BLUE - Formulary
RED - Non Formulary

Table of Contents Index Policy Information

Formulary Index

Numbers A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

C-PHEN DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

C-PHEN DROPS (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

C-PHEN SYRUP (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

C-TANNA 12 (ANTITUSSIVE AND EXPECTORANT DRUGS)

CABERGOLINE (OTHER ENDOCRINE DRUGS)

cadexomer iodine (TOPICAL DERMATOLOGICAL DRUGS)

CADUET (HMG-COA COMBINATIONS)

CAFCIT (CNS STIMULANT DRUGS)

CAFCIT (METHYL XANTHINE DRUGS)

CAFERGOT (DRUGS TO PREVENT AND TREAT HEADACHES)

caff/sod benzoate (CNS STIMULANT DRUGS)

caffeine and sodium benzoate (CNS STIMULANT DRUGS)

caffeine citrate (CNS STIMULANT DRUGS)

caffeine citrate (METHYL XANTHINE DRUGS)

caffeine citrated (CNS STIMULANT DRUGS)

caffeine citrated (METHYL XANTHINE DRUGS)

CAFGESIC (CNS MUSCLE RELAXANTS)

CAFGESIC FORTE (CNS MUSCLE RELAXANTS)

cal glycer/calcium lactate (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

CAL-NATE (PRENATAL VITAMINS)

CALAFOL RX (VITAMINS & MINERALS & RELATED PRODUCTS)

CALAN (CALCIUM ANTAGONISTS)

CALAN SR (CALCIUM ANTAGONISTS)

CALCIFOL (VITAMINS & MINERALS & RELATED PRODUCTS)

CALCIFOLIC-D (VITAMINS & MINERALS & RELATED PRODUCTS)

CALCIJEX (THERAPEUTIC VITAMINS & MINERALS)

calcipotriene (ANTIPSORIASIS AND ANTIECZEMA DRUGS)

calcitonin (OTHER ENDOCRINE DRUGS)

calcitriol (THERAPEUTIC VITAMINS & MINERALS)

calcium chloride (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

CALCIUM DISODIUM VERSENATE (DIAGNOSTIC PRODUCTS)

calcium gluconate (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

CALCON 1 (HOMEOPATHIC DRUGS)

CALOMIST (THERAPEUTIC VITAMINS & MINERALS)

CALPHOSAN (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

camila (PROGESTIN DRUGS)

CAMPRAL (PAR) (OTHER CNS/AUTONOMIC DRUGS)

CANASA (OTHER GI DRUGS)

CANCIDAS (PARENTERAL ANTIFUNGALS)

candin (IMMUNOLOGICALS AND VACCINES)

CANTIL (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY)

CAPASTAT SULFATE (ANTITUBERCULOSIS DRUGS)

capecitabine (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

CAPEX SHAMPOO (TOPICAL CORTICOSTEROID DRUGS)

CAPHOSOL (DRUGS AFFECTING THE THROAT AND MOUTH)

CAPITAL W-CODEINE (CLASS III NARCOTICS)

CAPOTEN (ANGIOTENSIN CONVERTING ENZYME INHIBITORS)

CAPOZIDE (OTHER ANTIHYPERTENSIVES)

capreomycin (ANTITUBERCULOSIS DRUGS)

captopril (ANGIOTENSIN CONVERTING ENZYME INHIBITORS)

captopril-hydrochlorothiazide (OTHER ANTIHYPERTENSIVES)

captopril/hctz (OTHER ANTIHYPERTENSIVES)

CAR-B-PEN TAN-CHLOR-TAN (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARAC (TOPICAL DERMATOLOGICAL DRUGS)

CARAFATE (OTHER ANTIULCER DRUGS)

CARB-PHENYL-12 (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARBA-XP (ANTITUSSIVE AND EXPECTORANT DRUGS)

carbachol (ANTIGLAUCOMA DRUGS)

carbamazepine (CARBAMAZEPINES)

CARBAPHEN 12 (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARBAPHEN 12 PED (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARBATROL (CARBAMAZEPINES)

