| Drugs Requiring Prior Authorization for Paramount Advantage Members | |||
| 9/25/2006 | |||
| DRUGS REQUIRING PRIOR AUTH | ALTERNATIVE DRUG(S) | PA RATIONALE | PA DESCRIPTION |
| ACCOLATE | **DEPENDS ON DIAGNOSIS, including LORATADINE, ANY NASAL STEROID, TOPICAL STEROIDS, ETC. | ST, LC | Step Therapy & Pharmaceutical Alternative |
| ACCUPRIL | QUINAPRIL HCL | LC | Therapeutic Equivalent |
| ACCURETIC | QUINAPRIL/HYDROCHLOROTHIAZIDE | LC | Therapeutic Equivalent |
| ACCUTANE | ISOTRETINOIN | LC | Therapeutic Equivalent |
| ACCUZYME | PAPAIN/UREA | LC | Therapeutic Equivalent |
| ACEON | Generic ACE-I including captopril, enalapril, lisinopril, or quinapril | LC | Pharmaceutical Alternative |
| ACETASOL | ACETIC ACID | LC | Therapeutic Equivalent |
| ACIPHEX | PRILOSEC OTC | LC | Pharmaceutical Alternative |
| ACLOVATE | ALCLOMETASONE DIPROPIONATE | LC | Therapeutic Equivalent |
| ACTIFED | P-EPHED HCL/TRIPROLIDINE HCL | LC | Therapeutic Equivalent |
| ACTIGALL | URSODIOL | LC | Therapeutic Equivalent |
| Actimmune | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| ACTOPLUS MET | ACTOS and Metformin | LC | Pharmaceutical Alternative |
| ACULAR | Prednisolone, Cromolyn, PATANOL, ALREX | LC | Pharmaceutical Alternative |
| ACULAR LS | Prednisolone, Cromolyn, PATANOL, ALREX | LC | Pharmaceutical Alternative |
| ACULAR PF | Prednisolone, Cromolyn, PATANOL, ALREX | LC | Pharmaceutical Alternative |
| ADALAT CC | NIFEDIPINE | LC | Therapeutic Equivalent |
| ADDERALL | AMPHET ASP/AMPHET/D-AMPHET | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| ADIPEX-P | PHENTERMINE HCL | LC | Therapeutic Equivalent |
| ADOXA | DOXYCYCLINE MONOHYDRATE | LC | Therapeutic Equivalent |
| AEROBID | PULMICORT, FLOVENT | LC | Pharmaceutical Alternative |
| AEROBID-M | PULMICORT, FLOVENT | LC | Pharmaceutical Alternative |
| AGGRENOX | Dipyridimole and Aspirin | LC | Pharmaceutical Alternative |
| AGRYLIN | ANAGRELIDE HCL | LC | Therapeutic Equivalent |
| ALAMAST | Prednisolone, Cromolyn, PATANOL, ALREX | LC | Pharmaceutical Alternative |
| ALBALON | NAPHAZOLINE HCL | LC | Therapeutic Equivalent |
| ALBUTEROL SULF HFA | Albuterol sulfate | LC | Pharmaceutical Alternative |
| ALDACTAZIDE | SPIRONOLACT/HYDROCHLOROTHIAZID | LC | Therapeutic Equivalent |
| ALDACTONE | SPIRONOLACTONE | LC | Therapeutic Equivalent |
| ALDOMET | METHYLDOPA | LC | Therapeutic Equivalent |
| ALDORIL-25 | METHYLDOPA/HYDROCHLOROTHIAZIDE | LC | Therapeutic Equivalent |
| ALEVE | NAPROXEN SODIUM | LC | Therapeutic Equivalent |
| ALLEGRA | FEXOFENADINE HCL, Loratadine | LC | Pharmaceutical Alternative & Therapeutic Equivalent |
| ALLEGRA-D | Loratadine with pseudoephedrine | LC | Pharmaceutical Alternative |
| ALOCRIL | Prednisolone, Cromolyn, PATANOL, ALREX | LC | Pharmaceutical Alternative |
| ALOMIDE | Prednisolone, Cromolyn, PATANOL, ALREX | LC | Pharmaceutical Alternative |
| ALORA | Generic estradiol patches | LC | Pharmaceutical Alternative |
| ALPHAGAN | BRIMONIDINE TARTRATE | LC | Therapeutic Equivalent |
| ALTACE | Generic ACE-I including captopril, enalapril, lisinopril, or quinapril | LC | Pharmaceutical Alternative |
| ALTOPREV | Lovastatin, LIPITOR, CRESTOR | LC | Pharmaceutical Alternative |
| ALUPENT | METAPROTERENOL SULFATE | LC | Therapeutic Equivalent |
| AMARYL | GLIMEPIRIDE | LC | Therapeutic Equivalent |
| AMBIEN CR | Temazepam, AMBIEN | LC, MA | Pharmaceutical Alternative, Misuse/Abuse |
