Odie’s Extra Coverage helps you reimburse over 950 different medications

Prescription Formulary

Generic (Brand)

A

• Abelcet
• Acepromazine (ACP, Promace)
• Acetaminophen (Tylenol)
• Acetazolamide (Diamox)
• Acetylcysteine (Acetadote)
• Aciclovir (Zovirax)
• ACP
• ACTH
• Actidose Aqua
• Actinomycin – D (Dactinomycin)
• Activated Charcoal (Actidose Aqua, Liqui-Char, UAA Gel, Toxiban)
• Actrapid
• Acular
• Adequan
• Afrazine
• AK-NaCl
• Aknemin
• Albon
• Albuterol (Salbutamol, Proventil, Ventolin)
• Aldactone
• Alendronate (Fosamax)
• Alfaxalone (Alfaxan)
• Alfaxan
• Alfentanil (Alfenta)
• Alkeran
• Allercept
• Allerpaws
• Allopurinol (Zyloprim, Aloprim)
• Alprazolam (Xanax)
• Alprostadil (Prostin)
• Alteplase (Activase, Cathflo)
• Alucap
• Aluminum Acetate (Domeboro, Burow’s Solution)
• Aluminum Hydroxide (Alucap)
• Aluminum Magnesium (Gaviscon, Maalox)
• Amantadine (Symmetrel)
• Ambisome
• Amforol
• Amicar
• Amikacin (Amikin)
• Amikin
• Amiloride (Midamor)
• Aminocaproic Acid (Amicar)
• Aminopentamide (Centrine)
• Aminophylline (Norphyl, Phyllocontin)
• Amiodarone (Cordarone)
• Amitraz (Mitaban)
• Amitriptyline (Elavil)
• Amlodipine (Norvasc)
• Ammonium Chloride (Uroeze)
• Amoxicillin (Amoxil, Moxatag, Trimox)
• Amoxicillin/Clavulanate (Augmentin, Clavamox)
• Amphotericin (Abelcet, Ambisome, Fungizone)
• Ampicillin (Principen, Polyflex)
• Ancotil
• Antepsin
• Antirobe
• Antisedan
• Antivenom
• Antivert
• Antizol
• Apixaban (Eliquis)
• Apomorphine (Apokyn)
• Apoquel
• Apraclonidine (Iopidine)
• Apresoline
• Ara-C (Cytostar-U)
• Aranesp
• Arava
• Aredia
• Argipressin
• Artificial Tears (Lacri-Lube, Lubri-Tears)
• Asparaginase (Elspar)
• Aspirin
• Atenolol (Tenormin)
• Atipamezole (Antisedan)
• Ativan
• Atopica
• Atracurium (Tracrium)
• Atropine
• Augmentin
• Aurizon
• Auroto
• Axid
• Azarga
• Azathioprine (Imuran)
• Azithromycin (Zithromax)
• Azodyl
• Azopt
• AZT

B

• Bactrim
• Bactrim DS
• Bactroban
• Banamine
• Belimumab
• Benazepril (Lotensin)
• Benlysta (Belimumab)
• Benzonatate (Tessalon, Zonatuss)
• Benzoyl Peroxide (PanOxyl, Benprox, Relovox)
• Besifloxacin Ophthalmic (Besivance)
• Besivance
• Betamethasone (Diprolene, Celestone, Luxiq, Norbet)
• Betamethasone / Clotrimazole (Lotrimin, Lotriderm)
• Betaxolol (Betoptic, Kerlone)
• Bethanechol (Urecholine)
• Betoptic
• Bexacat^*
• Bimectin
• Bisacodyl (Dulcolax, Biscolax, Fleet)
• Bismuth Salts (Bismatrol, Pepto-Bisamol, Kaopectate, Kao-Tin, Gastro-Cote)
• Bonefos
• Brevibloc
• Bricanyl
• Brinzolamide (Azopt)
• Bromfenac Opthalmic Solution (Xibrom)
• Bromhexine (Bromhexin, Bromex, Mucolyte)
• Buccastem
• Budesonide (Entocort, Pulmicort)
• Bupivacaine (Marcaine, Sensorcaine)
• Buprenorphine (Buprenex)
• Burow’s Solution
• Buscopan
• Buserelin (Suprefact)
• Buspar
• Buspirone (Buspar)
• Busulfan (Myleran)
• Butorphanol (Stadol, Dolorex)
• Butylscopolamine (Buscopan)