CARBATUSS (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARBATUSS-12 (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARBATUSS-CL (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARBETAPENTANE-PE-GUAIFENESIN (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARBETAPLEX (ANTITUSSIVE AND EXPECTORANT DRUGS)

carbidopa (OTHER ANTIPARKINSON DRUGS)

carbidopa-levodopa (OTHER ANTIPARKINSON DRUGS)

CARBIDOPA-LEVODOPA (OTHER ANTIPARKINSON DRUGS)

carbidopa/levodopa (OTHER ANTIPARKINSON DRUGS)

carbidopa/levodopa/entacap (OTHER ANTIPARKINSON DRUGS)

CARBINOXAMINE MALEATE (ANTIHISTAMINES)

CARBOCAINE (LOCAL ANESTHETICS)

CARBODEX DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARBOFED DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

carboplatin (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

CARDEC (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CARDEC DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

CARDENE I.V. (CALCIUM ANTAGONISTS)

CARDENE SR (CALCIUM ANTAGONISTS)

CARDIODORON (HOMEOPATHIC DRUGS)

CARDIOTEK RX (VITAMINS & MINERALS & RELATED PRODUCTS)

CARDIOTEK-RX (VITAMINS & MINERALS & RELATED PRODUCTS)

CARDIOVID PLUS (VITAMINS & MINERALS & RELATED PRODUCTS)

CARDIZEM (CALCIUM ANTAGONISTS)

CARDIZEM CD (CALCIUM ANTAGONISTS)

CARDIZEM LA (CALCIUM ANTAGONISTS)

CARDURA (VASODILATOR ANTIHYPERTENSIVES)

CARDURA XL (VASODILATOR ANTIHYPERTENSIVES)

CARENATAL DHA (PRENATAL VITAMINS)

CARIMUNE NF NANOFILTERED (IMMUNOLOGICALS AND VACCINES)

carisoprodol (CNS MUSCLE RELAXANTS)

carisoprodol compound (CNS MUSCLE RELAXANTS)

CARISOPRODOL COMPOUND-CODEINE (CNS MUSCLE RELAXANTS)

carisoprodol/aspirin (CNS MUSCLE RELAXANTS)

CARMOL 40 (TOPICAL DERMATOLOGICAL DRUGS)

CARMOL HC (TOPICAL CORTICOSTEROID DRUGS)

CARMOL SCALP (ANTIPSORIASIS AND ANTIECZEMA DRUGS)

carmustine (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

CARNITOR (THERAPEUTIC VITAMINS & MINERALS)

CARNITOR SF (THERAPEUTIC VITAMINS & MINERALS)

CARTEOLOL HCL (ANTIGLAUCOMA DRUGS)

cartia xt (CALCIUM ANTAGONISTS)

CARTICEL (MEDICAL (MISCELLANEOUS) SUPPLIES)

CARTRIDGE PUMP (DIABETIC SUPPLIES)

carvedilol (BETA-ADRENERGIC ANTAGONIST DRUGS)

carvedilol (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

CASODEX (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

caspofungin acetate (PARENTERAL ANTIFUNGALS)

CATAFLAM (requires trial of OTC NSAID) (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

CATAPRES (CENTRALLY ACTING ANTIHYPERTENSIVES)

CATAPRES-TTS 1 (CENTRALLY ACTING ANTIHYPERTENSIVES)

CATAPRES-TTS 2 (CENTRALLY ACTING ANTIHYPERTENSIVES)

CATAPRES-TTS 3 (CENTRALLY ACTING ANTIHYPERTENSIVES)

CATHFLO ACTIVASE (OTHER CARDIOVASCULAR DRUGS)

CAVAREST (FLUORIDE PRODUCTS)

CAVERJECT (PAR) (OTHER GENITOURINARY PRODUCTS)

CAVIRINSE (FLUORIDE PRODUCTS)

CEBOCAP #1 (DIAGNOSTIC PRODUCTS)

CEBOCAP #3 (DIAGNOSTIC PRODUCTS)

