02458381 | ABACAVIR SULFATE & LAMIVUDINE | PMS-Abacavir-Lamivudine 600mg & 300mg Tab | PMS | 5.9875 | 5.9875 | 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 |
00816027 | ACETAMINOPHEN & CODEINE PHOSPHATE | PMS-Acetaminophen With Codeine 160mg & 8mg/5mL O/L | PMS | 0.1074 | 0.1074 | YES | NO | YES |
02284006 | ALENDRONATE | PMS-Alendronate-FC 70mg Tab | PMS | 1.7804 | 1.7804 | YES | NO | NO |
02242472 | AMIODARONE HCL | PMS-Amiodarone 200mg Tab | PMS | 0.3706 | 0.3706 | YES | NO | YES |
00654507 | AMITRIPTYLINE | PMS-Amitriptyline 50mg Tab | PMS | 0.1540 | 0.1540 | YES | NO | NO |
00654523 | AMITRIPTYLINE | PMS-Amitriptyline 10mg Tab | PMS | 0.0305 | 0.0305 | YES | NO | NO |
00654515 | AMITRIPTYLINE | PMS-Amitriptyline 25mg Tab | PMS | 0.0829 | 0.0829 | 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 |
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 |
02274949 | ANAGRELIDE HCL | PMS-Anagrelide 0.5mg Cap | PMS | 4.6997 | 4.6997 | YES | YES | NO |
02320738 | ANASTROZOLE | PMS-Anastrozole 1mg Tab | PMS | 0.9522 | 0.9522 | YES | NO | NO |
02521733 | APREMILAST | PMS-Apremilast (Off-Formulary Interchangeable) 30mg Tab | PMS | 18.7238 | N/A | YES | NO | NO |
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 |
02466686 | ARIPIPRAZOLE | PMS-Aripiprazole 20mg Tab | PMS | 1.0017 | 1.0017 | YES | NO | YES |
02466678 | ARIPIPRAZOLE | PMS-Aripiprazole 15mg Tab | PMS | 1.2692 | 1.2692 | YES | NO | YES |
02466651 | ARIPIPRAZOLE | PMS-Aripiprazole 10mg Tab | PMS | 1.0754 | 1.0754 | YES | NO | YES |
02466635 | ARIPIPRAZOLE | PMS-Aripiprazole 2mg Tab | PMS | 0.8092 | 0.8092 | YES | NO | YES |
02237600 | ATENOLOL | PMS-Atenolol 50mg Tab | PMS | 0.0938 | 0.0938 | YES | NO | NO |
02237601 | ATENOLOL | PMS-Atenolol 100mg Tab | PMS | 0.1543 | 0.1543 | YES | NO | NO |
02381044 | ATOMOXETINE HCL | PMS-Atomoxetine 25mg Cap | PMS | 0.6420 | 0.6420 | 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 |
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 |
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 |
02507242 | ATORVASTATIN CALCIUM | PMSC-Atorvastatin 20mg Tab | PMS | 0.2179 | 0.2179 | 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 |
02507269 | ATORVASTATIN CALCIUM | PMSC-Atorvastatin 80mg Tab | PMS | 0.2342 | 0.2342 | YES | NO | NO |
02261642 | AZITHROMYCIN | PMS-Azithromycin 600mg Tab | PMS | 10.6652 | 10.6652 | YES | YES | YES |
02261634 | AZITHROMYCIN | PMS-Azithromycin 250mg Tab | PMS | 0.9410 | 0.9410 | 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 |
02239537 | BENZYDAMINE HCL | PMS-Benzydamine (Off-Formulary Interchangeable) 0.15% Oral Rinse | PMS | 0.0960 | N/A | 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 |
02275589 | BICALUTAMIDE | PMS-Bicalutamide 50mg Tab | PMS | 1.2690 | 1.2690 | YES | NO | NO |
02383020 | BOSENTAN MONOHYDRATE | PMS-Bosentan (Off-Formulary Interchangeable) 125mg Tab | PMS | 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 |
02246284 | BRIMONIDINE | PMS-Brimonidine 0.2% Oph Sol | PMS | 1.1550 | 1.1550 | YES | YES | NO |
02424878 | BUPRENORPHINE & NALOXONE | PMS-Buprenorphine-Naloxone 8mg & 2mg SL Tab | PMS | 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 |
02230942 | BUSPIRONE HYDROCHLORIDE | PMS-Buspirone 10mg Tab | PMS | 0.2713 | 0.2713 | YES | NO | NO |
02495902 | CALCITRIOL | PMS-Calcitriol 0.5mcg Cap | PMS | 0.3723 | 0.3723 | YES | NO | NO |
02495899 | CALCITRIOL | PMS-Calcitriol 0.25mcg Cap | PMS | 0.2341 | 0.2341 | YES | NO | NO |
02391201 | CANDESARTAN CILEXETIL | PMS-Candesartan 16mg Tab | PMS | 0.2281 | 0.2281 | YES | NO | NO |
02391228 | CANDESARTAN CILEXETIL | PMS-Candesartan 32mg Tab | PMS | 0.2281 | 0.2281 | YES | NO | NO |
02391198 | CANDESARTAN CILEXETIL | PMS-Candesartan 8mg Tab | PMS | 0.2281 | 0.2281 | YES | NO | NO |
02391171 | CANDESARTAN CILEXETIL | PMS-Candesartan 4mg Tab | PMS | 0.1700 | 0.1700 | YES | NO | NO |
02391295 | CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE | PMS-Candesartan-HCTZ 16mg & 12.5mg Tab | PMS | 0.2156 | 0.2156 | YES | NO | NO |
02245916 | CARVEDILOL | PMS-Carvedilol 12.5mg Tab | PMS | 0.2060 | 0.2060 | YES | YES | NO |
02245917 | CARVEDILOL | PMS-Carvedilol 25mg Tab | PMS | 0.2060 | 0.2060 | YES | YES | NO |
02245915 | CARVEDILOL | PMS-Carvedilol 6.25mg Tab | PMS | 0.2060 | 0.2060 | YES | YES | NO |
02245914 | CARVEDILOL | PMS-Carvedilol 3.125mg Tab | PMS | 0.2060 | 0.2060 | YES | YES | NO |