C

• Cabergoline (Dostinex)
• CADI
• Calcijex
• Calcitriol (Calcijex, Rocaltrol)
• Calcium
• Calcium Carbonate (Tums)
• Calcium EDTA
• Camcolit
• Canaural
• Canesten
• Canine Atopic Dermatitis Immunotherapeutic (CADI, Canine IL-31)
• Canine IL-31
• Caninsulin
• Capromorelin Oral Solution (Entyce)
• Carafate
• Carboplatin (Paraplatin)
• Carboxamide
• Carprieve
• Carprodyl
• Carprofen (Rimadyl, Carprodyl, Carprieve, Norocarp, Novox)
• Cartrophen
• Carvedilol (Coreg)
• Catapres
• Cefa-Caps
• Cefa-Drops
• Cefadroxil (Cefa-Tabs, Cefa-Caps, Cefa-Drops, Duricef)
• Cefa-Tabs
• Cefazolin
• Cefotaxime (Claforan)
• Cefovecin (Convenia)
• Cefoxitin (Mefoxin)
• Cefpodoxime Proxetil (Simplicef)
• Cefprozil
• Ceftazidime (Tazicef, Fortaz)
• Ceftiofur (Naxcel)
• Cefuroxime (Zinacef, Ceftin)
• Cefzil (Cefprozil)
• Celexa
• CellCept
• Centrine
• Cephalexin (Keflex, Rilexine)
• Cerenia
• Cetirizine (Zyrtec)
• Chlorambucil (Leukeran)
• Chloramphenicol (Chloromycetin)
• Chloromycetin
• Chlorpheniramine (Chlor-Tabs, Aller-Chlor)
• Chlortetracycline (Aureomycin)
• Cholestyramine (Questran, Prevalite)
• Chondroprotec
• Chorionic Gonadotrophin (Chorulon)
• Chorulon
• Cidofovir (Vistide)
• Ciloxan
• Cimetidine (Tagamet)
• Cinchophen (Quinophan, Phenaquin, PLT)
• Ciprofloxacin (Ciloxan, Cipro, Cetraxal)
• Cisapride (Propulsid)
• Cisatracurium (Nimbex)
• Cisplatin
• Citalopram (Celexa)
• Clarithromycin (Biaxin)
• Clavamox
• Clemastine (Tavist)
• Clexane
• Clinacin
• Clindamycin (Antirobe, Clinacin)
• Clodronate (Bonefos, Loron)
• Clofazimine (Lamprene)
• Clomicalm
• Clomipramine (Clomicalm)
• Clonazepam (Klonopin)
• Clonidine (Catapres, Duraclon)
• Clopidogrel (Plavix)
• Clorazepate (Tranxene)
• Clotrimazole (Canesten, Lotrimin, Mycelex)
• Cloxacillin (Cloxapen, Tegopen)
• Co-amilozide
• Cobalamin (Vitamin B-12)
• Codeine
• Colchicine (Colcrys)
• Convenia
• Cordarone
• Cordilox
• Cortavance
• Cortrosyn
• Cosopt
• Cosyntropin (Cortrosyn)
• Cozaar
• Creon
• Cromolyn Sodium Opthalmic Solution
• Cyclobenzaprine (Flexeril)
• Cyclopentolate (Ak-Pentolate, Cyclogyl)
• Cyclophosphamide (Cytoxan, Neosar)
• Cyclosporine (Atopica, Neoral, Sandimmune)
• Cyproheptadine (Periactin)
• Cytarabine (Depocyt, Cytosar-U, Ara-C)
• Cytosar-U
• Cytosine Arabinoside (Depocyt, Cytosar-U, Ara-C)
• Cytotec

