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2012 Prescription Drug List Reference Guide Type of Drug
ABORTIFACIENTS
Drug Name
Brand or Generic
Type of Drug
ACE INHIBITORS
Drug Name
Brand or Generic
Type of Drug
ADJUNCTIVE AGENTS
Drug Name
Brand or Generic
Type of Drug
ADRENAL HORMONES
Drug Name
Brand or Generic
Type of Drug
ADRENERGIC ANTAGONISTS & RELATED DRUGS
Drug Name
Brand or Generic
Note: Benefits may not be available for all drugs on this list. A drug on this list is covered under your insurance plan only if the condition for which it is prescribed is also covered under your insurance plan. For example, if treatment of mental disorders is excluded from your coverage, drugs prescribed in connection with that treatment are also be excluded from your coverage.
Type of Drug
ADRENERGICS
Drug Name
Brand or Generic
Type of Drug
AGENTS FOR PHEOCHROMOCYTOMA
Drug Name
Brand or Generic
Type of Drug
ALKYLATING AGENTS
Drug Name
Brand or Generic
Type of Drug
ANDROGENS
Drug Name
Brand or Generic
Type of Drug
ANGIOTENSIN II RECEPTOR BLOCKERS & RENIN INHIBITOR
Drug Name
Brand or Generic
Type of Drug
ANOREXIANTS
Drug Name
Brand or Generic
Type of Drug
ANTIANDROGENS
Drug Name
Brand or Generic
Type of Drug
ANTIARRHYTHMIC AGENTS
Drug Name
Brand or Generic
Type of Drug
ANTIBIOTICS
Drug Name
Brand or Generic
Type of Drug
ANTICHOLINERGICS & ANTISPASMODICS
Drug Name
Brand or Generic
Type of Drug
ANTICOAGULANTS
Drug Name
Brand or Generic
Type of Drug
ANTICONVULSANTS
Drug Name
Brand or Generic
Type of Drug
ANTIDIARRHEALS
Drug Name
Brand or Generic
Type of Drug
ANTIDOTES
Drug Name
Brand or Generic
Type of Drug
ANTIESTROGENS
Drug Name
Brand or Generic
Type of Drug
ANTIFUNGAL AGENTS
Drug Name
Brand or Generic
Type of Drug
ANTIHISTAMINES
Drug Name
Brand or Generic
Type of Drug
ANTIMALARIALS
Drug Name
Brand or Generic
Type of Drug
ANTIMETABOLITES
Drug Name
Brand or Generic
Type of Drug
ANTIMYCOBACTERIALS
Drug Name
Brand or Generic
Type of Drug
ANTIPARASITICS
Drug Name
Brand or Generic
Type of Drug
ANTIPARKINSONISM AGENTS
Drug Name
Brand or Generic
Type of Drug
ANTIPLATELET DRUGS
Drug Name
Brand or Generic
Type of Drug
ANTIPSORIATIC / ANTISEBORRHEIC
Drug Name
Brand or Generic
Type of Drug
ANTISPASMODICS
Drug Name
Brand or Generic
Type of Drug
ANTITHYROID AGENTS
Drug Name
Brand or Generic
Type of Drug
ANTITUSSIVE COMBINATIONS
Drug Name
Brand or Generic
Type of Drug
ANTIVERTIGO & ANTIEMETIC AGENTS
Drug Name
Brand or Generic
Type of Drug
ANTIVIRALS
Drug Name
Brand or Generic
Type of Drug
ANXIOLYTICS
Drug Name
Brand or Generic
Type of Drug
BENIGN PROSTATIC HYPERPLASIA (BPH) THERAPY
Drug Name
Brand or Generic
Type of Drug
BETA AGONISTS INHALERS
Drug Name
Brand or Generic
Type of Drug
BETA AGONISTS ORAL
Drug Name
Brand or Generic
Type of Drug
BETA BLOCKERS
Drug Name
Brand or Generic
Type of Drug
BETA-BLOCKERS
Drug Name
Brand or Generic
Type of Drug
BILE ACIDS
Drug Name
Brand or Generic
Type of Drug
