	Apo-Diltiaz CD 300mg LA Cap	APX	0.7999	0.7999	YES	NO	NO
02230998	DILTIAZEM HCL	Apo-Diltiaz CD 180mg LA Cap	APX	0.4824	0.4824	YES	NO	NO
02230997	DILTIAZEM HCL	Apo-Diltiaz CD 120mg LA Cap	APX	0.3634	0.3634	YES	NO	NO
02230999	DILTIAZEM HCL	Apo-Diltiaz CD 240mg LA Cap	APX	0.6399	0.6399	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
00895660	DIPYRIDAMOLE	Apo-Dipyridamole (Off-Formulary Interchangeable) 75mg Tab	APX	0.4963	N/A	YES	NO	NO
00895652	DIPYRIDAMOLE	Apo-Dipyridamole (Off-Formulary Interchangeable) 50mg Tab	APX	0.3685	0.3685	YES	NO	NO
00895644	DIPYRIDAMOLE	Apo-Dipyridamole (Off-Formulary Interchangeable) 25mg Tab	APX	0.2633	N/A	YES	NO	NO
02239700	DIVALPROEX SODIUM	Apo-Divalproex 500mg Ent Tab	APX	0.5537	0.5537	YES	NO	NO
02239699	DIVALPROEX SODIUM	Apo-Divalproex 250mg Ent Tab	APX	0.2767	0.2767	YES	NO	NO
02239698	DIVALPROEX SODIUM	Apo-Divalproex 125mg Ent Tab	APX	0.1539	0.1539	YES	NO	NO
02103613	DOMPERIDONE MALEATE	Apo-Domperidone 10mg Tab	APX	0.0428	0.0428	YES	NO	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
02299615	DORZOLAMIDE HCL & TIMOLOL MALEATE	Apo-Dorzo-Timop 2% & 0.5% Oph Sol	APX	2.0951	2.0951	YES	YES	NO
02240590	DOXAZOSIN MESYLATE	Apo-Doxazosin 4mg Tab	APX	0.2681	0.2681	YES	NO	NO
02240589	DOXAZOSIN MESYLATE	Apo-Doxazosin 2mg Tab	APX	0.2062	0.2062	YES	NO	NO
02240588	DOXAZOSIN MESYLATE	Apo-Doxazosin 1mg Tab	APX	0.1719	0.1719	YES	NO	NO
02512645	DOXYCYCLINE	Apo-Doxycycline MR (Off-Formulary Interchangeable) 40mg MR Cap	APX	2.4277	N/A	YES	NO	NO
00874256	DOXYCYCLINE HYCLATE	Apo-Doxy-Tabs 100mg Tab	APX	0.4560	0.4560	YES	NO	NO
02413248	DOXYLAMINE SUCCINATE AND PYRIDOXINE HCL	Apo-Doxylamine/B6 10mg & 10mg SR Tab	APX	0.6402	0.6402	YES	NO	NO
02410788	DROSPIRENONE & ETHINYL ESTRADIOL	Zamine 21 3.0mg & 0.03mg Tab-21 Pk	APX	6.2181	6.2181	YES	NO	NO
02415380	DROSPIRENONE & ETHINYL ESTRADIOL	MYA 3.0mg & 0.02mg Tab-28 Pk	APX	8.2600	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
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
02404206	DUTASTERIDE	Apo-Dutasteride 0.5mg Cap	APX	0.2565	0.2565	YES	YES	NO
02468247	EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE	Apo-Efavirenz-Emtricitabine-Tenofovir 600mg/300mg/200mg Tab	APX	11.3300	11.3300	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
02518023	ELETRIPTAN	Apo-Eletriptan Tablets (Off-Formulary Interchangeable) 40mg 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
02506769	ELTROMBOPAG OLAMINE	Apo-Eltrombopag (Off-Formulary Interchangeable) 50mg Tab	APX	110.5000	110.5000	YES	NO	NO
02506742	ELTROMBOPAG OLAMINE	Apo-Eltrombopag (Off-Formulary Interchangeable) 25mg Tab	APX	55.2500	55.2500	YES	NO	NO
02452006	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	Apo-Emtricitabine-Tenofovir 200mg & 300mg Tab	APX	7.3035	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
02396955	ENTECAVIR	Apo-Entecavir 0.5mg Tab	APX	5.5000	4.4000	YES	YES	NO
02461862	ERLOTINIB	Apo-Erlotinib (Off-Formulary Interchangeable) 25mg Tab	APX	11.8667	11.8667	YES	NO	NO
02461870	ERLOTINIB	Apo-Erlotinib (Off-Formulary Interchangeable) 100mg Tab	APX	47.4667	47.4667	YES	NO	NO
02461889	ERLOTINIB	Apo-Erlotinib (Off-Formulary Interchangeable) 150mg Tab	APX	71.2000	71.2000	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
02339102	ESOMEPRAZOLE	Apo-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	APX	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
02387875	ETHINYL ESTRADIOL & LEVONORGESTREL	Alysena 21 20mcg & 100mcg Tab-21 Pk	APX	3.9425	3.9425	YES	NO	NO
02387085	ETHINYL ESTRADIOL & LEVONORGESTREL	Ovima 21 0.03mg & 0.15mg Tab-21 Pk	APX	7.2800	7.2800	YES	NO	NO
02387883	ETHINYL ESTRADIOL & LEVONORGESTREL	Alysena 28 20mcg & 100mcg Tab-28 Pk	APX	3.9425	3.9425	YES	NO	NO
02387093	ETHINYL ESTRADIOL & LEVONORGESTREL	Ovima 28 0.03mg & 0.15mg Tab-28 Pk	APX	7.2800	7.2800	YES	NO	NO
02419726	EXEMESTANE	Apo-Exemestane 25mg Tab	APX	1.3263	1.3263	YES	NO	NO
02427826	EZETIMIBE	Apo-Ezetimibe 10mg Tab	APX	0.1811	0.1811	YES	YES	NO
02292068	FAMCICLOVIR	Apo-Famciclovir 500mg Tab	APX	3.8719	3.8719	YES	YES	NO