CEDAX (CEPHALOSPORINS)

CEENU (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

cefaclor (CEPHALOSPORINS)

CEFACLOR ER (CEPHALOSPORINS)

cefadroxil (CEPHALOSPORINS)

cefazolin (CEPHALOSPORINS)

CEFAZOLIN SODIUM (CEPHALOSPORINS)

cefdinir (CEPHALOSPORINS)

cefepime (CEPHALOSPORINS)

cefepime hcl (CEPHALOSPORINS)

CEFOL (VITAMINS & MINERALS & RELATED PRODUCTS)

cefotaxime (CEPHALOSPORINS)

cefotaxime sodium (CEPHALOSPORINS)

cefoxitin (CEPHALOSPORINS)

CEFPODOXIME PROXETIL (CEPHALOSPORINS)

cefprozil (CEPHALOSPORINS)

ceftazidime (CEPHALOSPORINS)

CEFTIN (CEPHALOSPORINS)

ceftriaxone (CEPHALOSPORINS)

ceftriaxone na/dextrose,iso (CEPHALOSPORINS)

cefuroxime (CEPHALOSPORINS)

cefuroxime axetil (CEPHALOSPORINS)

cefuroxime sodium (CEPHALOSPORINS)

CEFZIL (CEPHALOSPORINS)

CELEBREX (requires trial of 2 first line NSAIDs) (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

celecoxib (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

CELESTONE (GLUCOCORTICOID DRUGS)

CELEXA (requires trial of generic fluoxetine) (SELECTIVE SEROTONIN REUPTAKE INHIBITORS)

CELLCEPT (PA) (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

CELONTIN (SUCCINIMIDES)

CENESTIN (ESTROGEN DRUGS)

CENOLATE (INJECTABLE VITAMINS)

cephadyn (DRUGS TO PREVENT AND TREAT HEADACHES)

cephalexin (CEPHALOSPORINS)

CEPHALEXIN (CEPHALOSPORINS)

cephradine (CEPHALOSPORINS)

CEREDASE (OTHER ENDOCRINE DRUGS)

CEREFOLIN (VITAMINS & MINERALS & RELATED PRODUCTS)

CEREFOLIN NAC (VITAMINS & MINERALS & RELATED PRODUCTS)

CEREZYME (OTHER ENDOCRINE DRUGS)

CERON (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CERON-DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

CEROVEL (TOPICAL DERMATOLOGICAL DRUGS)

cerubidine (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

CERVIDIL (ABORTIFACIENTS)

CESAMET (ANTIVERTIGO AND ANTIEMETIC DRUGS)

cesia (CONTRACEPTIVES)

CETACAINE (TOPICAL ANESTHETICS)

cetirizine (ANTIHISTAMINES)

cetirizine hcl (ANTIHISTAMINES)

cetrorelix acetate (SPECIALIZED OB/GYN DRUGS)

CETROTIDE (SPECIALIZED OB/GYN DRUGS)

cevimeline (DRUGS AFFECTING THE THROAT AND MOUTH)

CHAMOMILLA 2X (HOMEOPATHIC DRUGS)

CHANTIX (SMOKING CESSATION PRODUCTS)

CHEMET (DIAGNOSTIC PRODUCTS)

CHLOR-MES (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CHLOR-MES D (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CHLORAL HYDRATE (SEDATIVE/HYPNOTIC DRUGS)

chlorambucil (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

chloramphenicol na succ (CHLORAMPHENICOLS)

chloramphenicol sod succinate (CHLORAMPHENICOLS)

CHLORDEX GP (ANTITUSSIVE AND EXPECTORANT DRUGS)

chlordiazepoxide hcl (ANXIOLYTICS)

CHLOREX-A (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CHLOREX-A 12 (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

chlorhexidine (TOPICAL ANTIBACTERIAL DRUGS)

chlorhexidine (DRUGS AFFECTING THE THROAT AND MOUTH)