BLOOD DERIVATIVES
Drug Name
Brand or Generic
Type of Drug
BLOOD GLUCOSE MONITORING DEVICES & SUPPLIES
Drug Name
Brand or Generic
Type of Drug
BOWEL EVACUANTS
Drug Name
Brand or Generic
Type of Drug
BURN THERAPY
Drug Name
Brand or Generic
Type of Drug
BUTYROPHENONES
Drug Name
Brand or Generic
Type of Drug
CALCIUM CHANNEL BLOCKERS/DIHYDROPYRIDINES
Drug Name
Brand or Generic
Type of Drug
CALCIUM CHANNEL BLOCKERS/NON-DIHYDROPYRIDINES
Drug Name
Brand or Generic
Type of Drug
CARDIAC GLYCOSIDES
Drug Name
Brand or Generic
Type of Drug
CHOLINERGIC STIMULANTS
Drug Name
Brand or Generic
Type of Drug
CHOLINESTERASE INHIBITOR MIOTICS
Drug Name
Brand or Generic
Type of Drug
COMBINATION ANTICHOLINERGICS
Drug Name
Brand or Generic
Type of Drug
COMBINATION NARCOTIC /ANALGESICS
Drug Name
Brand or Generic
Type of Drug
CYCLOPLEGIC MYDRIATICS
Drug Name
Brand or Generic
Type of Drug
DECONGESTANT / ANTIHISTAMINES
Drug Name
Brand or Generic
Type of Drug
DIAPHRAGMS AND OTHER NON-ORAL CONTRACEPTIVES
Drug Name
Brand or Generic
Type of Drug
DIGESTIVE ENZYMES
Drug Name
Brand or Generic
Type of Drug
DIRECT ACTING MIOTICS
Drug Name
Brand or Generic
Type of Drug
Drug Name
Brand or Generic
Type of Drug
ERYTHROID STIMULANTS
Drug Name
Brand or Generic
Type of Drug
ERYTHROMYCINS & OTHER MACROLIDES
Drug Name
Brand or Generic
Type of Drug
ESTROGEN COMBINATIONS
Drug Name
Brand or Generic
Type of Drug
ESTROGENS
Drug Name
Brand or Generic
Type of Drug
EXPECTORANT COMBINATIONS
Drug Name
Brand or Generic
Type of Drug
FIRST GENERATION CEPHALOSPORINS
Drug Name
Brand or Generic
Type of Drug
FLUOROQUINOLONES
Drug Name
Brand or Generic
Type of Drug
GLUCOSE ELEVATING AGENTS
Drug Name
Brand or Generic
Type of Drug
GONADOTROPIN & RELATED AGENTS
Drug Name
Brand or Generic
Type of Drug
GOUT THERAPY
Drug Name
Brand or Generic
Type of Drug
GROWTH HORMONES
Drug Name
Brand or Generic
Type of Drug
H2 ANTAGONISTS
Drug Name
Brand or Generic
Type of Drug
HEADACHE THERAPY
Drug Name
Brand or Generic
Type of Drug
HEMOSTATICS
Drug Name
Brand or Generic
Type of Drug
Drug Name
Brand or Generic
Type of Drug
HIV/AIDS THERAPY
Drug Name
Brand or Generic
Type of Drug
HORMONES
Drug Name
Brand or Generic
Type of Drug
HYPNOTIC AGENTS
Drug Name
Brand or Generic
Type of Drug
IMMUNOSUPPRESSANT DRUGS
Drug Name
Brand or Generic
Type of Drug
INHALED CORTICOSTEROIDS
Drug Name
Brand or Generic
Type of Drug
INSULIN SYRINGES/MISCELLANEOUS DURABLE MEDICAL EQU
Drug Name
Brand or Generic
Type of Drug
INSULIN THERAPY
Drug Name
Brand or Generic
Type of Drug
INTERFERONS
Drug Name
Brand or Generic
Type of Drug
INTERLEUKINS
Drug Name
Brand or Generic
Type of Drug
INTRANASAL STEROIDS
Drug Name
Brand or Generic
Type of Drug
IRRIGATING SOLUTIONS
Drug Name
Brand or Generic
Type of Drug
KERATOLYTICS
Drug Name
Brand or Generic
Type of Drug
LIPID/CHOLESTEROL LOWERING AGENTS
Drug Name
Brand or Generic
Type of Drug
LONG ACTING NITRATES
Drug Name
Brand or Generic
Type of Drug