02292041	FAMCICLOVIR	Apo-Famciclovir (Off-Formulary Interchangeable) 250mg Tab	APX	2.7200	2.7200	YES	NO	NO
02292025	FAMCICLOVIR	Apo-Famciclovir (Off-Formulary Interchangeable) 125mg Tab	APX	2.0240	2.0240	YES	NO	NO
01953842	FAMOTIDINE	Apo-Famotidine 20mg Tab	APX	0.2658	0.2658	YES	NO	YES
01953834	FAMOTIDINE	Apo-Famotidine 40mg Tab	APX	0.4834	0.4834	YES	NO	YES
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
02225980	FENOFIBRATE	Apo-Fenofibrate 100mg Cap	APX	0.6105	0.6105	YES	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
02469936	FINGOLIMOD	Apo-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	APX	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
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
02241895	FLUCONAZOLE	Apo-Fluconazole-150 150mg Cap	APX	3.9424	3.9424	YES	YES	YES
02237370	FLUCONAZOLE	Apo-Fluconazole 50mg Tab	APX	1.2904	1.2904	YES	NO	NO
02237371	FLUCONAZOLE	Apo-Fluconazole 100mg Tab	APX	2.2891	2.2891	YES	NO	NO
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
02231328	FLUOXETINE HCL	Apo-Fluoxetine 20mg/5mL Oral Sol	APX	0.3084	0.3084	YES	NO	YES
02510987	FLUTICASONE PROPIONATE	Apo-Fluticasone HFA 250mcg/Metered Dose Inh-120 Dose Pk	APX	45.0200	45.0200	YES	NO	NO
02526557	FLUTICASONE PROPIONATE	Apo-Fluticasone HFA 125mcg/Metered Dose Inh-120 Dose Pk	APX	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
02231330	FLUVOXAMINE MALEATE	Apo-Fluvoxamine 100mg Tab	APX	0.3783	0.3783	YES	NO	YES
02231329	FLUVOXAMINE MALEATE	Apo-Fluvoxamine 50mg Tab	APX	0.2105	0.2105	YES	NO	YES
02266008	FOSINOPRIL SODIUM	Apo-Fosinopril 10mg Tab	APX	0.2178	0.2178	YES	NO	NO
02266016	FOSINOPRIL SODIUM	Apo-Fosinopril 20mg Tab	APX	0.2619	0.2619	YES	NO	NO
02426471	FROVATRIPTAN SUCCINATE	Apo-Frovatriptan (Off-Formulary Interchangeable) 2.5mg Tab	APX	12.5033	N/A	YES	NO	NO
00396788	FUROSEMIDE	Apo-Furosemide 20mg Tab	APX	0.0219	0.0218	YES	NO	NO
00362166	FUROSEMIDE	Apo-Furosemide 40mg Tab	APX	0.0327	0.0327	YES	NO	NO
02244306	GABAPENTIN	Apo-Gabapentin 400mg Cap	APX	0.1206	0.1206	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
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
02327260	GATIFLOXACIN	Apo-Gatifloxacin (with preservative) (Off-Formulary Interchangeable) 0.3% w/v Oph Sol	APX	2.0320	N/A	YES	NO	NO
02468050	GEFITINIB	Apo-Gefitinib (Off-Formulary Interchangeable) 250mg Tab	APX	62.3050	62.3050	YES	NO	NO
01979574	GEMFIBROZIL	Apo-Gemfibrozil 300mg Cap	APX	0.1340	0.1340	YES	NO	NO
01979582	GEMFIBROZIL	Apo-Gemfibrozil (Off-Formulary Interchangeable) 600mg Tab	APX	0.7520	N/A	YES	NO	NO
02407124	GLICLAZIDE	Apo-Gliclazide MR 60mg ER Tab	APX	0.0632	0.0632	YES	NO	NO
02297795	GLICLAZIDE	Apo-Gliclazide MR 30mg SR Tab	APX	0.0931	0.0931	YES	NO	NO
02245247	GLICLAZIDE	Apo-Gliclazide 80mg Tab	APX	0.0931	0.0931	YES	NO	NO
01913654	GLYBURIDE	Apo-Glyburide 2.5mg Tab	APX	0.0321	0.0321	YES	NO	NO
01913662	GLYBURIDE	Apo-Glyburide 5mg Tab	APX	0.0574	0.0573	YES	NO	NO
02308894	GRANISETRON HCL	Apo-Granisetron 1mg Tab	APX	4.5000	4.5000	YES	YES	NO
02523728	GUANFACINE	Apo-Guanfacine XR 1mg ER Tab	APX	1.5375	1.5375	YES	YES	NO
02523736	GUANFACINE	Apo-Guanfacine XR 2mg ER Tab	APX	1.8707	1.8707	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
00701130	HEXAVITAMINS USP	Apo-Hexa (Not a Benefit) Tab	APX	N/A	N/A	YES	NO	NO
00441619	HYDRALAZINE HCL	Apo-Hydralazine 10mg Tab	APX	0.0355	0.0355	YES	NO	NO
00441627	HYDRALAZINE HCL	Apo-Hydralazine 25mg Tab	APX	0.0609	0.0609	YES	NO	NO
00441635	HYDRALAZINE HCL	Apo-Hydralazine 50mg Tab	APX	0.0956	0.0956	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
00441775	HYDROCHLOROTHIAZIDE & TRIAMTERENE	Apo-Triazide 25mg & 50mg Tab	APX	0.0608	0.0608	YES	NO	NO
02364158	HYDROMORPHONE HCL	Apo-Hydromorphone 8mg Tab	APX	0.3528	0.3528	YES	NO	YES
02364131	HYDROMORPHONE HCL	Apo-Hydromorphone 4mg Tab	APX	0.2240	0.2240	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
02246691	HYDROXYCHLOROQUINE SULFATE	Apo-Hydroxyquine 200mg Tab	APX	0.1576	0.1576	YES	NO	NO
02247937	HYDROXYUREA	Apo-Hydroxyurea 500mg Cap	APX	1.0203	1.0203	YES	NO	NO