02355450 | CELECOXIB | PMS-Celecoxib 200mg Cap | PMS | 0.2558 | 0.2558 | YES | YES | YES |
02355442 | CELECOXIB | PMS-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 |
02517116 | CELECOXIB | PMSC-Celecoxib 100mg Cap | PMS | 0.1279 | 0.1279 | YES | YES | YES |
02315955 | CETIRIZINE HYDROCHLORIDE | Extra Strength Allergy Relief (Off-Formulary Interchangeable) 10mg Tab | PMS | 0.3938 | N/A | YES | NO | NO |
02315963 | CETIRIZINE HYDROCHLORIDE | PMS-Cetirizine (Off-Formulary Interchangeable) 20mg Tab | PMS | 0.7535 | N/A | YES | NO | NO |
02517620 | CINACALCET | PMS-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab | PMS | 27.0517 | 27.0517 | YES | NO | NO |
02517612 | CINACALCET | PMS-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab | PMS | 18.5900 | 18.5900 | YES | NO | NO |
02517604 | CINACALCET | PMS-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab | PMS | 10.1947 | 10.1947 | YES | NO | NO |
02248439 | CIPROFLOXACIN | PMS-Ciprofloxacin 750mg Tab | PMS | 0.9201 | 0.9201 | YES | NO | YES |
02248437 | CIPROFLOXACIN | PMS-Ciprofloxacin 250mg Tab | PMS | 0.4454 | 0.4454 | YES | NO | YES |
02248438 | CIPROFLOXACIN | PMS-Ciprofloxacin 500mg Tab | PMS | 0.5025 | 0.5025 | YES | NO | YES |
02416433 | CIPROFLOXACIN HCL & CIPROFLOXACIN BASE | PMS-Ciprofloxacin XL 500mg ER Tab | PMS | 2.3110 | 2.3110 | YES | YES | NO |
02248011 | CITALOPRAM HYDROBROMIDE | PMS-Citalopram 40mg Tab | PMS | 0.1332 | 0.1332 | YES | NO | NO |
02248010 | CITALOPRAM HYDROBROMIDE | PMS-Citalopram 20mg Tab | PMS | 0.1332 | 0.1332 | YES | NO | NO |
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 |
02309521 | CLOBETASOL PROPIONATE | PMS-Clobetasol 0.05% Cr | PMS | 0.2279 | 0.2279 | YES | NO | YES |
02309548 | CLOBETASOL PROPIONATE | PMS-Clobetasol 0.05% Oint | PMS | 0.2279 | 0.2279 | YES | NO | YES |
02048701 | CLONAZEPAM | PMS-Clonazepam 0.5mg Tab | PMS | 0.0418 | 0.0418 | YES | NO | NO |
02048736 | CLONAZEPAM | PMS-Clonazepam 2mg Tab | PMS | 0.0721 | 0.0721 | YES | NO | NO |
02207818 | CLONAZEPAM | PMS-Clonazepam-R 0.5mg Tab | PMS | 0.0418 | 0.0418 | YES | NO | NO |
02348004 | CLOPIDOGREL BISULFATE | PMS-Clopidogrel 75mg Tab | PMS | 0.2631 | 0.2631 | YES | NO | NO |
02212048 | CYCLOBENZAPRINE HCL | PMS-Cyclobenzaprine (Not a Benefit) 10mg Tab | PMS | N/A | N/A | YES | NO | YES |
02531550 | DAPAGLIFLOZIN | PMS-Dapagliflozin 5mg Tab | PMS | 0.6825 | 0.6825 | YES | NO | YES |
02531569 | DAPAGLIFLOZIN | PMS-Dapagliflozin 10mg Tab | PMS | 0.6825 | 0.6825 | YES | NO | YES |
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 |
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 |
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 |
02239753 | DICLOFENAC POTASSIUM | PMS-Diclofenac K (Off-Formulary Interchangeable) 50mg Tab | PMS | 0.3937 | N/A | 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 |
02231508 | DICLOFENAC SODIUM | PMS-Diclofenac 100mg Sup | PMS | 0.5840 | 0.5840 | YES | NO | YES |
02356783 | DICLOFENAC SODIUM | PMS-Diclofenac (Off-Formulary Interchangeable) 1.5% W/W Top Sol | PMS | 0.6227 | N/A | YES | NO | NO |
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 |
02242320 | DIGOXIN | PMS-Digoxin 0.05mg/mL O/L | PMS | 0.3692 | 0.3692 | NO | NO | YES |
02335700 | DIGOXIN | PMS-Digoxin 0.0625mg Tab | PMS | 0.1850 | 0.1850 | YES | NO | YES |
02335719 | DIGOXIN | PMS-Digoxin 0.125mg Tab | PMS | 0.1751 | 0.1751 | YES | NO | YES |
02335727 | DIGOXIN | PMS-Digoxin 0.25mg Tab | PMS | 0.2060 | 0.2060 | NO | NO | YES |
02355787 | DILTIAZEM HCL | PMS-Diltiazem CD 300mg LA Cap | PMS | 0.7999 | 0.7999 | YES | NO | NO |
02355760 | DILTIAZEM HCL | PMS-Diltiazem CD 180mg LA Cap | PMS | 0.4824 | 0.4824 | YES | NO | NO |
02355779 | DILTIAZEM HCL | PMS-Diltiazem CD 240mg LA Cap | PMS | 0.6399 | 0.6399 | YES | NO | NO |
02355752 | DILTIAZEM HCL | PMS-Diltiazem CD 120mg LA Cap | PMS | 0.3634 | 0.3634 | 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 |
01994344 | DOCUSATE SODIUM (DIOCTYL SODIUM SULFOSUCCINATE) | Soflax 100mg Cap | PMS | 0.0328 | 0.0328 | YES | NO | NO |
02236466 | DOMPERIDONE MALEATE | PMS-Domperidone 10mg Tab | PMS | 0.0428 | 0.0428 | YES | NO | 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 |
02442426 | DORZOLAMIDE HCL & TIMOLOL MALEATE | PMS-Dorzolamide-Timolol 2% & 0.5% Oph Sol | PMS | 2.0951 | 2.0951 | YES | YES | NO |