MAO INHIBITORS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS AGENTS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS ANALGESICS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS ANTIDEPRESSANTS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS ANTIINFECTIVES
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS ANTINEOPLASTIC DRUGS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS ANTIPSYCHOTICS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS ANTIVIRALS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS CARDIOVASCULAR AGENTS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS COAGULATION AGENTS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS DERMATOLOGICALS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS DEVICES
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS GASTROINTESTINAL AGENTS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS NEUROLOGICAL THERAPY
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS NUTRITION PRODUCTS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS OPHTHALMOLOGICS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS OTIC PREPARATIONS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS PSYCHOTHERAPEUTIC AGENTS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS PULMONARY AGENTS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS RHEUMATOLOGICAL AGENTS
Drug Name
Brand or Generic
Type of Drug
MISCELLANEOUS UROLOGICALS
Drug Name
Brand or Generic
Type of Drug
MONOPHASIC /BIPHASIC /TRIPHASIC AGENTS
Drug Name
Brand or Generic
Type of Drug
MUSCLE RELAXANTS & ANTISPASMODIC AGENTS
Drug Name
Brand or Generic
Type of Drug
MYASTHENIA GRAVIS
Drug Name
Brand or Generic
Type of Drug
MYELOID STIMULANTS
Drug Name
Brand or Generic
Type of Drug
NARCOTIC ANTAGONISTS
Drug Name
Brand or Generic
Type of Drug
NARCOTICS
Drug Name
Brand or Generic
Type of Drug
NEUTRACEUTICALS
Drug Name
Brand or Generic
Type of Drug
NON-INSULIN HYPOGLYCEMIC AGENTS
Drug Name
Brand or Generic
Type of Drug
NON-STEROIDAL ANTI-INFLAMMATORY AGENTS
Drug Name
Brand or Generic
Type of Drug
Drug Name
Brand or Generic
Type of Drug
NSAIDS- SPECIFIC COX-II INHIBITORS
Drug Name
Brand or Generic
Type of Drug
ORAL DRUGS FOR GLAUCOMA
Drug Name
Brand or Generic
Type of Drug
OSTEOPOROSIS THERAPY
Drug Name
Brand or Generic
Type of Drug
OTHER ANTIHYPERTENSIVE COMBINATIONS
Drug Name
Brand or Generic
Type of Drug
OTHER ELECTROLYTES
Drug Name
Brand or Generic
Type of Drug
OTHER GLAUCOMA DRUGS
Drug Name
Brand or Generic
Type of Drug
OTHER ULCER THERAPY
Drug Name
Brand or Generic
Type of Drug
OTIC STEROID / ANTIBIOTIC
Drug Name
Brand or Generic
Type of Drug
OVULATORY STIMULANTS
Drug Name
Brand or Generic
Type of Drug
OXYTOCICS
Drug Name
Brand or Generic
Type of Drug
PENICILLINS
Drug Name
Brand or Generic
Type of Drug
PHARMACEUTICAL ADJUVANTS
Drug Name
Brand or Generic
Type of Drug
PHENOTHIAZINES
Drug Name
Brand or Generic
Type of Drug
POTASSIUM