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
00441643	IBUPROFEN	Apo-Ibuprofen 200mg Tab	APX	0.0309	0.0309	YES	NO	YES
02355337	IMATINIB MESYLATE	Apo-Imatinib 100mg Tab	APX	5.2079	5.2079	YES	NO	YES
02355345	IMATINIB MESYLATE	Apo-Imatinib 400mg Tab	APX	20.8314	20.8314	YES	NO	YES
02245246	INDAPAMIDE	Apo-Indapamide 1.25mg Tab	APX	0.1490	0.1490	YES	NO	NO
02223678	INDAPAMIDE	Apo-Indapamide 2.5mg Tab	APX	0.2364	0.2364	YES	NO	NO
02386984	IRBESARTAN	Apo-Irbesartan 300mg Tab	APX	0.2281	0.2281	YES	NO	NO
02386976	IRBESARTAN	Apo-Irbesartan 150mg Tab	APX	0.2281	0.2281	YES	NO	NO
02386968	IRBESARTAN	Apo-Irbesartan 75mg 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
02387654	IRBESARTAN & HYDROCHLOROTHIAZIDE	Apo-Irbesartan/HCTZ 300mg & 12.5mg Tab	APX	0.2281	0.2281	YES	NO	NO
02272830	ISOSORBIDE-5-MONONITRATE	Apo-ISMN (Off-Formulary Interchangeable) 60mg ER Tab	APX	0.4950	0.4950	YES	NO	NO
02237235	KETOCONAZOLE	Apo-Ketoconazole 200mg Tab	APX	0.9393	0.9393	YES	NO	YES
02229080	KETOROLAC TROMETHAMINE	Apo-Ketorolac (Off-Formulary Interchangeable) 10mg Tab	APX	0.6028	N/A	YES	NO	YES
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
02242814	LACTULOSE	Apo-Lactulose Solution 667mg/mL O/L	APX	0.0145	0.0145	YES	NO	NO
02369052	LAMIVUDINE	Apo-Lamivudine 150mg Tab	APX	2.7323	2.7323	YES	NO	YES
02369060	LAMIVUDINE	Apo-Lamivudine 300mg Tab	APX	5.4857	5.4857	YES	NO	YES
02393239	LAMIVUDINE	Apo-Lamivudine HBV 100mg Tab	APX	2.6154	2.6154	YES	YES	NO
02375540	LAMIVUDINE & ZIDOVUDINE	Apo-Lamivudine-Zidovudine 150mg & 300mg Tab	APX	2.6103	2.6103	YES	NO	NO
02245210	LAMOTRIGINE	Apo-Lamotrigine 150mg Tab	APX	0.4107	0.4107	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
02293838	LANSOPRAZOLE	Apo-Lansoprazole 30mg DR Cap	APX	0.5000	0.5000	YES	YES	NO
02293811	LANSOPRAZOLE	Apo-Lansoprazole 15mg DR Cap	APX	0.5000	0.5000	YES	YES	NO
02296527	LATANOPROST	Apo-Latanoprost 0.005% Oph Sol-2.5mL Pk	APX	9.5830	9.5830	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
02256509	LEFLUNOMIDE	Apo-Leflunomide 20mg Tab	APX	2.6433	2.0000	YES	NO	NO
02256495	LEFLUNOMIDE	Apo-Leflunomide 10mg Tab	APX	2.6433	2.0000	YES	NO	NO
02507927	LENALIDOMIDE	Apo-Lenalidomide 2.5mg Cap	APX	82.3750	82.3750	YES	YES	NO
02507943	LENALIDOMIDE	Apo-Lenalidomide 10mg Cap	APX	90.2500	90.2500	YES	YES	NO
02507951	LENALIDOMIDE	Apo-Lenalidomide 15mg Cap	APX	95.5000	95.5000	YES	YES	NO
02507978	LENALIDOMIDE	Apo-Lenalidomide 20mg Cap	APX	100.7500	100.7500	YES	YES	NO
02507986	LENALIDOMIDE	Apo-Lenalidomide 25mg Cap	APX	106.0000	106.0000	YES	YES	NO
02507935	LENALIDOMIDE	Apo-Lenalidomide 5mg Cap	APX	85.0000	85.0000	YES	YES	NO
02358514	LETROZOLE	Apo-Letrozole 2.5mg Tab	APX	1.3780	1.3780	YES	NO	NO
02285924	LEVETIRACETAM	Apo-Levetiracetam 250mg Tab	APX	0.3210	0.3210	YES	YES	NO
02285940	LEVETIRACETAM	Apo-Levetiracetam 750mg Tab	APX	0.5416	0.5416	YES	YES	NO
02285932	LEVETIRACETAM	Apo-Levetiracetam 500mg Tab	APX	0.3911	0.3911	YES	YES	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
02195933	LEVODOPA & CARBIDOPA	Apo-Levocarb 100mg & 10mg Tab	APX	0.1479	0.1479	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
02433532	LEVONORGESTREL	Backup Plan Onestep 1.5mg Tab-1 Tab Pk	APX	8.6000	8.6000	YES	NO	NO
02426552	LINEZOLID	Apo-Linezolid 600mg Tab	APX	19.3041	19.3041	YES	YES	NO
02546728	LISDEXAMFETAMINE DIMESYLATE	Apo-Lisdexamfetamine Capsules (Off-Formulary Interchangeable) 70mg Cap	APX	4.6968	N/A	YES	NO	YES
02217481	LISINOPRIL	Apo-Lisinopril 5mg Tab	APX	0.1347	0.1347	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
09854010	LISINOPRIL	Apo-Lisinopril 20mg Tab	APX	0.2063	0.2063	YES	NO	NO
09853685	LISINOPRIL	Apo-Lisinopril 5mg Tab	APX	0.1428	0.1428	YES	NO	NO
09853960	LISINOPRIL	Apo-Lisinopril 10mg Tab	APX	0.1716	0.1716	YES	NO	NO
02242837	LITHIUM CARBONATE	Apo-Lithium Carbonate 150mg Cap	APX	0.0667	0.0667	YES	NO	NO
09857532	LITHIUM CARBONATE	Apo-Lithium Carbonate 150mg Cap	APX	0.0667	0.0667	YES	NO	NO
09857540	LITHIUM CARBONATE	Apo-Lithium Carbonate 300mg Cap	APX	0.0657	0.0657	YES	NO	NO
02242838	LITHIUM CARBONATE	Apo-Lithium Carbonate 300mg Cap	APX	0.0657	0.0657	YES	NO	NO