02406187 | DOXYLAMINE SUCCINATE AND PYRIDOXINE HCL | PMS-Doxylamine-Pyridoxine 10mg & 10mg SR Tab | PMS | 0.6402 | 0.6402 | YES | NO | NO |
02429454 | DULOXETINE | PMS-Duloxetine 60mg DR Cap | PMS | 0.9769 | 0.7327 | YES | NO | NO |
02429446 | DULOXETINE | PMS-Duloxetine 30mg DR Cap | PMS | 0.4814 | 0.3611 | YES | NO | NO |
02393220 | DUTASTERIDE | PMS-Dutasteride 0.5mg Cap | PMS | 0.2565 | 0.2565 | YES | YES | NO |
02487284 | EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE | PMS-Efavirenz-Emtricitabine-Tenofovir 600mg/300mg/200mg Tab | PMS | 11.3300 | 11.3300 | 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 |
02461110 | EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE | PMS-Emtricitabine/Tenofovir 200mg & 300mg Tab | PMS | 7.3035 | 7.3035 | YES | NO | NO |
02430576 | ENTECAVIR | PMS-Entecavir 0.5mg Tab | PMS | 5.5000 | 4.4000 | YES | YES | 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 |
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 |
02528487 | ESOMEPRAZOLE | PMSC-Esomeprazole DR (Off-Formulary Interchangeable) 40mg | PMS | 1.8690 | N/A | YES | NO | NO |
02528479 | ESOMEPRAZOLE | PMSC-Esomeprazole DR (Off-Formulary Interchangeable) 20mg DR Tab | PMS | 1.8690 | N/A | 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 |
02416409 | EZETIMIBE | PMS-Ezetimibe 10mg Tab | PMS | 0.1811 | 0.1811 | YES | YES | NO |
02496216 | FAMPRIDINE | PMS-Fampridine (Off-Formulary Interchangeable) 10mg ER Tab | PMS | 8.4730 | N/A | YES | NO | NO |
02310112 | FINASTERIDE | PMS-Finasteride 5mg Tab | PMS | 0.3506 | 0.3506 | YES | YES | NO |
02320169 | FINASTERIDE | PMS-Finasteride (Off-Formulary Interchangeable) 1mg Tab | PMS | 1.1453 | N/A | YES | NO | NO |
02469782 | FINGOLIMOD | PMS-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap | PMS | 73.9096 | 73.9096 | 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 |
00846341 | FLUNARIZINE HCL | Sibelium (Not a Benefit) 5mg Cap | PMS | N/A | N/A | YES | NO | NO |
02464640 | FLUOXETINE HCL | PMS-Fluoxetine 40mg Cap | PMS | 0.6622 | 0.6622 | NO | NO | YES |
02177587 | FLUOXETINE HCL | PMS-Fluoxetine 20mg Cap | PMS | 0.3311 | 0.3311 | YES | NO | YES |
02177579 | FLUOXETINE HCL | PMS-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap | PMS | 1.1773 | N/A | YES | NO | YES |
02464659 | FLUOXETINE HCL | PMS-Fluoxetine 60mg Cap | PMS | 0.9933 | 0.9933 | NO | NO | YES |
02503131 | FLUTICASONE PROPIONATE | PMS-Fluticasone 250mcg/Metered Dose Inh-120 Dose Pk | PMS | 45.0200 | 45.0200 | YES | NO | NO |
02503123 | FLUTICASONE PROPIONATE | PMS-Fluticasone HFA 125mcg/Metered Dose Inh-120 Dose Pk | PMS | 23.4100 | 23.4100 | YES | NO | NO |
02503115 | FLUTICASONE PROPIONATE | PMS-Fluticasone HFA 50mcg/Metered Dose Inh-120 Dose Pk | PMS | 21.3150 | 21.3150 | YES | NO | NO |
02243447 | GABAPENTIN | PMS-Gabapentin 300mg Cap | PMS | 0.1012 | 0.1012 | YES | NO | NO |
02243448 | GABAPENTIN | PMS-Gabapentin 400mg Cap | PMS | 0.1206 | 0.1206 | YES | NO | NO |
02243446 | GABAPENTIN | PMS-Gabapentin 100mg Cap | PMS | 0.0416 | 0.0416 | 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 |
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 |
02398389 | GALANTAMINE HYDROBROMIDE | PMS-Galantamine ER 16mg ER Cap | PMS | 1.2465 | 1.2465 | YES | YES | NO |
02460661 | GLATIRAMER ACETATE | Glatect 20mg/mL Inj Sol-Pref Syr 1mL Pk | PMS | 35.0000 | 35.0000 | NO | YES | NO |
02236734 | GLYBURIDE | PMS-Glyburide 5mg Tab | PMS | 0.0574 | 0.0573 | 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 |
02274086 | HYDROCHLOROTHIAZIDE | PMS-Hydrochlorothiazide (Off-Formulary Interchangeable) 12.5mg Tab | PMS | N/A | N/A | YES | NO | NO |
02324253 | HYDROCODONE BITARTRATE | PMS-Hydrocodone 1mg/mL O/L | PMS | 0.0617 | 0.0617 | YES | NO | NO |
01916386 | HYDROMORPHONE HCL | PMS-HYDROmorphone 1mg/mL Oral Sol | PMS | 0.0827 | 0.0827 | YES | NO | YES |
00885401 | HYDROMORPHONE HCL | PMS-HYDROmorphone 4mg Tab | PMS | 0.2240 | 0.2240 | YES | NO | YES |
00885436 | HYDROMORPHONE HCL | PMS-HYDROmorphone 2mg Tab | PMS | 0.1417 | 0.1417 | YES | NO | YES |
00885444 | HYDROMORPHONE HCL | PMS-HYDROmorphone 1mg Tab | PMS | 0.0959 | 0.0959 | YES | NO | YES |
00885428 | HYDROMORPHONE HCL | PMS-HYDROmorphone 8mg Tab | PMS | 0.3528 | 0.3528 | 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 |