D

• Dacarbazine (DTIC)
• Dactinomycin
• Dalteparin (Fragmin)
• Danazol (Danocrine)
• Dantrium
• Dantrolene (Dantrium)
• Dapsone (Aczone)
• Daraprim
• Darbepoetin (Aranesp)
• DDAVP
• Deca Durabolin
• Deferoxamine (Desferal)
• Delmadinone Acetate (Tardak)
• Demadex
• Demecarium Bromide (Humorsol)
• Demerol
• Denamarin (Marin)
• Denosyl
• Depo-Medrol
• Deracoxib (Deramaxx)
• Deramaxx
• Desferal
• Desmopressin (DDAVP, Stimate)
• Desoximetasone
• Desoxycorticosterone Pivalate (Percorten-V)
• Dexamethasone (Decadron, Maxidex)
• Dexamethasone/Neomycin/Polymyxin b (Maxitrol)
• Dexdomitor
• Dexmedetomidine (Dexdomitor, Sileo)
• Dexpanthenol (Vitamin B5)
• Dextromethorphan (Delsym)
• Dextrose
• Diamox
• Diathal
• Diazapam (Valium)
• Diazoxide (Proglycem, Hyperstat)
• Dibenzyline
• Dichlorphenamide (Daranide)
• Diclofenac (Voltaren)
• Dicural
• Diethylstilbestrol (DES)
• Difloxacin (Dicural)
• Diflucan
• Difluprednate (Durezol)
• Digoxin (Lanoxin)
• Diltiazem (Cardizem, Dilt-cd)
• Dimercaprol
• Dimethylsulfoxide (DMSO)
• Dinoprostone (Cervidil, Prepidil)
• Dinoprost Tromethamine (Lutalyse)
• Dioctyl Sodium Sulfosuccinate (DSS)
• Dipentum
• Diphenhydramine (Benadryl)
• Diphenoxylate (Lomotil)
• Diphenylhydantoin (Dilantin, Phenytek)
• Dipyrone (Metamizole)
• DMSO
• Dobutamine (Dobutrex)
• Dobutrex
• Docusate (Correctol, Colace, Dulcolax, Docusol, Norgalax, Waxsol)
• Docusol
• Dolasetron (Anzemet)
• Dolorex
• Domeboro
• Domitor
• Domperidone (Motilium)
• Dopamine (Intropin)
• Dopram- V
• Dorzolamide (Trusopt)
• Dorzolamide / Timolol (Cosopt)
• Doxapram (Dopram- V)
• Doxepin (Silenor, Zonalon, Prudoxin)
• Doxorubicin (Doxil, Adriamycin)
• Doxycycline (Vibramycin)
• DTIC
• Dulcolax
• Duphalyte
• Duragesic
• Duramorph
• Durezol
• Duricef

E

• Easotic
• Edrophonium (Enlon)
• Efudex
• Eliquis
• Elmiron
• Elspar
• EMLA
• Enacard
• Enalapril (Enacard, Vasotec)
• Enilconazole (Fungaflor, Nuzone)
• Enoxaparin (Clexane, Lovenox)
• Enrofloxacin (Baytril)
• Entocort
• Epakitin
• Ephedrine
• Epinephrine
• Epirubicin (Ellence, Pharmorubicin)
• Epoetin Alfa (Epogen / Procrit)
• Epoetin Beta (NeoRecormon)
• Epogen
• Erythrocin
• Erythromycin (Erythrocin)
• Erythropoietin
• Esmolol (Brevibloc)
• Esomeprazole (Nexium)
• Estradiol (Estring, Vagifem, Elestrin, Evamist)
• Estriol (Incurin)
• Ethanol
• Etodolac (Lodine)

F

• Famciclovir (Famvir)
• Famotidine (Pepcid, Fluxid)
• Famvir
• Fansidar
• Faverin
• Felbamate (Felbatol)
• Feldene
• Felimazole
• Felycin-CA1^*
• Fenofibrate (Tricor,Triglide)
• Fentanyl (Duragesic, Fentora, Sublimaze)
• Fentanyl Fluanisone (Hypnorm)
• Fentora
• Filgrastim (Neupogen)
• Finasteride (Proscar, Propecia)
• Firocoxib (Previcox)
• Flagyl
• Fleet
• Flexeril
• Florinef
• Floxapen
• Flucloxacillin (Floxapen)
• Fluconazole (Diflucan)
• Flucytosine (Ancobon)
• Fludrocortisone (Florinef)
• Flumazenil (Romazicon)
• Flunixin (Banamine)
• Fluocinolone (Synalar)
• Fluorometholone (Flarex, Fluor-Op, FML)
• Fluorouracil (Efudex)
• Fluothane
• Fluoxetine (Prozac, Reconcile)
• Flurbiprofen (Ocufen)
• Fluticasone (Flonase, Veramyst)
• Fluvoxamine (Faverin)
• FML
• Fomepizole (Antizol)
• Fragmin
• Framycetin (Soframycin)
• Fungizone
• Furadantin
• Furosemide (Lasix)