02212005	LOPERAMIDE HCL	Apo-Loperamide 2mg Caplet	APX	0.0952	0.0952	YES	YES	NO
02243880	LORATADINE	Apo-Loratadine (Off-Formulary Interchangeable) 10mg Tab	APX	0.6267	0.6267	YES	NO	NO
00655740	LORAZEPAM	Apo-Lorazepam 0.5mg Tab	APX	0.0359	0.0359	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
02353512	LOSARTAN POTASSIUM	Apo-Losartan 100mg Tab	APX	0.3148	0.3147	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
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
02277298	MEDROXYPROGESTERONE ACETATE	Apo-Medroxy 10mg Tab	APX	0.1670	0.1670	YES	NO	NO
02267640	MEDROXYPROGESTERONE ACETATE	Apo-Medroxy 100mg Tab	APX	1.2057	1.2057	YES	NO	NO
02244726	MEDROXYPROGESTERONE ACETATE	Apo-Medroxy 2.5mg Tab	APX	0.1183	0.1183	YES	NO	NO
02244727	MEDROXYPROGESTERONE ACETATE	Apo-Medroxy 5mg Tab	APX	0.2365	0.2365	YES	NO	NO
02248973	MELOXICAM	Apo-Meloxicam 7.5mg Tab	APX	0.2003	0.2003	YES	NO	YES
02248974	MELOXICAM	Apo-Meloxicam 15mg Tab	APX	0.2311	0.2311	YES	NO	YES
02366487	MEMANTINE HCL	Apo-Memantine (Off-Formulary Interchangeable) 10mg Tab	APX	1.6357	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
02460653	METFORMIN HCL	Apo-Metformin ER (Off-Formulary Interchangeable) 1000mg ER Tab	APX	1.3233	N/A	YES	NO	NO
02229785	METFORMIN HCL	Apo-Metformin (Off-Formulary Interchangeable) 850mg Tab	APX	0.2090	N/A	YES	NO	NO
02167786	METFORMIN HCL	Apo-Metformin 500mg Tab	APX	0.0247	0.0247	YES	NO	NO
02533642	METHADONE HCL	Apo-Methadone (Off-Formulary Interchangeable) 1mg Tab	APX	0.1026	0.1026	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
02182963	METHOTREXATE	Apo-Methotrexate 2.5mg Tab	APX	0.2513	0.2513	YES	NO	NO
02266687	METHYLPHENIDATE HCL	Apo-Methylphenidate SR 20mg ER Tab	APX	0.6796	0.6796	YES	NO	YES
02452731	METHYLPHENIDATE HCL	Apo-Methylphenidate ER 18mg SR Tab	APX	1.0493	1.0493	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
02452758	METHYLPHENIDATE HCL	Apo-Methylphenidate ER 27mg SR Tab	APX	1.2109	1.2109	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
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
00751170	METOPROLOL TARTRATE	Apo-Metoprolol (Type L) 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
02248562	METRONIDAZOLE	Apo-Metronidazole 500mg Cap	APX	0.2739	0.2739	YES	NO	NO
00545066	METRONIDAZOLE	Apo-Metronidazole Tablets 250mg Tab	APX	0.0635	0.0635	YES	NO	NO
02278685	MIDODRINE HCL	Apo-Midodrine 5mg Tab	APX	0.1921	0.1921	YES	YES	NO
02278677	MIDODRINE HCL	Apo-Midodrine 2.5mg Tab	APX	0.1153	0.1153	YES	YES	NO
02286629	MIRTAZAPINE	Apo-Mirtazapine 30mg Tab	APX	0.3100	0.3100	YES	NO	NO
02445549	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 30mg ER Cap	APX	0.9038	0.9038	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
02445506	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 10mg ER Cap	APX	0.6105	0.6105	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
02285398	MODAFINIL	Apo-Modafinil (Off-Formulary Interchangeable) 100mg Tab	APX	0.9293	0.9293	YES	NO	YES
02403587	MOMETASONE FUROATE	Apo-Mometasone (Off-Formulary Interchangeable) 50mcg/Dose Nas Sp-140 Dose Pk	APX	21.6900	N/A	YES	NO	YES
02377616	MONTELUKAST SODIUM	Apo-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	APX	1.2075	1.2075	YES	NO	NO
02377608	MONTELUKAST SODIUM	Apo-Montelukast 4mg Chew Tab	APX	0.2758	0.2758	YES	YES	NO
02374609	MONTELUKAST SODIUM	Apo-Montelukast (Off-Formulary Interchangeable) 10mg Tab	APX	1.7735	1.7735	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
02404923	MOXIFLOXACIN HYDROCHLORIDE	Apo-Moxifloxacin 400mg Tab	APX	1.5230	1.5230	YES	NO	NO
02352559	MYCOPHENOLATE MOFETIL	Apo-Mycophenolate 250mg Cap	APX	0.3712	0.3712	YES	NO	NO
02352567	MYCOPHENOLATE MOFETIL	Apo-Mycophenolate 500mg Tab	APX	0.7423	0.7423	YES	NO	NO
02372738	MYCOPHENOLATE SODIUM	Apo-Mycophenolic Acid 180mg Ent Tab	APX	0.9989	0.9989	YES	NO	NO
02372746	MYCOPHENOLATE SODIUM	Apo-Mycophenolic Acid 360mg Ent Tab	APX	1.9977	1.9977	YES	NO	NO
00782505	NADOLOL	Apo-Nadolol 40mg Tab	APX	0.2375	0.2375	YES	NO	NO
00782467	NADOLOL	Apo-Nadolol 80mg Tab	APX	0.3410	0.3410	YES	NO	NO