| Amevive | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| AMINOPHYLLINE | AMINOPHYLLINE | LC | Therapeutic Equivalent |
| AMOXIL | AMOXICILLIN TRIHYDRATE | LC | Therapeutic Equivalent |
| ANAFRANIL | CLOMIPRAMINE HCL | LC | Therapeutic Equivalent |
| ANAMANTLE HC | HC ACETATE/LIDOCAINE HCL | LC | Therapeutic Equivalent |
| ANAPROX | NAPROXEN SODIUM | LC | Therapeutic Equivalent |
| ANAPROX DS | NAPROXEN SODIUM | LC | Therapeutic Equivalent |
| ANDRODERM | TESTIM | LC | Pharmaceutical Alternative |
| ANDROGEL | TESTIM | LC | Pharmaceutical Alternative |
| ANSAID | FLURBIPROFEN | LC | Therapeutic Equivalent |
| ANTACID PLUS | MAG HYDROX/AL HYDROX/SIMETH | LC | Therapeutic Equivalent |
| ANTARA | Gemfibrozil, TRICOR | LC | Pharmaceutical Alternative |
| ANTIVERT | MECLIZINE HCL | LC | Therapeutic Equivalent |
| ANTIVERT CHEW | MECLIZINE HCL | LC | Therapeutic Equivalent |
| ANUSOL-HC | HYDROCORTISONE | LC | Therapeutic Equivalent |
| ANZEMET | Zofran, Kytril | LC | Pharmaceutical Alternative |
| APRESOLINE | HYDRALAZINE HCL | LC | Therapeutic Equivalent |
| AQUATAB C | GUAIFEN/DM HB/P-EPHEDRINE | LC | Therapeutic Equivalent |
| AQUATAB DM | GUAIFENESIN/D-METHORPHAN HB | LC | Therapeutic Equivalent |
| ARAVA | LEFLUNOMIDE | LC | Therapeutic Equivalent |
| ARISTOCORT | TRIAMCINOLONE ACETONIDE | LC | Therapeutic Equivalent |
| ARISTOCORT HP | TRIAMCINOLONE ACETONIDE | LC | Therapeutic Equivalent |
| ARTANE | TRIHEXYPHENIDYL HCL | LC | Therapeutic Equivalent |
| ARTHROTEC | IBUPROFEN, NAPROXEN, OXAPROZIN, KETOPROFEN, FLUBIPROFEN, ETODOLAC, DICLOFENAC | ST | Step Therapy |
| ARTIFICIAL TEARS | POLYVINYL ALCOHOL | LC | Therapeutic Equivalent |
| ASENDIN | AMOXAPINE | LC | Therapeutic Equivalent |
| ASMANEX | PULMICORT, FLOVENT | LC | Pharmaceutical Alternative |
| ATACAND HCT | Generic ACE-I including captopril, enalapril, lisinopril, or quinapril | LC | Pharmaceutical Alternative |
| ATARAX | HYDROXYZINE HCL | LC | Therapeutic Equivalent |
| ATIVAN | LORAZEPAM | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| ATROVENT | IPRATROPIUM BROMIDE | LC | Therapeutic Equivalent |
| ATUSS DR | D-METHORPHAN HB/PE/CHLORPHENIR | LC | Therapeutic Equivalent |
| ATUSS HC | PHENYLEPHRINE/HYDROCODONE/CP | LC | Therapeutic Equivalent |
| AUGMENTIN | AMOX TR/POTASSIUM CLAVULANATE | LC | Therapeutic Equivalent |
| AUGMENTIN ES-600 | AMOX TR/POTASSIUM CLAVULANATE | LC | Therapeutic Equivalent |
| AURALGAN | ANTIPYRINE/BENZOCAINE/GLYCERIN | LC | Therapeutic Equivalent |
| AVINZA | Morphine extended-release | LC | Pharmaceutical Alternative |
| AVITA | Tretinoin | LC | Pharmaceutical Alternative |
| AVODART | Doxazosin, terazosin | LC | Pharmaceutical Alternative |
| Avonex | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| AXID | NIZATIDINE | LC | Therapeutic Equivalent |
| AYGESTIN | NORETHINDRONE ACETATE | LC | Therapeutic Equivalent |
| AZELEX | Tretinoin | LC | Pharmaceutical Alternative |
| AZMACORT | PULMICORT, FLOVENT | LC | Pharmaceutical Alternative |
| AZULFIDINE | SULFASALAZINE | LC | Therapeutic Equivalent |
| AZULFIDINE ENTAB | SULFASALAZINE | LC | Therapeutic Equivalent |
| BACITRACIN | BACITRACIN ZINC | LC | Therapeutic Equivalent |
| BACTROBAN | MUPIROCIN | LC | Therapeutic Equivalent |
| BAYER ASPIRIN | ASPIRIN | LC | Therapeutic Equivalent |
| BECONASE | Fluticasone, NASACORT AQ, NASONEX | LC | Pharmaceutical Alternative |