CHLORHEXIDINE GLUCONATE (TOPICAL ANTIBACTERIAL DRUGS)

chlorhexidine gluconate (DRUGS AFFECTING THE THROAT AND MOUTH)

chloroprocaine (LOCAL ANESTHETICS)

chloroprocaine hcl (LOCAL ANESTHETICS)

chloroquine phosphate (PLASMODICIDES)

chlorothiazide (THIAZIDE AND RELATED DRUGS)

chlorothiazide sodium (THIAZIDE AND RELATED DRUGS)

CHLOROXYLENOL-PRAMOXINE HCL (DRUGS AFFECTING THE EAR)

chlorpheniramine (ANTIHISTAMINES)

chlorpheniramine maleate (ANTIHISTAMINES)

CHLORPHENIRAMINE MALEATE (ANTIHISTAMINES)

CHLORPRAM Z (DRUGS AFFECTING THE EAR)

chlorpromazine (ALIPHATIC PHENOTHIAZINES)

chlorpromazine hcl (ALIPHATIC PHENOTHIAZINES)

chlorpropamide (ORAL HYPOGLYCEMICS & COMBOS)

CHLORTAN (ANTIHISTAMINES)

CHLORTAN D (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

chlorthalidone (THIAZIDE AND RELATED DRUGS)

chlorthalidone/atenolol (OTHER ANTIHYPERTENSIVES)

chlorzoxazone (CNS MUSCLE RELAXANTS)

chol sal/magnesium salicylate (SALICYLATES AND RELATED DRUGS)

CHOLEODORON (HOMEOPATHIC DRUGS)

cholestyramine (HYPOLIPOPROTEINEMICS)

cholestyramine light (HYPOLIPOPROTEINEMICS)

cholestyramine/aspartame (HYPOLIPOPROTEINEMICS)

cholestyramine/sucrose (HYPOLIPOPROTEINEMICS)

choline mag trisalicylate (SALICYLATES AND RELATED DRUGS)

CHOLINE MAG TRISALICYLATE (SALICYLATES AND RELATED DRUGS)

chorionic gonadotropin (SPECIALIZED OB/GYN DRUGS)

CHROMAGEN (VITAMINS & MINERALS & RELATED PRODUCTS)

CHROMAGEN FA (VITAMINS & MINERALS & RELATED PRODUCTS)

CHROMAGEN FORTE (VITAMINS & MINERALS & RELATED PRODUCTS)

CIALIS (OTHER GENITOURINARY PRODUCTS)

ciclopirox (OTHER TOPICAL ANTIFUNGALS)

CICLOPIROX (OTHER TOPICAL ANTIFUNGALS)

cilostazol (ANTIPLATELET DRUGS)

CILOXAN (OPHTHALMIC TOPICAL ANTIBACTERIAL DRUGS)

CIMETIDINE (ANTIULCER DRUGS)

CINNABAR 20X-PYRITE 3X (HOMEOPATHIC DRUGS)

CIPRO (QUINOLONES)

CIPRO HC (DRUGS AFFECTING THE EAR)

CIPRO I.V. (QUINOLONES)

CIPRO XR (QUINOLONES)

CIPRODEX (DRUGS AFFECTING THE EAR)

ciprofloxacin (QUINOLONES)

ciprofloxacin (OPHTHALMIC TOPICAL ANTIBACTERIAL DRUGS)

CIPROFLOXACIN ER (QUINOLONES)

ciprofloxacin hcl (QUINOLONES)

CIPROFLOXACIN HCL (QUINOLONES)

ciprofloxacin hcl (OPHTHALMIC TOPICAL ANTIBACTERIAL DRUGS)

ciprofloxacin/dexameth (DRUGS AFFECTING THE EAR)

ciprofloxacin/hc (DRUGS AFFECTING THE EAR)

cisplatin (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

citalopram (SELECTIVE SEROTONIN REUPTAKE INHIBITORS)

citalopram hbr (SELECTIVE SEROTONIN REUPTAKE INHIBITORS)

CITRANATAL 90 DHA (PRENATAL VITAMINS)

CITRANATAL DHA (PRENATAL VITAMINS)