00782475	NADOLOL	Apo-Nadolol 160mg Tab	APX	1.2046	1.2046	YES	NO	NO
02444275	NALTREXONE HCL	Apo-Naltrexone 50mg Tab	APX	2.8075	2.8075	YES	YES	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
00522651	NAPROXEN	Apo-Naproxen 250mg Tab	APX	0.1068	0.1068	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
00592277	NAPROXEN	Apo-Naproxen 500mg Tab	APX	0.2244	0.2244	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
02365502	NARATRIPTAN HYDROCHLORIDE	Apo-Naratriptan (Off-Formulary Interchangeable) 2.5mg Tab	APX	8.2125	8.2125	YES	NO	NO
02427931	NEVIRAPINE	Apo-Nevirapine XR 400mg ER Tab	APX	1.8519	1.8519	YES	NO	NO
02508087	NORGESTIMATE & ETHINYL ESTRADIOL	Tri-Cira 21 3 Phase Tab-21 Pk	APX	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
02401975	NORGESTIMATE & ETHINYL ESTRADIOL	Tricira Lo (28 Day) 3 Phase Tab-28 Pk	APX	13.3900	13.3900	YES	NO	NO
02360632	OLANZAPINE	Apo-Olanzapine ODT 15mg Rapid Dissolve Tab	APX	1.0711	1.0711	YES	NO	NO
02360640	OLANZAPINE	Apo-Olanzapine ODT (Off-Formulary Interchangeable) 20mg Rapid Dissolve Tab	APX	7.5977	N/A	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
02281791	OLANZAPINE	Apo-Olanzapine 2.5mg Tab	APX	0.1772	0.1772	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
02281848	OLANZAPINE	Apo-Olanzapine 15mg Tab	APX	1.0631	1.0631	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
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
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
02453622	OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE	Apo-Olmesartan/HCTZ 40mg & 25mg Tab	APX	0.3019	0.3019	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
02305054	OLOPATADINE HCL	Apo-Olopatadine (Off-Formulary Interchangeable) 0.1% Oph Sol-5mL Pk	APX	26.1300	N/A	YES	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
02291967	ONDANSETRON HYDROCHLORIDE	Apo-Ondansetron 4mg/5mL O/L	APX	1.1360	1.1360	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
02243661	OXAPROZIN.	Apo-Oxaprozin (Off-Formulary Interchangeable) 600mg Tab	APX	0.6892	N/A	YES	NO	YES
00402737	OXAZEPAM	Apo-Oxazepam 30mg Tab	APX	0.0750	0.0750	YES	NO	NO
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
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
02163543	OXYBUTYNIN CHLORIDE	Apo-Oxybutynin 5mg Tab	APX	0.0986	0.0986	YES	NO	NO
02324628	OXYCODONE HCL & ACETAMINOPHEN	Apo-Oxycodone/Acet 5mg & 325mg Tab	APX	0.1285	0.1285	YES	NO	YES
02292912	PANTOPRAZOLE SODIUM	Apo-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	APX	1.2750	N/A	YES	NO	NO
02292920	PANTOPRAZOLE SODIUM	Apo-Pantoprazole 40mg Ent Tab	APX	0.2016	0.2016	YES	YES	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
02240907	PAROXETINE HCL	Apo-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	APX	1.0430	N/A	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
02474565	PEGFILGRASTIM	Lapelga 10mg/mL Inj Sol-Pref Syr - 0.6mL Pk (Preservative Free)	APX	1375.0000	1375.0000	NO	NO	NO
00642223	PENICILLIN V (POTASSIUM)	Apo-Pen V-K 25mg/mL O/L	APX	0.0535	0.0535	YES	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
02289261	PERINDOPRIL ERBUMINE	Apo-Perindopril 2mg Tab	APX	0.1632	0.1632	YES	NO	NO
02289288	PERINDOPRIL ERBUMINE	Apo-Perindopril 4mg Tab	APX	0.2042	0.2042	YES	NO	NO
02289296	PERINDOPRIL ERBUMINE	Apo-Perindopril 8mg Tab	APX	0.2831	0.2831	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
00755893	PINDOLOL	Apo-Pindol 15mg Tab	APX	0.8894	0.8894	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
02302950	PIOGLITAZONE HCL	Apo-Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	APX	2.2017	2.2017	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
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
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
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
02520427	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 1mg 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
02520451	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 4mg 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