Drug Name
Brand or Generic
Type of Drug
PROGESTINS
Drug Name
Brand or Generic
Type of Drug
PROPOXYPHENE
Drug Name
Brand or Generic
Type of Drug
PROSTAGLANDINS
Drug Name
Brand or Generic
Type of Drug
PROTON PUMP INHIBITORS
Drug Name
Brand or Generic
Type of Drug
RADIOPHARMACEUTICALS
Drug Name
Brand or Generic
Type of Drug
RAPID ACTING NITRATES
Drug Name
Brand or Generic
Type of Drug
SALICYLATES
Drug Name
Brand or Generic
Type of Drug
SECOND GENERATION CEPHALOSPORINS
Drug Name
Brand or Generic
Type of Drug
SELECTIVE SEROTONIN REUPTAKE INHIBITORS
Drug Name
Brand or Generic
Type of Drug
SMOKING DETERRENTS
Drug Name
Brand or Generic
Type of Drug
SPECIALIZED OB/GYN DRUGS
Drug Name
Brand or Generic
Type of Drug
STEROID-ANTIBIOTIC COMBINATIONS
Drug Name
Brand or Generic
Type of Drug
STEROIDS
Drug Name
Brand or Generic
Type of Drug
STEROID-SULFONAMIDE COMBINATIONS
Drug Name
Brand or Generic
Type of Drug
SULFA'S & RELATED AGENTS
Drug Name
Brand or Generic
Type of Drug
SULFONAMIDES
Drug Name
Brand or Generic
Type of Drug
SYMPATHOMIMETICS
Drug Name
Brand or Generic
Type of Drug
TETRACYCLINES
Drug Name
Brand or Generic
Type of Drug
THERAPY FOR ACNE
Drug Name
Brand or Generic
Type of Drug
THIAZIDE & RELATED DIURETICS
Drug Name
Brand or Generic
Type of Drug
THIRD GENERATION CEPHALOSPORINS
Drug Name
Brand or Generic
Type of Drug
THYROID HORMONES
Drug Name
Brand or Generic
Type of Drug
TOPICAL ANESTHETICS
Drug Name
Brand or Generic
Type of Drug
TOPICAL ANTIBACTERIALS
Drug Name
Brand or Generic
Type of Drug
TOPICAL ANTIFUNGALS
Drug Name
Brand or Generic
Type of Drug
TOPICAL ANTIVIRALS
Drug Name
Brand or Generic
Type of Drug
TOPICAL CORTICOSTEROIDS HIGH POTENCY
Drug Name
Brand or Generic
Type of Drug
TOPICAL CORTICOSTEROIDS LOW POTENCY
Drug Name
Brand or Generic
Type of Drug
TOPICAL CORTICOSTEROIDS MEDIUM POTENCY
Drug Name
Brand or Generic
Type of Drug
TOPICAL CORTICOSTEROIDS VERY HIGH POTENCY
Drug Name
Brand or Generic
Type of Drug
TOPICAL ENZYMES
Drug Name
Brand or Generic
Type of Drug
TOPICAL PHARMACEUTICAL ADJUVANTS & NON-MEDICINALS
Drug Name
Brand or Generic
Type of Drug
TOPICAL SCABICIDES / PEDICULICIDES
Drug Name
Brand or Generic
Type of Drug
TRICYCLICS
Drug Name
Brand or Generic
Type of Drug
URINARY ANESTHETICS
Drug Name
Brand or Generic
Type of Drug
URINARY TRACT AGENTS
Drug Name
Brand or Generic
Type of Drug
VACCINES & MISCELLANEOUS IMMUNOLOGICALS
Drug Name
Brand or Generic
Type of Drug
VAGINAL ANTIFUNGALS
Drug Name
Brand or Generic
Type of Drug
VAGINAL CLEANSER /ANTIINFECTIVES
Drug Name
Brand or Generic
Type of Drug
VANCOMYCIN
Drug Name
Brand or Generic
Type of Drug
VASOCONSTRICTOR DECONGESTANTS
Drug Name
Brand or Generic
Type of Drug
VASODILATORS
Drug Name
Brand or Generic
Type of Drug
VITAMIN K
Drug Name
Brand or Generic
Type of Drug
VITAMINS & HEMATINICS
Drug Name
Brand or Generic
Type of Drug
XANTHINES
Drug Name
Brand or Generic

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