CITRANATAL RX (PRENATAL VITAMINS)

citrate dextrose solution (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

CITRATE PHOSPHATE DEXTROSE (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

citric acid/k-na citrates (OTHER GENITOURINARY PRODUCTS)

citric acid/potassium citrate (OTHER GENITOURINARY PRODUCTS)

cladribine (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

CLAFORAN (CEPHALOSPORINS)

CLAFORAN GALAXY (CEPHALOSPORINS)

claravis (ACCUTANES)

CLARIFOAM EF (ANTIACNE DRUGS)

CLARINEX (ANTIHISTAMINES)

CLARINEX-D 12 HOUR (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CLARINEX-D 24 HOUR (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

clarithromycin (OTHER MACROLIDES)

CLARITHROMYCIN ER (OTHER MACROLIDES)

CLEANSE AND TREAT (ANTIACNE DRUGS)

CLEANSING WASH (ANTIACNE DRUGS)

CLEERAVUE-M (TETRACYCLINES)

clemastine fumarate (ANTIHISTAMINES)

CLEMASTINE FUMARATE (ANTIHISTAMINES)

CLENIA (ANTIACNE DRUGS)

CLEOCIN (OB/GYN TOPICAL ANTIINFECTIVES)

CLEOCIN HCL (CLINDAMYCINS)

CLEOCIN PALMITATE (CLINDAMYCINS)

CLEOCIN PHOSPHATE (CLINDAMYCINS)

CLEOCIN PHOSPHATE IN D5W (CLINDAMYCINS)

CLEOCIN T (ANTIACNE DRUGS)

clidinium-chlordiazepoxide (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY)

clidinium/chlordiazepoxide (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY)

CLIMARA (ESTROGEN DRUGS)

CLIMARA PRO (ESTROGEN/PROGESTIN COMBINATIONS)

CLINAC BPO (ANTIACNE DRUGS)

clinda-derm (ANTIACNE DRUGS)

CLINDAGEL (ANTIACNE DRUGS)

CLINDAMAX (ANTIACNE DRUGS)

CLINDAMAX (OB/GYN TOPICAL ANTIINFECTIVES)

clindamycin hcl (CLINDAMYCINS)

clindamycin palmitate (CLINDAMYCINS)

clindamycin phos/benz per (ANTIACNE DRUGS)

clindamycin phosphate (CLINDAMYCINS)

clindamycin phosphate (ANTIACNE DRUGS)

CLINDAMYCIN PHOSPHATE (ANTIACNE DRUGS)

clindamycin phosphate (OB/GYN TOPICAL ANTIINFECTIVES)

CLINDAREACH (ANTIACNE DRUGS)

CLINDESSE (OB/GYN TOPICAL ANTIINFECTIVES)

CLINDETS (ANTIACNE DRUGS)

CLINORIL (requires trial of OTC NSAID) (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

CLIOQUINOL-HYDROCORTISONE (TOPICAL CORTICOSTEROID DRUGS)

clobetasol emollient (TOPICAL CORTICOSTEROID DRUGS)

clobetasol propionate (TOPICAL CORTICOSTEROID DRUGS)

CLOBETASOL PROPIONATE (TOPICAL CORTICOSTEROID DRUGS)

CLOBEX SPRAY (PA required-restricted to derm) (TOPICAL CORTICOSTEROID DRUGS)

CLODERM (TOPICAL CORTICOSTEROID DRUGS)

CLOMID (OVULATORY STIMULANTS)

clomiphene (OVULATORY STIMULANTS)

clomiphene citrate (OVULATORY STIMULANTS)

clomipramine (TERTIARY AMINES)

clomipramine hcl (TERTIARY AMINES)

clonazepam (ANTICONVULSANT BENZODIAZEPINES)

CLONAZEPAM (ANTICONVULSANT BENZODIAZEPINES)

clonidine (CENTRALLY ACTING ANTIHYPERTENSIVES)

clonidine hcl (CENTRALLY ACTING ANTIHYPERTENSIVES)

clonidine hcl/chlorthalidone (OTHER ANTIHYPERTENSIVES)

clopidogrel (ANTIPLATELET DRUGS)

clorazepate (ANXIOLYTICS)

clorazepate dipotassium (ANXIOLYTICS)