02231136 | IPRATROPIUM BROMIDE | PMS-Ipratropium 250mcg/mL Inh Sol-20mL Pk | PMS | 6.3140 | 6.3140 | YES | YES | 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 |
02239627 | IPRATROPIUM BROMIDE | PMS-Ipratropium 0.03% Nasal Spray | PMS | 0.8693 | 0.8693 | YES | YES | NO |
02317060 | IRBESARTAN | PMS-Irbesartan 75mg Tab | PMS | 0.2281 | 0.2281 | YES | NO | NO |
02317087 | IRBESARTAN | PMS-Irbesartan 300mg Tab | PMS | 0.2281 | 0.2281 | YES | NO | NO |
02317079 | IRBESARTAN | PMS-Irbesartan 150mg Tab | PMS | 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 |
02328526 | IRBESARTAN & HYDROCHLOROTHIAZIDE | PMS-Irbesartan-HCTZ 300mg & 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 |
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 |
02301288 | ISOSORBIDE-5-MONONITRATE | PMS-ISMN (Off-Formulary Interchangeable) 60mg ER Tab | PMS | 0.4950 | 0.4950 | YES | NO | NO |
02478234 | LACOSAMIDE | Pharma-Lacosamide 200mg Tab | PMS | 1.4500 | 1.4500 | YES | YES | NO |
02478226 | LACOSAMIDE | Pharma-Lacosamide 150mg Tab | PMS | 1.1763 | 1.1763 | YES | YES | NO |
02478218 | LACOSAMIDE | Pharma-Lacosamide 100mg Tab | PMS | 0.8750 | 0.8750 | YES | YES | NO |
02478196 | LACOSAMIDE | Pharma-Lacosamide 50mg Tab | PMS | 0.6313 | 0.6313 | YES | YES | 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 |
02246898 | LAMOTRIGINE | PMS-Lamotrigine 100mg Tab | PMS | 0.2787 | 0.2787 | 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 |
02433001 | LANSOPRAZOLE | Lansoprazole 15mg DR Cap | PMS | 0.5000 | 0.5000 | YES | YES | NO |
02433028 | LANSOPRAZOLE | Lansoprazole 30mg DR Cap | PMS | 0.5000 | 0.5000 | YES | YES | 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 |
02309114 | LETROZOLE | PMS-Letrozole 2.5mg Tab | PMS | 1.3780 | 1.3780 | YES | NO | NO |
02454653 | LEVETIRACETAM | Levetiracetam 250mg Tab | PMS | 0.3210 | 0.3210 | YES | YES | NO |
02454688 | LEVETIRACETAM | Levetiracetam 750mg Tab | PMS | 0.5416 | 0.5416 | YES | YES | NO |
02454661 | LEVETIRACETAM | Levetiracetam 500mg Tab | PMS | 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 |
02216132 | LITHIUM CARBONATE | PMS-Lithium Carbonate 150mg Cap | PMS | 0.0667 | 0.0667 | YES | NO | NO |
02216140 | LITHIUM CARBONATE | PMS-Lithium Carbonate 300mg Cap | PMS | 0.0657 | 0.0657 | YES | NO | NO |
02228351 | LOPERAMIDE HCL | PMS-Loperamide 2mg Caplet | PMS | 0.0952 | 0.0952 | YES | YES | NO |
00728187 | LORAZEPAM | PMS-Lorazepam 0.5mg Tab | PMS | 0.0359 | 0.0359 | YES | NO | NO |
00728195 | LORAZEPAM | PMS-Lorazepam 1mg Tab | PMS | 0.0447 | 0.0447 | YES | NO | NO |
00728209 | LORAZEPAM | PMS-Lorazepam 2mg Tab | PMS | 0.0699 | 0.0699 | YES | NO | NO |
02309750 | LOSARTAN POTASSIUM | PMS-Losartan 25mg Tab | PMS | 0.3147 | 0.3147 | YES | NO | NO |
02309769 | LOSARTAN POTASSIUM | PMS-Losartan 50mg Tab | PMS | 0.3147 | 0.3147 | YES | NO | NO |
02309777 | LOSARTAN POTASSIUM | PMS-Losartan 100mg 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 |
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 |
02505916 | LURASIDONE HYDROCHLORIDE | PMS-Lurasidone 120mg Tab | PMS | 1.2250 | 1.2250 | YES | NO | YES |
02505886 | LURASIDONE HYDROCHLORIDE | PMS-Lurasidone 40mg 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 |
02505878 | LURASIDONE HYDROCHLORIDE | PMS-Lurasidone 20mg Tab | PMS | 1.2250 | 1.2250 | 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 |
02321130 | MEMANTINE HCL | PMS-Memantine (Off-Formulary Interchangeable) 10mg Tab | PMS | 1.6357 | N/A | YES | NO | NO |
02242589 | METFORMIN HCL | PMS-Metformin (Off-Formulary Interchangeable) 850mg Tab | PMS | 0.2090 | N/A | YES | NO | NO |
02223562 | METFORMIN HCL | PMS-Metformin 500mg Tab | PMS | 0.0247 | 0.0247 | 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 |
02247700 | METHADONE HCL | Metadol (Off-Formulary Interchangeable) 10mg Tab | PMS | 0.7454 | 0.5466 | YES | NO | YES |
02247699 | METHADONE HCL | Metadol (Off-Formulary Interchangeable) 5mg Tab | PMS | 0.4659 | 0.3417 | YES | NO | YES |
02247698 | METHADONE HCL | Metadol (Off-Formulary Interchangeable) 1mg Tab | PMS | 0.1399 | 0.1026 | YES | NO | YES |
02247701 | METHADONE HCL | Metadol (Off-Formulary Interchangeable) 25mg Tab | PMS | 1.3850 | 1.0157 | YES | NO | YES |
02539624 | METHOTREXATE | PMS-Methotrexate Injection 15mg/0.3mL Inj Sol-Pref Syr | PMS | 16.3800 | 16.3800 | YES | NO | NO |
02539616 | METHOTREXATE | PMS-Methotrexate Injection 12.5mg/0.25mL Inj Sol-Pref Syr | PMS | 17.1600 | 17.1600 | YES | NO | NO |