G

• Gabapentin (Neurontin)
• Galliprant (Grapiprant)
• Gammagard
• Gastrocote
• Gas-X
• Gatifloxacin Opthalmic Drops
• Gaviscon
• Gemcitabine (Gemzar)
• Gemfibrozil (Lopid)
• Gemzar
• Genotropin
• Gentamicin (Gentak)
• Gentamicin / Betamethasone / Clotrimazole (Otomax)
• Genteal Gel
• Glibenclamide (Micronase, Glynase)
• Glipizide (Glucotrol)
• Glucagen
• Glucagon (GlucaGen)
• Glucantime
• Glucose
• Glutamine
• Glycopyrronium Bromide (Robinul)
• Goodwinol
• Granisetron (Sancuso, Granisol)
• Granocyte
• Griseofulvin (Fulvicin, GrisPEG, Grisactin)
• GS-441524 (with injectable remdesivir as the formulation alternative)^*
• Guaifenesin (Mucinex, Robitussin)

H

• Halothane (Fluothane)
• Haponal
• Hemoglobin Glutamer (Oxyglobin)
• Heparin
• Hetastarch
• Hiprex
• Humatrope
• Humorsol
• Humulin
• Hydralazine (Apresoline)
• Hydrea
• Hydrochlorothiazide (Esidrix, Microzide)
• Hydrocodone / Homatropine (Tussigon / Hycodan)
• Hydrocortisone (Cortavance, Cortef, Cortifoam, Locoid)
• Hydrocortisone / Miconazole / Gentamicin (Easotic)
• Hydroxyethyl Starch (Hetastarch, Voluven)
• Hydroxypropyl Methylcellulose (Genteal Gel)
• Hydroxyurea (Hydrea)
• Hydroxyzine (Vistaril, Atarax)
• Hyoscine (Buscopan)
• Hypertonic Saline
• Hypnorm
• Hypurin

I

• Ibaflin
• Ibafloxacin (Ibaflin)
• Ichon
• Idoxuridine (Dendrid)
• Imepitoin (Pexion)
• Imidazole
• Imidocarb (Imizol)
• Imipenem Cilastatin (Primaxin)
• Imipramine (Tofranil)
• Imiquimod (Aldara, Zyclara)
• Imizol
• Immune Globulin (Gammagard)
• Imodium
• Imuran
• Incurin
• Inderal
• Insulatard
• Insulin (Humulin, Lantus)
• Interferon (Roferon-A, Intron, Viraferon)
• Intralipid
• Intron
• Iopidine
• Iron Dextran (Infed, Dexferrum)
• IsoFlo
• Isoflurane (IsoFlo)
• Isopropyl Alcohol
• Isoproterenol (Isuprel)
• Isotretinoin (Accutane, Claravis, Isotrex, Roaccutane)
• Isotrex
• Ispagel
• Ispaghula (Fybogel, Psyllium, Ispagel, Vetasyl)
• Isuprel
• Itraconazole (Sporanox, Itrafungol)
• Itrafungol
• Ivelip
• Ivermectin (Ivomec, Bimectin)
• IV Fluids (Normosol, Lactated Ringers, Sodium Chloride)
• Ivomec

K

• Kanamycin (Kantrex)
• Kenalog
• Keppra
• Ketamine (Ketaset, Vetalar-V)
• Ketaset
• Ketoconazole (Nizoral)
• Ketorolac (Toradol)
• Ketorolac Tromethamine (Acular)
• Ketprofen (Oruvail, Orudis, Actron, Orudis KT)
• Klean-Prep
• Klonopin
• Konakion