| BELLASPAS | ERGOTAMINE TART/BELLAD ALK/PB | LC | Therapeutic Equivalent |
| BENADRYL | DIPHENHYDRAMINE HCL | LC | Therapeutic Equivalent |
| BENICAR | Generic ACE-I including captopril, enalapril, lisinopril, or quinapril | LC | Pharmaceutical Alternative |
| BENTYL | DICYCLOMINE HCL | LC | Therapeutic Equivalent |
| BENZAMYCIN | ERYTHROMYCIN BASE/BENZ PER | LC | Therapeutic Equivalent |
| BETAGAN | LEVOBUNOLOL HCL | LC | Therapeutic Equivalent |
| BETAPACE | SOTALOL HCL | LC | Therapeutic Equivalent |
| Betaseron | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| BETIMOL | Timolol, Brimonide, AZOPT, ALPHAGAN-P, COSOPT | LC | Pharmaceutical Alternative |
| BIAXIN | CLARITHROMYCIN | LC | Therapeutic Equivalent |
| BIAXIN XL | Clarithromycin | LC | Pharmaceutical Alternative |
| BLEPH-10 | SULFACETAMIDE SODIUM | LC | Therapeutic Equivalent |
| BLOCADREN | TIMOLOL MALEATE | LC | Therapeutic Equivalent |
| BONINE | MECLIZINE HCL | LC | Therapeutic Equivalent |
| BONIVA | FOSAMAX | LC | Pharmaceutical Alternative |
| BONTRIL PDM | PHENDIMETRAZINE TARTRATE | LC | Therapeutic Equivalent |
| BRETHINE | TERBUTALINE SULFATE | LC | Therapeutic Equivalent |
| BROMFED | P-EPHED HCL/BROMPHENIRAMIN | LC | Therapeutic Equivalent |
| BROMFED-DM | D-METHORPHAN HB/P-EPD HCL/BPM | LC | Therapeutic Equivalent |
| BROMFED-PD | P-EPHED HCL/BROMPHENIRAMIN | LC | Therapeutic Equivalent |
| BRONTEX | GUAIFENESIN/CODEINE PHOS | LC | Therapeutic Equivalent |
| BUMEX | BUMETANIDE | LC | Therapeutic Equivalent |
| BUSPAR | BUSPIRONE HCL | LC | Therapeutic Equivalent |
| BUTALBITAL COMPOUND | ASPIRIN/CAFFEINE/BUTALBITAL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| CALAN | VERAPAMIL HCL | LC | Therapeutic Equivalent |
| CALAN SR | VERAPAMIL HCL | LC | Therapeutic Equivalent |
| CALCIUM GLUCONATE | CALCIUM GLUCONATE | LC | Therapeutic Equivalent |
| CALCIUM LACTATE | CALCIUM LACTATE | LC | Therapeutic Equivalent |
| CALTRATE-600 | CALCIUM CARBONATE | LC | Therapeutic Equivalent |
| CAPOTEN | CAPTOPRIL | LC | Therapeutic Equivalent |
| CAPOZIDE | CAPTOPRIL/HYDROCHLOROTHIAZIDE | LC | Therapeutic Equivalent |
| CARAFATE | SUCRALFATE | LC | Therapeutic Equivalent |
| CARDENE | NICARDIPINE HCL | LC | Therapeutic Equivalent |
| CARDENE SR | Nifedipine ER Diltiazem ER, Verapamil ER | LC | Pharmaceutical Alternative |
| CARDIZEM | DILTIAZEM HCL | LC | Therapeutic Equivalent |
| CARDIZEM CD | DILTIAZEM HCL | LC | Therapeutic Equivalent |
| CARDIZEM LA | Nifedipine ER Diltiazem ER, Verapamil ER | LC | Pharmaceutical Alternative |
| CARDIZEM SR | DILTIAZEM HCL | LC | Therapeutic Equivalent |
| CARDURA | DOXAZOSIN MESYLATE | LC | Therapeutic Equivalent |
| Carimune | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| CARNITOR | LEVOCARNITINE | LC | Therapeutic Equivalent |
| CATAFLAM | DICLOFENAC POTASSIUM | LC | Therapeutic Equivalent |
| CATAPRES | CLONIDINE HCL | LC | Therapeutic Equivalent |
| CECLOR | CEFACLOR | LC | Therapeutic Equivalent |
| CECLOR CD | CEFACLOR | LC | Therapeutic Equivalent |
| CEDAX | Cefpodoxime, cefuroxime, cefaclor, cefprozil | LC | Pharmaceutical Alternative |
| CEFTIN | CEFUROXIME AXETIL | LC | Therapeutic Equivalent |
| CEFZIL | CEFPROZIL | LC | Therapeutic Equivalent |
| CELEBREX | IBUPROFEN, NAPROXEN, OXAPROZIN, KETOPROFEN, FLUBIPROFEN, ETODOLAC, DICLOFENAC | ST | Step Therapy |