02292408	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Apo-Pramipexole 1.5mg Tab	APX	0.3901	0.3901	YES	NO	NO
02292394	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Apo-Pramipexole 1mg Tab	APX	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
02292378	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Apo-Pramipexole 0.25mg Tab	APX	0.1950	0.1950	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
02243506	PRAVASTATIN SODIUM	Apo-Pravastatin 10mg Tab	APX	0.2916	0.2916	YES	NO	NO
00882828	PRAZOSIN HCL	Apo-Prazo 2mg Tab	APX	0.3725	0.3725	YES	NO	NO
00882836	PRAZOSIN HCL	Apo-Prazo 5mg Tab	APX	0.5121	0.5121	YES	NO	NO
00882801	PRAZOSIN HCL	Apo-Prazo 1mg Tab	APX	0.2743	0.2743	YES	NO	NO
00312770	PREDNISONE	Apo-Prednisone 5mg Tab	APX	0.0220	0.0220	YES	NO	NO
00550957	PREDNISONE	Apo-Prednisone 50mg Tab	APX	0.1735	0.1735	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
02394294	PREGABALIN	Apo-Pregabalin 300mg Cap	APX	0.4145	0.4145	YES	NO	NO
02394286	PREGABALIN	Apo-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	APX	1.7270	N/A	YES	NO	NO
02243324	PROPAFENONE HCL	Apo-Propafenone 150mg Tab	APX	0.2966	0.2966	YES	NO	NO
02243325	PROPAFENONE HCL	Apo-Propafenone 300mg Tab	APX	0.5227	0.5227	YES	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
02457261	QUETIAPINE	Apo-Quetiapine XR 400mg ER Tab	APX	1.3270	1.3270	YES	NO	NO
02457253	QUETIAPINE	Apo-Quetiapine XR 300mg ER Tab	APX	0.9776	0.9776	YES	NO	NO
02457245	QUETIAPINE	Apo-Quetiapine XR 200mg ER Tab	APX	0.6661	0.6661	YES	NO	NO
02457237	QUETIAPINE	Apo-Quetiapine XR 150mg ER Tab	APX	0.4926	0.4926	YES	NO	NO
02457229	QUETIAPINE	Apo-Quetiapine XR 50mg ER Tab	APX	0.2501	0.2501	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
02313901	QUETIAPINE	Apo-Quetiapine 25mg Tab	APX	0.0494	0.0494	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
02501678	QUETIAPINE	Apo-Quetiapine Fumarate 300mg Tab	APX	0.3863	0.3863	YES	NO	NO
02248502	QUINAPRIL	Apo-Quinapril 40mg Tab	APX	0.2321	0.2321	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
02248501	QUINAPRIL	Apo-Quinapril 20mg Tab	APX	0.2321	0.2321	YES	NO	NO
02408767	QUINAPRIL & HYDROCHLOROTHIAZIDE	Apo-Quinapril/HCTZ 10mg & 12.5mg Tab	APX	0.4786	0.4786	YES	NO	NO
02408775	QUINAPRIL & HYDROCHLOROTHIAZIDE	Apo-Quinapril/HCTZ 20mg & 12.5mg Tab	APX	0.4786	0.4786	YES	NO	NO
02408783	QUINAPRIL & HYDROCHLOROTHIAZIDE	Apo-Quinapril/HCTZ 20mg & 25mg Tab	APX	0.4602	0.4602	YES	NO	NO
02345579	RABEPRAZOLE SODIUM	Apo-Rabeprazole 10mg Tab	APX	0.0669	0.0669	YES	NO	NO
02345587	RABEPRAZOLE SODIUM	Apo-Rabeprazole 20mg Tab	APX	0.1338	0.1338	YES	NO	NO
02279215	RALOXIFENE HCL	Apo-Raloxifene 60mg Tab	APX	0.5134	0.5134	YES	YES	NO
02251531	RAMIPRIL	Apo-Ramipril Cap 2.5mg	APX	0.0817	0.0817	YES	NO	NO
02251574	RAMIPRIL	Apo-Ramipril Cap 5mg	APX	0.0817	0.0817	YES	NO	NO
02251582	RAMIPRIL	Apo-Ramipril Cap 10mg	APX	0.1034	0.1034	YES	NO	NO
02251515	RAMIPRIL	Apo-Ramipril Cap 1.25mg	APX	0.0708	0.0708	YES	NO	NO
02325381	RAMIPRIL	Apo-Ramipril (Off-Formulary Interchangeable) 15mg Cap	APX	0.8550	N/A	YES	NO	NO
02280833	RANITIDINE HCL	Apo-Ranitidine 15mg/mL Oral Sol	APX	0.1480	0.1480	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
02404680	RASAGILINE MESYLATE	Apo-Rasagiline (Off-Formulary Interchangeable) 0.5mg Tab	APX	6.1285	6.1285	YES	NO	NO
02404699	RASAGILINE MESYLATE	Apo-Rasagiline (Off-Formulary Interchangeable) 1mg Tab	APX	6.1285	6.1285	YES	NO	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
02352583	RILUZOLE	Apo-Riluzole (Off-Formulary Interchangeable) 50mg Tab	APX	7.3630	7.3630	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
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
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
02541734	RIVAROXABAN	Apo-Rivaroxaban 2.5mg Tab	APX	0.3550	0.3550	YES	NO	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
02336758	RIVASTIGMINE	Apo-Rivastigmine 6mg Cap	APX	0.6515	0.6514	YES	YES	NO
02336731	RIVASTIGMINE	Apo-Rivastigmine 4.5mg Cap	APX	0.6515	0.6514	YES	YES	NO
02336723	RIVASTIGMINE	Apo-Rivastigmine 3mg Cap	APX	0.6515	0.6514	YES	YES	NO