L

• Lacri-Lube
• Lactated Ringers
• Lactulose (Enulose)
• Lamisil
• Lanoxin
• Lansoprazole (Prevacid)
• Lanthanum Carbonate (Renalzin)
• Lantus
• Latanoprost (Xalatan)
• L-Deprenyl
• Leflunomide (Arava)
• Lenograstim (Granocyte)
• Leukeran
• Leventa
• Levetiracetam (Keppra)
• Levothyroxine (Synthroid, Levothroid, Levoxyl, Tirosint, Leventa, Soloxine)
• Librela^*
• Lidocaine (Lidoderm, Xylocaine, Recticare, Solarcaine)
• Lidocaine/prilocaine (EMLA)
• Lidoderm
• Lincocin
• Lincomycin (Lincocin)
• Linezolid (Zyvox)
• Liothyronine (Triostat)
• Liqui-Char
• Liquigen
• Lithium Carbonate (Camcolit, Lithobid, Priadel)
• Lomotil
• Lomustine (CCNU, Ceenu)
• Loperamide (Imodium, Norimode)
• Loratadine (Claritin)
• Lorazepam (Ativan)
• Loron
• Losartan (Cozaar)
• Lotriderm
• Lubri-Tears
• Lucentis (Ranibizumab)
• Lustral
• Lutalyse
• Lyrica
• Lysine
• Lysodren

M

• Maalox
• Macrogol
• Magnesium
• Mannitol (Osmitrol)
• Marbofloxacin (Zeniquin)
• Marcaine
• Marin
• Maropitant (Cerenia)
• Masitinib (Kinavet, Masivet)
• Masivet
• Matrex
• Matulane
• Mavacoxib (Trocoxil)
• Maxidex
• Maxitrol
• Maxolon
• Mechlorethamine (Mustargen, Chlormethine)
• Meclizine (Antivert)
• Medetomidine (Domitor)
• Medium Chain Triglycerides (MCT, Liquigen)
• Medrone
• Medroxyprogesterone (Provera, Depo-Provera)
• Mefoxin
• Megestrol (Megace)
• Meglumine (Glucantime)
• Meloxicam (Mobic)
• Melphalan (Alkeran)
• Meperidine (Demerol, Pethidine)
• Mepivacaine (Carbocaine)
• Meropenem (Merrem)
• Merrem
• Mestinon
• Metacam
• Metaxalone
• Metformin (Fortamet, Riomet)
• Methadone (Methadose, Diskets)
• Methazolamide (Neptazane)
• Methenamine (Urex, Hiprex)
• Methimazole (Felimazole)
• Methionine (DL-Methionine, Methio-Form)
• Methocarbamol (Robaxin)
• Methotrexate (Matrex)
• Methylene Blue (Urolene Blue)
• Methylprednisolone (Medrol, Solu-Medrol, Depo-Medrol, Medrone)
• Methyltestosterone (Sesoral)
• Metoclopramide (Reglan, Maxolon)
• Metronidazole (Flagyl)
• Mexiletine (Mexitil)
• Mexitil
• Micardis
• Micolette
• Miconazole (Zeasorb, Monistat, Conazol, Oravig, Micatin, Azolen)
• Miconazole / Polymyxin / Prednisolone (Surolan)
• Micralax
• Midazolam
• Milirone (Primacor)
• Miltefosine (Impavido)
• Minocin
• Minocycline (Aknemin, Minocin)
• Mirtazapine (Remeron)
• Misoprostol (Cytotec)
• Mitaban
• Mitotane (Lysodren)
• Mitoxantrone (Novantrone)
• Montelukast Sodium (Singulair)
• Morphine (Duramorph, Oramorph)
• Motilium
• Moviprep
• Moxifloxacin (Vigamox)
• Mupirocin (Bactroban)
• Muro-128
• Mustargen
• Mycophenolate Mofetil (CellCept, Myfortic)
• Mydriacyl
• Myfortic
• Mylanta
• Myleran
• Mysoline

N

• Nalbuphine (Nubain)
• Naloxone (Narcan)
• Nandrolone (Deca Durabolin)
• Narcan
• Natamycin (Natacyn, Pimaricin)
• Naxcel
• Nebcin
• Neomycin (Neo-Fradin)
• Neo-Predef
• Neoral
• Neorecormon
• Neostigmine (Prostigmin)
• Neptazane
• Neupogen
• Neurontin
• Niacinamide (Vitamin B3)
• Nicergoline (Sermion)
• Nimbex
• Nitrofurantoin (Furadantin)
• Nitroglycerin (Nitrostat, Minitran)
• Nitroprusside (Nitropress)
• Nitrous Oxide (N2O)
• Nizatidine (Axid)
• Nizoral
• Norbet
• Norcuron
• Norditropion
• Norfloxacin (Noroxin)
• Norgalax
• Norimode
• Normosol
• Norocarp
• Novantrone
• Nubain
• Numelvi^*
• Numorphan
• Nystatin (Mycostatin, Nilstat)