CLORPRES (OTHER ANTIHYPERTENSIVES)

clotrimazole (ORAL ANTIFUNGAL DRUGS)

clotrimazole (OTHER TOPICAL ANTIFUNGALS)

clotrimazole-betamethasone (TOPICAL ANTIFUNGAL-CORTICOSTEROID COMB.)

clotrimazole/betamethasone (TOPICAL ANTIFUNGAL-CORTICOSTEROID COMB.)

clozapine (ANTIPSYCHOTIC DRUGS)

CLOZAPINE (PAR- Covered if prescribed by psychiatrist; 200mg NF) (ANTIPSYCHOTIC DRUGS)

CLOZARIL (PAR-Coverd if prescribed by psychiatrist) (ANTIPSYCHOTIC DRUGS)

CNL 8 (OTHER TOPICAL ANTIFUNGALS)

co-gesic (CLASS III NARCOTICS)

co-natal fa (PRENATAL VITAMINS)

COAGUCHEK (DIAGNOSTIC PRODUCTS)

COAL TAR (ANTIPSORIASIS AND ANTIECZEMA DRUGS)

coal tar (ANTIPSORIASIS AND ANTIECZEMA DRUGS)

cobal-1000 (THERAPEUTIC VITAMINS & MINERALS)

COCAINE HCL (TOPICAL ANESTHETICS)

cod/pro (ANTITUSSIVE AND EXPECTORANT DRUGS)

codeine phosphate (CLASS II NARCOTICS)

codeine phosphate/apap (CLASS III NARCOTICS)

codeine phosphate/aspirin (CLASS III NARCOTICS)

codeine sulfate (CLASS II NARCOTICS)

codeine/apap/caffeine/butalb (DRUGS TO PREVENT AND TREAT HEADACHES)

codeine/asa/caffeine/butalb (DRUGS TO PREVENT AND TREAT HEADACHES)

COGENTIN (ANTIPARKINSON ANTICHOLINERGIC DRUGS)

COGNEX (PAR) (ANTIDEMENTIA DRUGS)

COLAZAL (OTHER GI DRUGS)

colchicine (DRUGS TO PREVENT AND TREAT GOUT)

colchicine/probenecid (DRUGS TO PREVENT AND TREAT GOUT)

COLDAMINE (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

COLDCOUGH (ANTITUSSIVE AND EXPECTORANT DRUGS)

COLDCOUGH PD (ANTITUSSIVE AND EXPECTORANT DRUGS)

COLESTID (HYPOLIPOPROTEINEMICS)

colestipol (HYPOLIPOPROTEINEMICS)

colestipol hcl (HYPOLIPOPROTEINEMICS)

COLESTIPOL HCL (HYPOLIPOPROTEINEMICS)

COLFED-A (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

colidrops (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY)

colistimethate sodium (OTHER ANTIINFECTIVE DRUGS)

colistimethate, sodium (OTHER ANTIINFECTIVE DRUGS)

COLOCORT (OTHER GI DRUGS)

COLY-MYCIN M PARENTERAL (OTHER ANTIINFECTIVE DRUGS)

COLY-MYCIN S (DRUGS AFFECTING THE EAR)

COLYTE WITH FLAVOR PACKETS (OTHER GI DRUGS)

COLYTROL (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY)

combgen (VITAMINS & MINERALS & RELATED PRODUCTS)

combi rx (PRENATAL VITAMINS)

COMBIFLEX (CNS MUSCLE RELAXANTS)

COMBIFLEX ES (CNS MUSCLE RELAXANTS)

COMBIGAN (ANTIGLAUCOMA DRUGS)

COMBIPATCH (ESTROGEN/PROGESTIN COMBINATIONS)

COMBIVENT (OTHER DRUGS FOR ASTHMA)

COMBIVIR (ANTIRETROVIRALS & PROTEASE INH)

COMBUNOX (CLASS II NARCOTICS)