| CELEXA | CITALOPRAM HYDROBROMIDE | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| CENESTIN | PREMARIN, MENEST | LC | Pharmaceutical Alternative |
| CENTRUM | MULTIVITS W-IRON,HEMATINIC | LC | Therapeutic Equivalent |
| CENTRUM KIDS | MULTIVITAMINS W-IRON | LC | Therapeutic Equivalent |
| CENTRUM SILVER | MULTIVITAMINS W-MINERALS/LUT | LC | Therapeutic Equivalent |
| CEPHALEXIN | CEPHALEXIN MONOHYDRATE | LC | Therapeutic Equivalent |
| CHILDREN'S SUDAFED | PSEUDOEPHEDRINE HCL | LC | Therapeutic Equivalent |
| CHILDREN'S TYLENOL | ACETAMINOPHEN | LC | Therapeutic Equivalent |
| CHLOR-TRIMETON | CHLORPHENIRAMINE MALEATE | LC | Therapeutic Equivalent |
| CHROMAGEN | FE FUMARATE/VIT C/B12/STOMC | LC | Therapeutic Equivalent |
| CILOXAN | CIPROFLOXACIN HCL | LC | Therapeutic Equivalent |
| CIPRO | CIPROFLOXACIN HCL | LC | Therapeutic Equivalent |
| CIPRO XR | Ofloxacin, Ciprofloxacin, AVELOX, LEVAQUIN | LC | Pharmaceutical Alternative |
| CITRATE OF MAGNESIA | MAGNESIUM CITRATE | LC | Therapeutic Equivalent |
| CLARINEX | Loratadine | LC | Pharmaceutical Alternative |
| CLARINEX-D | Loratadine with pseudoephedrine | LC | Pharmaceutical Alternative |
| CLARITIN | LORATADINE | LC | Therapeutic Equivalent |
| CLEOCIN HCL | CLINDAMYCIN HCL | LC | Therapeutic Equivalent |
| CLEOCIN T | CLINDAMYCIN PHOSPHATE | LC | Therapeutic Equivalent |
| CLIMARA | ESTRADIOL | LC | Pharmaceutical Alternative & Therapeutic Equivalent |
| CLIMARA PRO PATCH | Generic estradiol patches | LC | Pharmaceutical Alternative |
| CLINORIL | SULINDAC | LC | Therapeutic Equivalent |
| CLOMID | CLOMIPHENE CITRATE | LC | Therapeutic Equivalent |
| CLOZARIL | CLOZAPINE | LC | Therapeutic Equivalent |
| COGENTIN | BENZTROPINE MESYLATE | LC | Therapeutic Equivalent |
| COLACE | DOCUSATE SODIUM | LC | Therapeutic Equivalent |
| COLAZAL | Sulfasalazine, ASACOL, PENTASA | LC | Pharmaceutical Alternative |
| COL-BENEMID | COLCHICINE/PROBENECID | LC | Therapeutic Equivalent |
| COLCHICINE | COLCHICINE | LC | Therapeutic Equivalent |
| COLOCORT | HYDROCORTISONE | LC | Therapeutic Equivalent |
| COMPAZINE | PROCHLORPERAZINE MALEATE | LC | Therapeutic Equivalent |
| CONDYLOX | PODOFILOX | LC | Therapeutic Equivalent |
| Copaxone | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| COPEGUS | RIBAVIRIN | LC | Therapeutic Equivalent |
| Copegus | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| CORDARONE | AMIODARONE HCL | LC | Therapeutic Equivalent |
| CORGARD | NADOLOL | LC | Therapeutic Equivalent |
| CORTAID | HYDROCORTISONE ACETATE | LC | Therapeutic Equivalent |
| CORTEF | HYDROCORTISONE | LC | Therapeutic Equivalent |
| CORTICAINE | HYDROCORTISONE ACETATE | LC | Therapeutic Equivalent |
| CORTISPORIN | NEOMY SULF/BACITRAC ZN/POLY/HC | LC | Therapeutic Equivalent |
| CORTIZONE-10 | HYDROCORTISONE | LC | Therapeutic Equivalent |
| CORTIZONE-5 | HYDROCORTISONE | LC | Therapeutic Equivalent |
| COUMADIN | WARFARIN SODIUM | LC | Therapeutic Equivalent |
| COVERA-HS | Nifedipine ER Diltiazem ER, Verapamil ER | LC | Pharmaceutical Alternative |
| COZAAR | Generic ACE-I including captopril, enalapril, lisinopril, or quinapril | LC | Pharmaceutical Alternative |
| CREON 10 | AMYLASE/LIPASE/PROTEASE | LC | Therapeutic Equivalent |
| CREON 20 | AMYLASE/LIPASE/PROTEASE | LC | Therapeutic Equivalent |
| CUTIVATE | FLUTICASONE PROPIONATE | LC | Therapeutic Equivalent |
| CYCLESSA | DESOGESTREL-ETHINYL ESTRADIOL | LC | Pharmaceutical Alternative & Therapeutic Equivalent |