02539667 | METHOTREXATE | PMS-Methotrexate Injection 25mg/0.5mL Inj Sol-Pref Syr | PMS | 19.5000 | 19.5000 | YES | NO | NO |
02539659 | METHOTREXATE | PMS-Methotrexate Injection 22.5mg/0.45mL Inj Sol-Pref Syr | PMS | 17.5000 | 17.5000 | YES | NO | NO |
02539640 | METHOTREXATE | PMS-Methotrexate Injection 20mg/0.4mL Inj Sol-Pref Syr | PMS | 17.5000 | 17.5000 | YES | NO | NO |
02539608 | METHOTREXATE | PMS-Methotrexate Injection 10mg/0.2mL Inj Sol-Pref Syr | PMS | 16.3020 | 16.3000 | YES | NO | NO |
02539632 | METHOTREXATE | PMS-Methotrexate Injection 17.5mg/0.35mL Inj Sol-Pref Syr | PMS | 16.0000 | 16.0000 | YES | NO | NO |
02170698 | METHOTREXATE | PMS-Methotrexate 2.5mg Tab | PMS | 0.2513 | 0.2513 | YES | NO | NO |
02536951 | METHYLPHENIDATE HCL | PMS-Methylphenidate CR 15mg ER Cap | PMS | 0.7354 | 0.7354 | YES | NO | YES |
02537036 | METHYLPHENIDATE HCL | PMS-Methylphenidate CR 80mg ER Cap | PMS | 3.0883 | 3.0883 | YES | NO | YES |
02537028 | METHYLPHENIDATE HCL | PMS-Methylphenidate CR 60mg ER Cap | PMS | 2.3425 | 2.3425 | YES | NO | YES |
02537001 | METHYLPHENIDATE HCL | PMS-Methylphenidate CR 50mg ER Cap | PMS | 2.0130 | 2.0130 | YES | NO | YES |
02536994 | METHYLPHENIDATE HCL | PMS-Methylphenidate CR 40mg ER Cap | PMS | 1.6588 | 1.6588 | YES | NO | YES |
02536986 | METHYLPHENIDATE HCL | PMS-Methylphenidate CR 30mg ER Cap | PMS | 1.3021 | 1.3021 | YES | NO | YES |
02536978 | METHYLPHENIDATE HCL | PMS-Methylphenidate CR 20mg ER Cap | PMS | 0.9477 | 0.9477 | YES | NO | YES |
02536943 | METHYLPHENIDATE HCL | PMS-Methylphenidate CR 10mg ER Cap | PMS | 0.5128 | 0.5128 | YES | NO | YES |
00585009 | METHYLPHENIDATE HCL | PMS-Methylphenidate (Off-Formulary Interchangeable) 20mg Tab | PMS | 0.3536 | N/A | YES | NO | YES |
00584991 | METHYLPHENIDATE HCL | PMS-Methylphenidate 10mg Tab | PMS | 0.2216 | 0.2216 | YES | NO | YES |
02230431 | METOCLOPRAMIDE HCL | PMS-Metoclopramide Tablets 5mg Tab | PMS | 0.0514 | 0.0514 | YES | NO | NO |
02230432 | METOCLOPRAMIDE HCL | PMS-Metoclopramide Tablets 10mg Tab | PMS | 0.0659 | 0.0659 | YES | NO | NO |
02230804 | METOPROLOL TARTRATE | PMS-Metoprolol-L 100mg Tab | PMS | 0.1361 | 0.1361 | YES | NO | NO |
02230803 | METOPROLOL TARTRATE | PMS-Metoprolol-L 50mg Tab | PMS | 0.0624 | 0.0624 | YES | NO | NO |
00783137 | METRONIDAZOLE | PMS-Metronidazole 500mg Cap | PMS | 0.2739 | 0.2739 | YES | NO | NO |
02248762 | MIRTAZAPINE | PMS-Mirtazapine 30mg Tab | PMS | 0.3100 | 0.3100 | YES | NO | NO |
02440415 | MIXED SALT AMPHETAMINE | PMS-Amphetamines XR 30mg ER Cap | PMS | 0.9038 | 0.9038 | YES | NO | YES |
02440385 | MIXED SALT AMPHETAMINE | PMS-Amphetamines XR 15mg ER Cap | PMS | 0.6838 | 0.6838 | 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 |
02440377 | MIXED SALT AMPHETAMINE | PMS-Amphetamines XR 10mg ER Cap | PMS | 0.6105 | 0.6105 | YES | NO | YES |
02354977 | MONTELUKAST SODIUM | PMS-Montelukast 4mg Chew Tab | PMS | 0.2758 | 0.2758 | YES | YES | NO |
02354985 | MONTELUKAST SODIUM | PMS-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab | PMS | 1.2075 | 1.2075 | YES | NO | NO |
02373947 | MONTELUKAST SODIUM | PMS-Montelukast FC (Off-Formulary Interchangeable) 10mg Tab | PMS | 1.7735 | 1.7735 | 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 |
02380900 | NABILONE | PMS-Nabilone 0.5mg Cap | PMS | 1.8886 | 1.8886 | YES | NO | NO |
02380919 | NABILONE | PMS-Nabilone 1mg Cap | PMS | 3.6669 | 3.6669 | YES | NO | NO |
02380897 | NABILONE | PMS-Nabilone (Off-Formulary Interchangeable) 0.25mg Cap | PMS | 1.4660 | N/A | YES | NO | NO |
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 |
02017237 | NAPROXEN | PMS-Naproxen 500mg Sup | PMS | 0.9567 | 0.9567 | YES | NO | YES |
02455676 | NITROFURANTOIN MONO/MICRO CRYSTALS | PMS-Nitrofurantoin 100mg Cap | PMS | 0.3983 | 0.3983 | YES | NO | NO |
02303191 | OLANZAPINE | PMS-Olanzapine ODT 5mg Rapid Dissolve Tab | PMS | 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 |
02303116 | OLANZAPINE | PMS-Olanzapine 2.5mg Tab | PMS | 0.1772 | 0.1772 | 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 |
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 |
02303167 | OLANZAPINE | PMS-Olanzapine 7.5mg Tab | PMS | 0.5316 | 0.5316 | YES | NO | NO |
02461307 | OLMESARTAN MEDOXOMIL | PMS-Olmesartan 20mg Tab | PMS | 0.3019 | 0.3019 | YES | NO | NO |