COMFORT (MEDICAL (MISCELLANEOUS) SUPPLIES)

COMFORT SHORT (MEDICAL (MISCELLANEOUS) SUPPLIES)

COMPAZINE (ANTIVERTIGO AND ANTIEMETIC DRUGS)

complete allergy medicine (ANTIHISTAMINES)

compro (ANTIVERTIGO AND ANTIEMETIC DRUGS)

COMTAN (OTHER ANTIPARKINSON DRUGS)

CONAL (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CONCERTA (CNS STIMULANT DRUGS)

CONDYLOX (KERATOLYTIC DRUGS)

CONEX (ANTIHISTAMINES)

CONISON (VITAMINS & MINERALS & RELATED PRODUCTS)

CONPEC (ANTITUSSIVE AND EXPECTORANT DRUGS)

constulose (BLOOD DETOXICANTS)

CONTINUOUS GLUCOSE SENSOR (DIAGNOSTIC PRODUCTS)

CONTROL RX (FLUORIDE PRODUCTS)

COPAXONE (DRUGS TO TREAT MULTIPLE SCLEROSIS)

COPD (METHYL XANTHINE DRUGS)

COPEGUS (OTHER ANTIVIRAL DRUGS)

copper chloride (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

CORDARONE (cardiologist consultation suggested) (AMIODARONES)

CORDRAN (TOPICAL CORTICOSTEROID DRUGS)

CORDRAN SP (TOPICAL CORTICOSTEROID DRUGS)

COREG (BETA-ADRENERGIC ANTAGONIST DRUGS)

COREG CR (BETA-ADRENERGIC ANTAGONIST DRUGS)

corfen-dm-[PAR], [QLL] (ANTITUSSIVE AND EXPECTORANT DRUGS)

CORGARD (BETA-ADRENERGIC ANTAGONIST DRUGS)

CORLOPAM (OTHER ANTIHYPERTENSIVES)

cormax (TOPICAL CORTICOSTEROID DRUGS)

CORTAMOX (DRUGS AFFECTING THE EAR)

CORTANE-B (DRUGS AFFECTING THE EAR)

CORTEF (GLUCOCORTICOID DRUGS)

CORTENEMA (OTHER GI DRUGS)

CORTIC-ND (DRUGS AFFECTING THE EAR)

corticotropin (OTHER ENDOCRINE DRUGS)

CORTIFOAM (OTHER GI DRUGS)

cortisone (GLUCOCORTICOID DRUGS)

CORTISPORIN (TOPICAL ANTIBACTERIAL DRUGS)

CORTISPORIN (DRUGS AFFECTING THE EAR)

CORTISPORIN (OPHTHALMIC ANTIINFECTIVE/CORTICOSTEROIDS)

CORTISPORIN-TC (DRUGS AFFECTING THE EAR)

cortomycin (DRUGS AFFECTING THE EAR)

cortomycin (OPHTHALMIC ANTIINFECTIVE/CORTICOSTEROIDS)

CORTROSYN (OTHER ENDOCRINE DRUGS)

CORVITA (VITAMINS & MINERALS & RELATED PRODUCTS)

CORVITE (VITAMINS & MINERALS & RELATED PRODUCTS)

CORVITE 150 (VITAMINS & MINERALS & RELATED PRODUCTS)

CORVITE FREE (VITAMINS & MINERALS & RELATED PRODUCTS)

CORYZA-DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

CORZIDE (OTHER ANTIHYPERTENSIVES)

COSMEGEN (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

COSOPT (ANTIGLAUCOMA DRUGS)

cosyntropin (OTHER ENDOCRINE DRUGS)

COTABFLU (ANTITUSSIVE AND EXPECTORANT DRUGS)

COUMADIN (ORAL ANTICOAGULANTS, VITAMIN K)

covaryx (ESTROGEN DRUGS)

covaryx h.s. (ESTROGEN DRUGS)

COVERA-HS (CALCIUM ANTAGONISTS)

COZAAR (ANGIOTENSIN II RECEPTOR ANTAGONISTS)