| CYCLOCORT | AMCINONIDE | LC | Therapeutic Equivalent |
| CYLERT | PEMOLINE | LC | Therapeutic Equivalent |
| CYMBALTA | FLUOXETINE, CITALOPRAM, PAROXETINE | ST, LC, MA | Step Therapy , Pharmaceutical Alternative & Misuse/Abuse |
| CYTOTEC | MISOPROSTOL | LC | Therapeutic Equivalent |
| CYTOXAN | CYCLOPHOSPHAMIDE | LC | Therapeutic Equivalent |
| DALMANE | FLURAZEPAM HCL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| DANOCRINE | DANAZOL | LC | Therapeutic Equivalent |
| DARVOCET-N 100 | PROPOXYPHENE/ACETAMINOPHEN | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| DARVON | PROPOXYPHENE HCL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| DAYPRO | OXAPROZIN | LC | Therapeutic Equivalent |
| DDAVP | DESMOPRESSIN ACETATE | LC | Therapeutic Equivalent |
| DEBROX | CARBAMIDE PEROXIDE | LC | Therapeutic Equivalent |
| DECADRON | DEXAMETHASONE SOD PHOSPHATE | LC | Therapeutic Equivalent |
| DECLOMYCIN | DEMECLOCYCLINE HCL | LC | Therapeutic Equivalent |
| DECONAMINE SR | PSEUDOEPHEDRINE HCL/CHLOR-MAL | LC | Therapeutic Equivalent |
| DECONSAL II | GUAIFENESIN/P-EPHED HCL | LC | Therapeutic Equivalent |
| DEL-MYCIN | ERYTHROMYCIN BASE | LC | Therapeutic Equivalent |
| DELTASONE | PREDNISONE | LC | Therapeutic Equivalent |
| DEMADEX | TORSEMIDE | LC | Therapeutic Equivalent |
| DEMEROL | MEPERIDINE HCL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| DEMULEN | ETHYNODIOL D-ETHINYL ESTRADIOL | LC | Therapeutic Equivalent |
| DEPAKENE | VALPROATE SODIUM | LC | Therapeutic Equivalent |
| DERMAREST DRICORT | HYDROCORTISONE ACETATE | LC | Therapeutic Equivalent |
| DERMOLATE | HYDROCORTISONE | LC | Therapeutic Equivalent |
| DESOWEN | DESONIDE | LC | Therapeutic Equivalent |
| DESQUAM-E | BENZOYL PEROXIDE | LC | Therapeutic Equivalent |
| DESQUAM-X 5 | BENZOYL PEROXIDE | LC | Therapeutic Equivalent |
| DESYREL | TRAZODONE HCL | LC | Therapeutic Equivalent |
| DEXEDRINE | D-AMPHETAMINE SULFATE | LC | Therapeutic Equivalent |
| DEXEDRINE SPANSULE | D-AMPHETAMINE SULFATE | LC | Therapeutic Equivalent |
| DEXTROSTAT | D-AMPHETAMINE SULFATE | LC | Therapeutic Equivalent |
| DIABETA | GLYBURIDE | LC | Therapeutic Equivalent |
| DIABINESE | CHLORPROPAMIDE | LC | Therapeutic Equivalent |
| DIAMOX | ACETAZOLAMIDE | LC | Therapeutic Equivalent |
| DIFFERIN | Tretinoin | LC | Pharmaceutical Alternative |
| DIFLUCAN | FLUCONAZOLE | LC | Therapeutic Equivalent |
| DILACOR XR | DILTIAZEM HCL | LC | Therapeutic Equivalent |
| DILANTIN | PHENYTOIN | LC | Therapeutic Equivalent |
| DILAUDID | HYDROMORPHONE HCL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| DIMETAPP | P-EPHED HCL/BROMPHENIRAMIN | LC | Therapeutic Equivalent |
| DIPENTUM | Sulfasalazine, ASACOL, PENTASA | LC | Pharmaceutical Alternative |
| DIPROLENE | BETAMET DIPROP/PROP GLY | LC | Therapeutic Equivalent |
| DIPROLENE AF | BETAMET DIPROP/PROP GLY | LC | Therapeutic Equivalent |
| DISALCID | SALSALATE | LC | Therapeutic Equivalent |
| DITROPAN | OXYBUTYNIN CHLORIDE | LC | Therapeutic Equivalent |
| DITROPAN XL | Oxybutynin, DETROL, DETROL LA | LC | Pharmaceutical Alternative |
| DIURIL | CHLOROTHIAZIDE | LC | Therapeutic Equivalent |
| DOLOBID | DIFLUNISAL | LC | Therapeutic Equivalent |
| DOLOPHINE HCL | METHADONE HCL | LC | Therapeutic Equivalent |
| DONNATAL | BELLADONNA ALKALOIDS/PHENOBARB | LC | Therapeutic Equivalent |