02461315 | OLMESARTAN MEDOXOMIL | PMS-Olmesartan 40mg Tab | PMS | 0.3019 | 0.3019 | YES | NO | NO |
09857342 | OMEPRAZOLE | PMS-Omeprazole DR Cap 20mg | PMS | 0.2287 | 0.2287 | YES | YES | NO |
02320851 | OMEPRAZOLE | PMS-Omeprazole DR Cap 20mg | PMS | 0.2287 | 0.2287 | 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 |
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 |
02223376 | OXYBUTYNIN CHLORIDE | PMS-Oxybutynin 1mg/mL O/L | PMS | 0.0970 | 0.0970 | YES | NO | NO |
02240550 | OXYBUTYNIN CHLORIDE | PMS-Oxybutynin 5mg Tab | PMS | 0.0986 | 0.0986 | YES | NO | NO |
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 |
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 |
02552140 | PALBOCICLIB | PMS-Palbociclib (Off-Formulary Interchangeable) 125mg Tab | PMS | 126.9562 | 126.9562 | YES | NO | NO |
02307871 | PANTOPRAZOLE SODIUM | PMS-Pantoprazole 40mg Ent Tab | PMS | 0.2016 | 0.2016 | YES | YES | NO |
02247751 | PAROXETINE HCL | PMS-Paroxetine 20mg Tab | PMS | 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 |
02525666 | PAZOPANIB | PMS-Pazopanib (Off-Formulary Interchangeable) 200mg Tab | PMS | 30.9655 | 30.9655 | 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 |
02541726 | PERINDOPRIL ARGININE & AMLODIPINE BESYLATE | PMS-Perindopril-Amlodipine (Off-Formulary Interchangeable) 14mg & 10mg Tab | PMS | 0.9775 | N/A | YES | NO | NO |
02470675 | PERINDOPRIL ERBUMINE | PMS-Perindopril 2mg Tab | PMS | 0.1632 | 0.1632 | 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 |
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 |
02537990 | PERINDOPRIL ERBUMINE & INDAPAMIDE | PMS-Perindopril-Indapamide 2mg & 0.625mg Tab | PMS | 0.4227 | 0.4227 | 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 |
02303124 | PIOGLITAZONE HCL | PMS-Pioglitazone (Off-Formulary Interchangeable) 15mg Tab | PMS | 1.5716 | 1.5716 | 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 |
02247655 | PRAVASTATIN SODIUM | PMS-Pravastatin 10mg Tab | PMS | 0.2916 | 0.2916 | YES | NO | NO |
02247657 | PRAVASTATIN SODIUM | PMS-Pravastatin 40mg Tab | PMS | 0.4143 | 0.4143 | YES | NO | NO |
02247656 | PRAVASTATIN SODIUM | PMS-Pravastatin 20mg Tab | PMS | 0.3440 | 0.3440 | YES | NO | NO |
02245532 | PREDNISOLONE SODIUM PHOSPHATE | PMS-Prednisolone 6.7mg/5mL O/L | PMS | 0.0900 | 0.0900 | YES | NO | NO |
02359642 | PREGABALIN | PMS-Pregabalin 300mg Cap | PMS | 0.4145 | 0.4145 | YES | NO | NO |
02359634 | PREGABALIN | PMS-Pregabalin 150mg Cap | PMS | 0.4145 | 0.4145 | YES | NO | NO |
02359626 | PREGABALIN | PMS-Pregabalin 75mg Cap | PMS | 0.3007 | 0.3007 | 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 |
02359596 | PREGABALIN | PMS-Pregabalin 25mg Cap | PMS | 0.1481 | 0.1481 | YES | NO | NO |
02476576 | PROGESTERONE | PMS-Progesterone (Off-Formulary Interchangeable) 100mg Cap | PMS | 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 |
02294575 | PROPAFENONE HCL | PMS-Propafenone 300mg Tab | PMS | 0.5227 | 0.5227 | YES | NO | NO |
02296594 | QUETIAPINE | PMS-Quetiapine 200mg Tab | PMS | 0.2647 | 0.2647 | YES | NO | NO |
02296578 | QUETIAPINE | PMS-Quetiapine 100mg Tab | PMS | 0.1318 | 0.1318 | YES | NO | NO |
02296551 | QUETIAPINE | PMS-Quetiapine 25mg Tab | PMS | 0.0494 | 0.0494 | YES | NO | NO |
02296608 | QUETIAPINE | PMS-Quetiapine 300mg Tab | PMS | 0.3863 | 0.3863 | YES | NO | NO |
02340577 | QUINAPRIL | PMS-Quinapril 20mg Tab | PMS | 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 |
02340585 | QUINAPRIL | PMS-Quinapril 40mg Tab | PMS | 0.4642 | 0.4642 | 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 |
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 |
02247918 | RAMIPRIL | PMS-Ramipril Cap 5mg | PMS | 0.0817 | 0.0817 | YES | NO | NO |
02247919 | RAMIPRIL | PMS-Ramipril Cap 10mg | PMS | 0.1034 | 0.1034 | YES | NO | NO |
02469065 | RAMIPRIL | Pharma-Ramipril 2.5mg | PMS | 0.0817 | 0.0817 | YES | NO | NO |
02469081 | RAMIPRIL | Pharma-Ramipril 10mg | PMS | 0.1034 | 0.1034 | YES | NO | NO |
02469057 | RAMIPRIL | Pharma-Ramipril 1.25mg | PMS | 0.0708 | 0.0708 | YES | NO | NO |
02469073 | RAMIPRIL | Pharma-Ramipril 5mg | PMS | 0.0817 | 0.0817 | 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 |
02242453 | RANITIDINE HCL | PMS-Ranitidine 150mg Tab | PMS | 0.1197 | 0.1197 | YES | NO | NO |
02242454 | RANITIDINE HCL | PMS-Ranitidine 300mg Tab | PMS | 0.2253 | 0.2253 | YES | NO | NO |