02336715	RIVASTIGMINE	Apo-Rivastigmine 1.5mg Cap	APX	0.6515	0.6514	YES	YES	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
02393468	RIZATRIPTAN	Apo-Rizatriptan (Off-Formulary Interchangeable) 5mg Tab	APX	12.5970	12.5970	YES	NO	NO
02393476	RIZATRIPTAN	Apo-Rizatriptan (Off-Formulary Interchangeable) 10mg Tab	APX	11.1150	11.1150	YES	NO	NO
02338009	ROSUVASTATIN CALCIUM	Apo-Rosuvastatin 40mg Tab	APX	0.1990	0.1990	YES	NO	NO
02337975	ROSUVASTATIN CALCIUM	Apo-Rosuvastatin 5mg Tab	APX	0.1284	0.1284	YES	NO	NO
02337983	ROSUVASTATIN CALCIUM	Apo-Rosuvastatin 10mg Tab	APX	0.1354	0.1354	YES	NO	NO
02337991	ROSUVASTATIN CALCIUM	Apo-Rosuvastatin 20mg Tab	APX	0.1692	0.1692	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
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
02507471	SAXAGLIPTIN	Apo-Saxagliptin 2.5mg Tab	APX	1.2650	1.2650	YES	NO	YES
02507498	SAXAGLIPTIN	Apo-Saxagliptin 5mg Tab	APX	1.5195	1.5195	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
02238280	SERTRALINE HCL	Apo-Sertraline 25mg Cap	APX	0.1516	0.1516	YES	NO	YES
02248201	SILDENAFIL	Apo-Sildenafil (Off-Formulary Interchangeable) 25mg Tab	APX	8.2894	8.2894	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
02418118	SILDENAFIL	Apo-Sildenafil R (Off-Formulary Interchangeable) 20mg Tab	APX	7.2940	7.2940	YES	NO	NO
02247011	SIMVASTATIN	Apo-Simvastatin 5mg Tab	APX	0.1023	0.1023	YES	NO	NO
02247014	SIMVASTATIN	Apo-Simvastatin 40mg Tab	APX	0.2501	0.2501	YES	NO	NO
02247015	SIMVASTATIN	Apo-Simvastatin 80mg Tab	APX	0.2501	0.2501	YES	NO	NO
02247012	SIMVASTATIN	Apo-Simvastatin 10mg Tab	APX	0.2023	0.2023	YES	NO	NO
02247013	SIMVASTATIN	Apo-Simvastatin 20mg Tab	APX	0.2501	0.2501	YES	NO	NO
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
02508664	SITAGLIPTIN	Apo-Sitagliptin Malate 50mg Tab	APX	0.8197	0.8197	YES	NO	YES
02506297	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin/Metformin XR 100mg & 1000mg ER Tab	APX	1.7785	1.7784	YES	NO	YES
02506289	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin/Metformin XR 50mg & 1000mg ER Tab	APX	0.8893	0.8893	YES	NO	YES
02506270	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin/Metformin XR 50mg & 500mg ER Tab	APX	0.8893	0.8893	YES	NO	YES
02509431	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin Malate/Metformin HCl 50mg & 1000mg Tab	APX	0.8893	0.8893	YES	NO	YES
02509423	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin Malate/Metformin HCl 50mg & 850mg Tab	APX	0.8893	0.8893	YES	NO	YES
02509415	SITAGLIPTIN & METFORMIN	Apo-Sitagliptin Malate/Metformin HCl 50mg & 500mg Tab	APX	0.8893	0.8893	YES	NO	YES
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
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
02125250	SUCRALFATE	Apo-Sucralfate 1g Tab	APX	0.3089	0.3089	YES	NO	NO
02268388	SUMATRIPTAN SUCCINATE	Apo-Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	APX	9.0650	9.0650	YES	NO	NO
02268396	SUMATRIPTAN SUCCINATE	Apo-Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	APX	9.9867	9.9867	YES	NO	NO
02422107	TADALAFIL	Apo-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	APX	11.9250	11.9250	YES	NO	NO
02422085	TADALAFIL	Apo-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	APX	3.6470	3.6470	YES	NO	NO
02422093	TADALAFIL	Apo-Tadalafil (Off-Formulary Interchangeable) 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
00812390	TAMOXIFEN CITRATE	Apo-Tamox 20mg Tab	APX	0.3500	0.3500	YES	NO	NO
00812404	TAMOXIFEN CITRATE	Apo-Tamox 10mg Tab	APX	0.1750	0.1750	YES	NO	NO
02362406	TAMSULOSIN HCL	Apo-Tamsulosin CR Tab 0.4mg	APX	0.1500	0.1500	YES	NO	YES
02420082	TELMISARTAN	Apo-Telmisartan 40mg Tab	APX	0.2161	0.2161	YES	NO	NO
02420090	TELMISARTAN	Apo-Telmisartan 80mg Tab	APX	0.2161	0.2161	YES	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
02451980	TENOFOVIR DISOPROXIL	Apo-Tenofovir 300mg Tab	APX	4.8884	4.8884	YES	YES	NO
02234502	TERAZOSIN HCL	Apo-Terazosin 1mg Tab	APX	0.3938	0.3938	YES	NO	NO
02234503	TERAZOSIN HCL	Apo-Terazosin 2mg Tab	APX	0.5005	0.5005	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