| DOSTINEX | CABERGOLINE | LC | Therapeutic Equivalent |
| DRAMAMINE | DIMENHYDRINATE | LC | Therapeutic Equivalent |
| DRITUSS GP | GUAIFENESIN/P-EPHED HCL | LC | Therapeutic Equivalent |
| DULCOLAX | BISACODYL | LC | Therapeutic Equivalent |
| DUPHALAC | LACTULOSE | LC | Therapeutic Equivalent |
| DURAGESIC | FENTANYL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| DURAPHEN DM | GUAIFEN/D-METHORPHAN HB/PE | LC | Therapeutic Equivalent |
| DURATUSS DM | GUAIFENESIN/D-METHORPHAN HB | LC | Therapeutic Equivalent |
| DURATUSS HD | GUAIFENESIN/P-EPHED HCL/HCOD | LC | Therapeutic Equivalent |
| DURAVENT DA | PHENYLEPHRINE/CHLOR-MAL/SCOP | LC | Therapeutic Equivalent |
| DURICEF | CEFADROXIL HYDRATE | LC | Therapeutic Equivalent |
| DYAZIDE | TRIAMTERENE/HYDROCHLOROTHIAZID | LC | Therapeutic Equivalent |
| DYNABAC | Clarithromycin, erythromycin, azithromycin | LC | Pharmaceutical Alternative |
| DYNACIN | MINOCYCLINE HCL | LC | Therapeutic Equivalent |
| DYNACIRC | Nifedipine ER Diltiazem ER, Verapamil ER | LC | Pharmaceutical Alternative |
| DYNACIRC CR | Nifedipine ER Diltiazem ER, Verapamil ER | LC | Pharmaceutical Alternative |
| DYNAPEN | DICLOXACILLIN SODIUM | LC | Therapeutic Equivalent |
| EC-NAPROSYN | NAPROXEN | LC | Therapeutic Equivalent |
| ECOTRIN | ASPIRIN | LC | Therapeutic Equivalent |
| ECOTRIN ADULT LOW STRENGTH | ASPIRIN | LC | Therapeutic Equivalent |
| EFFEXOR | FLUOXETINE, CITALOPRAM, PAROXETINE | ST, MA | Step Therapy, Misyse/Abuse |
| EFFEXOR XR | FLUOXETINE, CITALOPRAM, PAROXETINE | ST, MA | Step Therapy, Misyse/Abuse |
| ELAVIL | AMITRIPTYLINE HCL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| ELDEPRYL | SELEGILINE HCL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| ELESTAT | Prednisolone, Cromolyn, PATANOL, ALREX | LC | Pharmaceutical Alternative |
| ELIDEL | GENERIC TOPICAL STEROIDS | ST, LC | Step Therapy & Pharmaceutical Alternative |
| ELIMITE | PERMETHRIN | LC | Therapeutic Equivalent |
| ELOCON | MOMETASONE FUROATE | LC | Therapeutic Equivalent |
| EMADINE | Prednisolone, Cromolyn, PATANOL, ALREX | LC | Pharmaceutical Alternative |
| EMBELINE E | CLOBETASOL PROPIONATE/EMOLL | LC | Therapeutic Equivalent |
| EMLA | LIDOCAINE/PRILOCAINE | LC | Therapeutic Equivalent |
| EMPIRIN W/CODEINE | CODEINE PHOS/ASPIRIN | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| ENABLEX | Oxybutynin, DETROL, DETROL LA | LC | Pharmaceutical Alternative |
| Enbrel | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| ENDAGEN-HG | PHENYLEPHRINE/HYDROCODONE/CP | LC | Therapeutic Equivalent |
| ENTEX LA | GUAIFENESIN/PHENYLEPHRINE HCL | LC | Therapeutic Equivalent |
| ENTEX PSE | GUAIFENESIN/P-EPHED HCL | LC | Therapeutic Equivalent |
| ENTUSS-D | GUAIFENESIN/P-EPHED HCL/HCOD | LC | Therapeutic Equivalent |
| ENULOSE | LACTULOSE | LC | Therapeutic Equivalent |
| ERTACZO | Ketoconazole,Miconazole, Nystatin, LOPROX, LAMISIL | LC | Pharmaceutical Alternative |
| ERYC | ERYTHROMYCIN BASE | LC | Therapeutic Equivalent |
| ERYGEL | ERYTHROMYCIN BASE/ETHANOL | LC | Therapeutic Equivalent |
| ERYTHROMYCIN | ERYTHROMYCIN BASE | LC | Therapeutic Equivalent |
| ESGIC | ACETAMINOPHEN/CAFFEINE/BUTALB | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| ESGIC-PLUS | ACETAMINOPHEN/CAFFEINE/BUTALB | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| ESKALITH | LITHIUM CARBONATE | LC | Therapeutic Equivalent |