COZAAR (requires trial of ACE Inhibitor) (ANGIOTENSIN II RECEPTOR ANTAGONISTS)

CP DEC (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CP DEC-DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

CPM 12 (ANTIHISTAMINES)

CPM 8-PE 20-MSC 1.25 (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CPM 8-PSE 90-MSC 2.5 (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

CPM PSE (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

crantex (ANTITUSSIVE AND EXPECTORANT DRUGS)

CRATAEGUS (HOMEOPATHIC DRUGS)

CREON 10 (OTHER GI DRUGS)

CREON 20 (OTHER GI DRUGS)

CREON 5 (OTHER GI DRUGS)

CRESTOR (Step Therapy) (HMG-COA REDUCTASE INHIBITORS)

CRESYLATE (DRUGS AFFECTING THE EAR)

CRINONE (PROGESTIN DRUGS)

CRIXIVAN (ANTIRETROVIRALS & PROTEASE INH)

CROFAB (IMMUNOLOGICALS AND VACCINES)

CROLOM (OTHER OPHTHALMIC DRUGS)

cromolyn (OTHER OPHTHALMIC DRUGS)

cromolyn (OTHER DRUGS FOR ASTHMA)

cromolyn sodium (OTHER OPHTHALMIC DRUGS)

cromolyn sodium (OTHER DRUGS FOR ASTHMA)

crotamiton (SCABICIDES)

cryselle (CONTRACEPTIVES)

cupric chloride (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

CUPRIMINE (OTHER DRUGS FOR ARTHRITIS)

CURITY IODOFORM (MEDICAL (MISCELLANEOUS) SUPPLIES)

CUTIVATE (TOPICAL CORTICOSTEROID DRUGS)

CYANIDE ANTIDOTE PACKAGE (DIAGNOSTIC PRODUCTS)

cyanocobalamin (THERAPEUTIC VITAMINS & MINERALS)

cyanocobalamin/fa/pyridoxine (VITAMINS & MINERALS & RELATED PRODUCTS)

cyanocobalamin/thiamine (THERAPEUTIC VITAMINS & MINERALS)

cyanocobalamin/vit bcomp&c (THERAPEUTIC VITAMINS & MINERALS)

CYCLESSA (CONTRACEPTIVES)

cyclobenzaprine (CNS MUSCLE RELAXANTS)

cyclobenzaprine hcl (CNS MUSCLE RELAXANTS)

CYCLOGYL (OTHER OPHTHALMIC DRUGS)

CYCLOMYDRIL (OTHER OPHTHALMIC DRUGS)

cyclopentolate (OTHER OPHTHALMIC DRUGS)

cyclopentolate hcl (OTHER OPHTHALMIC DRUGS)

cyclophosphamide (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

cyclosporine (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

cyclosporine (OTHER OPHTHALMIC DRUGS)

CYKLOKAPRON (HEMOSTATICS)

cylate (OTHER OPHTHALMIC DRUGS)

CYMBALTA (OTHER ANTIDEPRESSANTS)

cyproheptadine (ANTIHISTAMINES)

cyproheptadine hcl (ANTIHISTAMINES)

CYSTADANE (OTHER GENITOURINARY PRODUCTS)

CYSTAGON (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

cysteine hcl (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

cytarabine (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

CYTO-Q (NUTRITIONAL/SUPPLEMENT PRODUCTS)

CYTOGAM (IMMUNOLOGICALS AND VACCINES)

cytomegalovirus immune glob (IMMUNOLOGICALS AND VACCINES)

CYTOMEL (THYROID SUPPLEMENTS)

CYTOTEC (OTHER ANTIULCER DRUGS)

CYTOVENE (OTHER ANTIVIRAL DRUGS)

CYTOXAN (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

cytra-2 (POTASSIUM SUPPLEMENTS)

cytra-3 (OTHER GENITOURINARY PRODUCTS)

cytra-k (OTHER GENITOURINARY PRODUCTS)

Formulary Date: 10/07/2008 Update Date: 10/09/2008 V1.3.0