02239893	TERBINAFINE HCL	Apo-Terbinafine 250mg Tab	APX	0.7714	0.7714	YES	NO	NO
02500639	TERIFLUNOMIDE	Apo-Teriflunomide 14mg Tab	APX	14.9300	14.9300	YES	YES	NO
02407590	TETRABENAZINE	Apo-Tetrabenazine (Off-Formulary Interchangeable) 25mg Tab	APX	4.8551	4.8551	YES	NO	NO
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
00755834	TIMOLOL MALEATE	Apo-Timop 0.5% Oph Sol	APX	1.2145	1.2145	YES	NO	YES
02415305	TIMOLOL MALEATE & TRAVOPROST	Apo-Travoprost-Timop 0.5% & 0.004% Oph Sol	APX	8.8425	8.8425	YES	YES	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
02259893	TIZANIDINE HCL	Apo-Tizanidine (Off-Formulary Interchangeable) 4mg Tab	APX	0.8758	0.8758	YES	NO	YES
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
02279630	TOPIRAMATE	Apo-Topiramate 100mg Tab	APX	0.4583	0.4583	YES	NO	NO
02426153	TRAMADOL HCL	Apo-Tramadol (Off-Formulary Interchangeable) 50mg Tab	APX	0.6386	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
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
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
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
02248540	TRYPTOPHAN	Apo-Tryptophan (Off-Formulary Interchangeable) 500mg Cap	APX	0.4987	N/A	YES	NO	NO
02458721	TRYPTOPHAN	Apo-Tryptophan (Off-Formulary Interchangeable) 750mg Tab	APX	0.9889	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
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
02238370	VALPROATE SODIUM	Apo-Valproic 50mg/mL O/L	APX	0.0605	0.0398	YES	NO	NO
02238048	VALPROIC ACID	Apo-Valproic 250mg Cap	APX	0.2905	0.2905	YES	NO	NO
02371510	VALSARTAN	Apo-Valsartan (Off-Formulary Interchangeable) 40mg Tab	APX	0.5823	N/A	YES	NO	NO
02371529	VALSARTAN	Apo-Valsartan 80mg Tab	APX	0.2159	0.2159	YES	NO	NO
02371537	VALSARTAN	Apo-Valsartan 160mg Tab	APX	0.2159	0.2159	YES	NO	NO
02371545	VALSARTAN	Apo-Valsartan 320mg Tab	APX	0.2098	0.2098	YES	NO	NO
02382571	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 320mg & 12.5mg Tab	APX	0.2235	0.2235	YES	NO	NO
02382563	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 160mg & 25mg Tab	APX	0.2238	0.2238	YES	NO	NO
02382555	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 160mg & 12.5mg Tab	APX	0.2240	0.2240	YES	NO	NO
02382547	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 80mg & 12.5mg Tab	APX	0.2213	0.2213	YES	NO	NO
02382598	VALSARTAN & HYDROCHLOROTHIAZIDE	Apo-Valsartan/HCTZ 320mg & 25mg Tab	APX	0.2231	0.2231	YES	NO	NO
02471663	VARDENAFIL HCL	Apo-Vardenafil (Off-Formulary Interchangeable) 20mg Tab	APX	11.6811	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
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
02435675	VARENICLINE TARTRATE	Apo-Varenicline 0.5mg & 1.0mg Tab (Starter Pack-53 Tabs)	APX	24.3853	24.3853	YES	YES	NO
02331683	VENLAFAXINE HCL	Apo-Venlafaxine XR 37.5mg ER Cap	APX	0.0913	0.0913	YES	NO	NO
02331691	VENLAFAXINE HCL	Apo-Venlafaxine XR 75mg ER Cap	APX	0.1825	0.1825	YES	NO	NO
02331705	VENLAFAXINE HCL	Apo-Venlafaxine XR 150mg ER Cap	APX	0.1927	0.1927	YES	NO	NO
02246894	VERAPAMIL HCL	Apo-Verap SR 180mg LA Tab	APX	0.5204	0.5204	YES	NO	NO
02246893	VERAPAMIL HCL	Apo-Verap SR (Off-Formulary Interchangeable) 120mg LA Tab	APX	0.6900	N/A	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
02242924	WARFARIN	Apo-Warfarin 1mg Tab	APX	0.0796	0.0796	YES	NO	YES
02242925	WARFARIN	Apo-Warfarin 2mg Tab	APX	0.0841	0.0841	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
02242927	WARFARIN	Apo-Warfarin 4mg Tab	APX	0.1043	0.1043	YES	NO	YES
02242928	WARFARIN	Apo-Warfarin 5mg Tab	APX	0.0675	0.0675	YES	NO	YES
02245618	WARFARIN	Apo-Warfarin 3mg Tab	APX	0.1043	0.1043	YES	NO	YES
01946323	ZIDOVUDINE	Apo-Zidovudine (Off-Formulary Interchangeable) 100mg Cap	APX	1.3977	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
02380951	ZOLMITRIPTAN	Apo-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	APX	6.8583	6.8583	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
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

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