| ESKALITH CR | LITHIUM CARBONATE | LC | Therapeutic Equivalent |
| ESTRACE | ESTRADIOL | LC | Therapeutic Equivalent |
| ESTRADERM | Generic estradiol patches | LC | Pharmaceutical Alternative |
| ESTRASORB PACKET | Estradiol, any form | LC | Pharmaceutical Alternative |
| ESTRATEST | ME-TESTOSTERONE/ESTROGEN,ESTER | LC | Therapeutic Equivalent |
| ESTRATEST H.S. | ME-TESTOSTERONE/ESTROGEN,ESTER | LC | Therapeutic Equivalent |
| ESTROGEL | Estradiol, any form | LC | Pharmaceutical Alternative |
| ETRAFON | AMITRIPTYLINE HCL/PERPHENAZINE | LC | Therapeutic Equivalent |
| ETRAFON FORTE | AMITRIPTYLINE HCL/PERPHENAZINE | LC | Therapeutic Equivalent |
| EULEXIN | FLUTAMIDE | LC | Therapeutic Equivalent |
| EXELDERM | Ketoconazole,Miconazole, Nystatin, LOPROX, LAMISIL | LC | Pharmaceutical Alternative |
| FACTIVE | Ofloxacin, Ciprofloxacin, AVELOX, LEVAQUIN | LC | Pharmaceutical Alternative |
| FASTIN | PHENTERMINE HCL | LC | Therapeutic Equivalent |
| FELDENE | PIROXICAM | LC | Therapeutic Equivalent |
| FEMHRT | PREMPRO, PREMPHASE, ORTHOPREFEST, ACTIVELLA | LC | Pharmaceutical Alternative |
| FEOSOL | FERROUS SULFATE | LC | Therapeutic Equivalent |
| FERGON | FERROUS GLUCONATE | LC | Therapeutic Equivalent |
| FER-IN-SOL | FERROUS SULFATE | LC | Therapeutic Equivalent |
| FERRONATE | FERROUS GLUCONATE | LC | Therapeutic Equivalent |
| FEVERALL | ACETAMINOPHEN | LC | Therapeutic Equivalent |
| FIORICET W/CODEINE | CODEINE/APAP/CAFFEIN/BUTALB | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| FIORINAL | ASPIRIN/CAFFEINE/BUTALBITAL | LC | Therapeutic Equivalent |
| FIORINAL W/CODEINE #3 | CODEINE/ASA/CAFFEINE/BUTALB | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| FLAGYL | METRONIDAZOLE | LC | Therapeutic Equivalent |
| FLEET ENEMA | NA PHOS,M-B/NA PHOS,DI-BA | LC | Therapeutic Equivalent |
| FLEXERIL | CYCLOBENZAPRINE HCL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| Flolan | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| FLONASE | Fluticasone, NASACORT AQ, NASONEX | LC | Pharmaceutical Alternative |
| FLORINEF ACETATE | FLUDROCORTISONE ACETATE | LC | Therapeutic Equivalent |
| FLOXIN | OFLOXACIN | LC | Therapeutic Equivalent |
| FLUMADINE | RIMANTADINE HCL | LC | Therapeutic Equivalent |
| FML | FLUOROMETHOLONE | LC | Therapeutic Equivalent |
| FML FORTE | Prednisolone, Dexamethasone | LC | Pharmaceutical Alternative |
| FOCALIN | METHYLPHENIDATE HCL, AMPHET ASP/AMPHET/D-AMPHET | LC, MA | Pharmaceutical Alternative, Misuse/Abuse |
| FOLGARD RX 2.2 | CYANOCOBALAMIN/FA/PYRIDOXINE | LC | Therapeutic Equivalent |
| FOLIC ACID | FOLIC ACID | LC | Therapeutic Equivalent |
| FOLTX | CYANOCOBALAMIN/FA/PYRIDOXINE | LC | Therapeutic Equivalent |
| FOLVITE | FOLIC ACID | LC | Therapeutic Equivalent |
| FORADIL | SEREVENT | LC | Pharmaceutical Alternative |
| Forteo | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| FOSRENOL | PHOSLO | LC | Pharmaceutical Alternative |
| GABAPENTIN | GABAPENTIN | LC | Therapeutic Equivalent |
| Gamimune | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| Gammagard | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| Gammar-P | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| Gamunex | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| GARAMYCIN | GENTAMICIN SULFATE | LC | Therapeutic Equivalent |
| GAS-X | SIMETHICONE | LC | Therapeutic Equivalent |