02302209 | RISEDRONATE SODIUM | PMS-Risedronate 35mg Tab | PMS | 1.6764 | 1.6764 | YES | NO | NO |
02424177 | RISEDRONATE SODIUM | PMS-Risedronate 150mg Tab | PMS | 11.1875 | 11.1875 | YES | NO | NO |
02279266 | RISPERIDONE | PMS-Risperidone 1mg/mL O/L | PMS | 0.7080 | 0.7080 | 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 |
02252058 | RISPERIDONE | PMS-Risperidone 3mg Tab | PMS | 0.6083 | 0.6083 | YES | NO | NO |
02252066 | RISPERIDONE | PMS-Risperidone 4mg Tab | PMS | 0.8111 | 0.8111 | YES | NO | NO |
02252007 | RISPERIDONE | PMS-Risperidone 0.25mg Tab | PMS | 0.0878 | 0.0878 | YES | NO | NO |
02252015 | RISPERIDONE | PMS-Risperidone 0.5mg Tab | PMS | 0.1470 | 0.1470 | YES | NO | NO |
02512068 | RIVAROXABAN | PMS-Rivaroxaban 15mg Tab | PMS | 0.7175 | 0.7175 | YES | NO | NO |
02512076 | RIVAROXABAN | PMS-Rivaroxaban 20mg 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 |
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 |
02393360 | RIZATRIPTAN | PMS-Rizatriptan RDT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab | PMS | 11.1150 | 11.1150 | YES | NO | NO |
02393379 | RIZATRIPTAN | PMS-Rizatriptan RDT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab | PMS | 11.1150 | 11.1150 | 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 |
02378531 | ROSUVASTATIN CALCIUM | PMS-Rosuvastatin 10mg Tab | PMS | 0.1354 | 0.1354 | YES | NO | NO |
02378523 | ROSUVASTATIN CALCIUM | PMS-Rosuvastatin 5mg Tab | PMS | 0.1284 | 0.1284 | YES | NO | 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 |
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 |
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 |
02244838 | SERTRALINE HCL | PMS-Sertraline 25mg Cap | PMS | 0.1516 | 0.1516 | YES | NO | YES |
02412179 | SILDENAFIL | PMS-Sildenafil R (Off-Formulary Interchangeable) 20mg Tab | PMS | 7.2940 | 7.2940 | YES | NO | NO |
02317583 | SILDENAFIL | Sildenafil (Off-Formulary Interchangeable) 100mg Tab | PMS | 9.2006 | 9.2006 | YES | NO | NO |
02317575 | SILDENAFIL | Sildenafil (Off-Formulary Interchangeable) 50mg Tab | PMS | 8.8481 | 8.8481 | YES | NO | NO |
02317559 | SILDENAFIL | Sildenafil (Off-Formulary Interchangeable) 25mg Tab | PMS | 8.2894 | 8.2894 | YES | NO | NO |
02517779 | SILODOSIN | PMS-Silodosin 4mg Cap | PMS | 0.4742 | 0.4742 | YES | YES | NO |
02517787 | SILODOSIN | PMS-Silodosin 8mg Cap | PMS | 0.4742 | 0.4742 | YES | YES | NO |
02269295 | SIMVASTATIN | PMS-Simvastatin 80mg Tab | PMS | 0.2501 | 0.2501 | YES | NO | NO |
02269287 | SIMVASTATIN | PMS-Simvastatin 40mg 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 |
02269279 | SIMVASTATIN | PMS-Simvastatin 20mg Tab | PMS | 0.2501 | 0.2501 | YES | NO | NO |
02470004 | SIMVASTATIN | Pharma-Simvastatin 40mg Tab | PMS | 0.2501 | 0.2501 | YES | NO | NO |
02469995 | SIMVASTATIN | Pharma-Simvastatin 20mg Tab | PMS | 0.2501 | 0.2501 | YES | NO | NO |
02469987 | SIMVASTATIN | Pharma-Simvastatin 10mg Tab | PMS | 0.2023 | 0.2023 | 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 |
02503859 | SITAGLIPTIN | PMS-Sitagliptin 50mg Tab | PMS | 0.8197 | 0.8197 | YES | NO | YES |
02503867 | SITAGLIPTIN | PMS-Sitagliptin 100mg Tab | PMS | 0.8197 | 0.8197 | YES | NO | YES |
02503840 | SITAGLIPTIN | PMS-Sitagliptin 25mg Tab | PMS | 0.8197 | 0.8197 | YES | NO | YES |
02417723 | SOLIFENACIN SUCCINATE | PMS-Solifenacin 5mg Tab | PMS | 0.3041 | 0.3041 | YES | YES | NO |
02417731 | SOLIFENACIN SUCCINATE | PMS-Solifenacin 10mg Tab | PMS | 0.3041 | 0.3041 | YES | YES | NO |
02238327 | SOTALOL HCL | PMS-Sotalol 160mg Tab | PMS | 0.1623 | 0.1623 | YES | NO | NO |
02238326 | SOTALOL HCL | PMS-Sotalol 80mg Tab | PMS | 0.2966 | 0.2966 | YES | NO | NO |
00598488 | SULFASALAZINE | PMS-Sulfasalazine-E.C. 500mg Ent Tab | PMS | 0.3863 | 0.3863 | YES | NO | NO |
00598461 | SULFASALAZINE | PMS-Sulfasalazine 500mg Tab | PMS | 0.2533 | 0.2533 | YES | NO | NO |
02256428 | SUMATRIPTAN SUCCINATE | PMS-Sumatriptan (Off-Formulary Interchangeable) 25mg Tab | PMS | 8.9900 | 8.9900 | YES | NO | NO |
02256436 | SUMATRIPTAN SUCCINATE | PMS-Sumatriptan (Off-Formulary Interchangeable) 50mg Tab | PMS | 9.0650 | 9.0650 | YES | NO | NO |
02256444 | SUMATRIPTAN SUCCINATE | PMS-Sumatriptan (Off-Formulary Interchangeable) 100mg Tab | PMS | 9.9867 | 9.9867 | YES | NO | NO |
02409410 | TADALAFIL | PMS-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab | PMS | 3.6471 | 3.6471 | YES | NO | NO |