| GENOTROPIN | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| GENTAK | GENTAMICIN SULFATE | LC | Therapeutic Equivalent |
| GEREF | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| GLUCOPHAGE | METFORMIN HCL | LC | Therapeutic Equivalent |
| GLUCOPHAGE XR | METFORMIN HCL | LC | Therapeutic Equivalent |
| GLUCOTROL | GLIPIZIDE | LC | Therapeutic Equivalent |
| GLUCOTROL XL | GLIPIZIDE | LC | Therapeutic Equivalent |
| GLUCOVANCE | GLYBURIDE/METFORMIN HCL | LC | Therapeutic Equivalent |
| GLYNASE | GLYBURIDE,MICRONIZED | LC | Therapeutic Equivalent |
| GLYSET | PRECOSE | LC | Pharmaceutical Alternative |
| GOLYTELY | SOD SULF/SOD/NAHCO3/KCL/PEG'S | LC | Therapeutic Equivalent |
| GRIFULVIN V | GRISEOFULVIN,MICROSIZE | LC | Therapeutic Equivalent |
| GYNE-LOTRIMIN | CLOTRIMAZOLE | LC | Therapeutic Equivalent |
| HALCION | TRIAZOLAM | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| HALDOL | HALOPERIDOL | LC, MA | Therapeutic Equivalent, Misuse/Abuse |
| HISTEX PD | CARBINOXAMINE MALEATE | LC | Therapeutic Equivalent |
| HISTUSSIN HC | PHENYLEPHRINE/HYDROCODONE/CP | LC | Therapeutic Equivalent |
| HUMATROPE | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| HUMIBID DM | GUAIFENESIN/D-METHORPHAN HB | LC | Therapeutic Equivalent |
| Humira | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| HYCODAN | HYDROCODONE BIT/HOMATROPINE | LC | Therapeutic Equivalent |
| HYDERGINE | ERGOLOID MESYLATES | LC | Therapeutic Equivalent |
| HYDREA | HYDROXYUREA | LC | Therapeutic Equivalent |
| HYDRODIURIL | HYDROCHLOROTHIAZIDE | LC | Therapeutic Equivalent |
| HYGROTON | CHLORTHALIDONE | LC | Therapeutic Equivalent |
| HYPOTEARS | POLYVINYL ALCOHOL | LC | Therapeutic Equivalent |
| HYTONE | HYDROCORTISONE | LC | Therapeutic Equivalent |
| HYTRIN | TERAZOSIN HCL | LC | Therapeutic Equivalent |
| HYZAAR | Generic ACE-I including captopril, enalapril, lisinopril, or quinapril | LC | Pharmaceutical Alternative |
| IMDUR | ISOSORBIDE MONONITRATE | LC | Therapeutic Equivalent |
| IMODIUM | LOPERAMIDE HCL | LC | Therapeutic Equivalent |
| IMODIUM A-D | LOPERAMIDE HCL | LC | Therapeutic Equivalent |
| IMURAN | AZATHIOPRINE | LC | Therapeutic Equivalent |
| Increlex | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| INDERAL | PROPRANOLOL HCL | LC | Therapeutic Equivalent |
| INDERIDE | PROPRANOLOL HCL/HCTZ | LC | Therapeutic Equivalent |
| INDOCIN | INDOMETHACIN | LC | Therapeutic Equivalent |
| INDOCIN SR | INDOMETHACIN | LC | Therapeutic Equivalent |
| Infergen | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| INFLAMASE FORTE | PREDNISOLONE SOD PHOSPHATE | LC | Therapeutic Equivalent |
| INTAL | CROMOLYN SODIUM | LC | Therapeutic Equivalent |
| Interferon Alpha 2-A | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| Intron A | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| IOPHEN DM | GUAIFENESIN/D-METHORPHAN HB | LC | Therapeutic Equivalent |
| IOPIDINE | Timolol, Brimonide, AZOPT, ALPHAGAN-P, COSOPT | LC | Pharmaceutical Alternative |
| IPLEX | MA-C-NJ-14 | Misuse/Abuse, administration site | |
| IRON | FERROUS SULFATE | LC | Therapeutic Equivalent |
| ISMO | ISOSORBIDE MONONITRATE | LC | Therapeutic Equivalent |
| ISONIAZID | ISONIAZID | LC | Therapeutic Equivalent |
| ISOPTIN | VERAPAMIL HCL | LC | Therapeutic Equivalent |
| ISOPTIN SR | VERAPAMIL HCL | LC | Therapeutic Equivalent |
| ISOPTO CARPINE | PILOCARPINE HCL | LC | Therapeutic Equivalent |
| ISORDIL | ISOSORBIDE | ||