02409437 | TADALAFIL | PMS-Tadalafil (Off-Formulary Interchangeable) 10mg Tab | PMS | 11.9255 | 11.9255 | YES | NO | NO |
02409429 | TADALAFIL | PMS-Tadalafil (Off-Formulary Interchangeable) 5mg Tab | PMS | 3.6471 | 3.6471 | YES | NO | NO |
02409445 | TADALAFIL | PMS-Tadalafil (Off-Formulary Interchangeable) 20mg Tab | PMS | 12.3569 | 12.3569 | YES | NO | NO |
02499622 | TELMISARTAN | PMS-Telmisartan 40mg Tab | PMS | 0.2161 | 0.2161 | YES | NO | NO |
02499630 | TELMISARTAN | PMS-Telmisartan 80mg Tab | PMS | 0.2161 | 0.2161 | YES | NO | NO |
02432897 | TELMISARTAN | Telmisartan 40mg Tab | PMS | 0.2161 | 0.2161 | YES | NO | NO |
02432900 | TELMISARTAN | Telmisartan 80mg Tab | PMS | 0.2161 | 0.2161 | YES | NO | NO |
02453940 | TENOFOVIR DISOPROXIL | PMS-Tenofovir 300mg Tab | PMS | 4.8884 | 4.8884 | YES | YES | NO |
02243521 | TERAZOSIN HCL | PMS-Terazosin 10mg Tab | PMS | 0.9950 | 0.9950 | YES | NO | NO |
02243520 | TERAZOSIN HCL | PMS-Terazosin 5mg Tab | PMS | 0.3168 | 0.3168 | YES | NO | NO |
02243519 | TERAZOSIN HCL | PMS-Terazosin 2mg Tab | PMS | 0.5005 | 0.5005 | YES | NO | NO |
02243518 | TERAZOSIN HCL | PMS-Terazosin 1mg Tab | PMS | 0.3938 | 0.3938 | YES | NO | NO |
02294273 | TERBINAFINE HCL | PMS-Terbinafine 250mg Tab | PMS | 0.7714 | 0.7714 | YES | NO | NO |
02500434 | TERIFLUNOMIDE | PMS-Teriflunomide 14mg Tab | PMS | 14.9300 | 14.9300 | YES | YES | NO |
02322498 | TESTOSTERONE UNDECANOATE | PMS-Testosterone 40mg Cap | PMS | 0.4700 | 0.4700 | YES | YES | NO |
02402424 | TETRABENAZINE | PMS-Tetrabenazine (Off-Formulary Interchangeable) 25mg Tab | PMS | 4.8551 | 4.8551 | YES | NO | NO |
02230828 | TIAPROFENIC ACID | PMS-Tiaprofenic (Not a Benefit) 300mg Tab | PMS | N/A | N/A | YES | NO | YES |
02083345 | TIMOLOL MALEATE | PMS-Timolol 0.5% Oph Sol | PMS | 1.2145 | 1.2145 | YES | NO | YES |
02522799 | TOFACITINIB | PMS-Tofacitinib 5mg Tab | PMS | 5.9897 | 5.9897 | YES | YES | NO |
02262991 | TOPIRAMATE | PMS-Topiramate 25mg Tab | PMS | 0.2433 | 0.2433 | YES | NO | NO |
02263009 | TOPIRAMATE | PMS-Topiramate 100mg Tab | PMS | 0.4583 | 0.4583 | YES | NO | NO |
02263017 | TOPIRAMATE | PMS-Topiramate 200mg Tab | PMS | 0.6748 | 0.6748 | YES | NO | NO |
02401657 | TRAMADOL HCL & ACETAMINOPHEN | PMS-Tramadol-Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | PMS | 0.6264 | N/A | YES | NO | YES |
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 |
02357771 | TRANDOLAPRIL | PMS-Trandolapril 2mg Cap | PMS | 0.2025 | 0.2025 | YES | NO | NO |
02357798 | TRANDOLAPRIL | PMS-Trandolapril 4mg Cap | PMS | 0.2498 | 0.2498 | 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 |
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 |
02298457 | VALACYCLOVIR | PMS-Valacyclovir 500mg Tab | PMS | 0.6198 | 0.6198 | YES | NO | NO |
02381230 | VALACYCLOVIR | PMS-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab | PMS | 5.8537 | N/A | YES | NO | NO |
02236807 | VALPROATE SODIUM | PMS-Valproic Acid 50mg/mL O/L | PMS | 0.0398 | 0.0398 | YES | NO | NO |
02230768 | VALPROIC ACID | PMS-Valproic Acid 250mg Cap | PMS | 0.2905 | 0.2905 | YES | NO | NO |
02229628 | VALPROIC ACID | PMS-Valproic Acid 500mg Ent Cap | PMS | 0.8102 | 0.8102 | YES | NO | NO |
02278545 | VENLAFAXINE HCL | PMS-Venlafaxine XR 37.5mg ER Cap | PMS | 0.0913 | 0.0913 | YES | NO | NO |
02278561 | VENLAFAXINE HCL | PMS-Venlafaxine XR 150mg ER Cap | PMS | 0.1927 | 0.1927 | YES | NO | NO |
02278553 | VENLAFAXINE HCL | PMS-Venlafaxine XR 75mg ER Cap | PMS | 0.1825 | 0.1825 | YES | NO | NO |
02521482 | VENLAFAXINE HCL | PMSC-Venlafaxine XR 75mg ER Cap | PMS | 0.1825 | 0.1825 | 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 |
02324768 | ZOLMITRIPTAN | PMS-Zolmitriptan ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab | PMS | 6.8625 | 6.8625 | YES | NO | NO |
02324229 | ZOLMITRIPTAN | PMS-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab | PMS | 6.8586 | 6.8586 | YES | NO | NO |
02436183 | ZOLPIDEM TARTRATE | PMS-Zolpidem ODT (Off-Formulary Interchangeable) 10mg SL Tab | PMS | 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 |
02240606 | ZOPICLONE | PMS-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab | PMS | 0.4685 | 0.4685 | YES | NO | NO |
02243426 | ZOPICLONE | PMS-Zopiclone (Off-Formulary Interchangeable) 5mg Tab | PMS | 0.2231 | 0.2231 | YES | NO | NO |