O

• Oclacitinib (Apoquel)
• Octreotide (Sandostatin)
• Ocufen
• OcuFresh
• Ocusol- C
• Ofloxacin (Ocuflox, Floxin)
• Olsalazine (Dipentum)
• Omeprazole (Prilosec)
• Oncovin
• Ondansetron (Zofran)
• Onsior
• Optimmune
• Oramorph
• Orbax
• Orbifloxacin (Orbax)
• Orbifloxacin / Mometasone / Posaconazole (Posatex)
• Osaterone (Ypozane)
• Otomax
• Oxazepam (Serax)
• Oxecta
• Oxycodone (Roxicodone, Oxycontin, Oxecta)
• Oxycontin
• Oxyglobin
• Oxymetazoline (Afrazine, Afrin)
• Oxymorphone (Numorphan)
• Oxypolygelatin
• Oxytetracycline (Terramycin)
• Oxytocin (Pitocin)

P

• Palladia
• Palonosetron (Aloxi)
• Pamidronate (Aredia)
• Pancreazyme (Viokase, PancrePlus)
• Pancrelipase (Creon, Pancrex, Panzym)
• PancrePlus
• Pancrex
• Pancuronium (Pavulon)
• Pantoprazole (Protonix)
• Panzym
• Paraplatin
• Paroxetine (Pexeva, Paxil, Seroxat)
• Penicillamine (Cuprimine, Depen)
• Penicillin G
• Pentamidine (NebuPent)
• Pentazocine (Talwin)
• Pentobarbital (Nembutal)
• Pentosan (Elmiron, Cartrophen)
• Pentoxifylline (Trental, Pentoxil)
• Pepcid
• Pepto-Bismol
• Percorten-V
• Periactin
• Pethidine
• Pharmorubicin
• Phenergan
• Phenobarbitol (Luminal)
• Phenoxybenzamine (Dibenzyline)
• Phentolamine
• Phenylbutazone
• Phenylephrine (Dimetapp, Nasop, Sudafed, Sudogest)
• Phenylpropanolamine (PPA, Proin)
• Phenytoin (Dilantin, Phenytek)
• Pholcodine (DuroTuss)
• Phytomenadione (Mephyton, Konakion)
• Pilocarpine (Salagen)
• Pimaricin
• Pimobendan (Vetmedin)
• Piperacillin (Zosyn)
• Piperacillin / Tazobactam (Zosyn)
• Piroxicam (Feldene)
• Pitressin
• Plavix
• PLT
• PMSG
• Polyethylene Glycol (Macrogol, Klean-Prep, Moviprep)
• Polyflex
• Polymyxin B
• Polysulfated Glycosaminoglycan (Adequan / Chondroprotec, Ichon)
• Polyvinyl Alcohol (Murine, Refresh)
• Posatex
• Potassium
• Potassium Bromide (K-BroVet, KBr, Bromide)
• Potassium Citrate (Urocit-K)
• Potassium Gluconate (Renakare Gel, Tumil-K)
• Pradofloxacin (Veraflox)
• Pralidoxime (Protopam)
• Prazosin (Minipress)
• Prednisolone (Orapred, Omnipred, Millipred, Solu-cortef)
• Prednisone (Deltasone)
• Pregabalin (Lyrica)
• Previcox
• Priadel
• Primacor
• Primaxin
• Primidone (Mysoline)
• Procainamide (Pronestyl)
• Procarbazine (Matulane)
• Prochlorperazine (Buccastem)
• Progesterone
• Promethazine (Phenergan)
• Pronestyl
• Propalin
• Propantheline
• Proparacaine
• Propofol (Diprivan, Rapinovet)
• Propranolol (Inderal)
• Propylthiouracil
• Proscar
• Prostaglandin
• Prostigmin
• Prostin
• Protamine Zinc Insulin (PZI)
• Protirelin (Thyrel)
• Protopic
• Prozac
• Psyllium
• Pulmicort
• Pyrazinamide
• Pyridostigmine (Mestinon, Regonol)
• Pyridoxine (Vitamin B6)
• Pyrimethamine (Daraprim)

Q

• Questran
• Quinidine (Quin-G, Cardioquin, Quinora)

R

• Rabeprazole (Aciphex)
• Ramipril (Altace)
• Ranibizumab
• Ranitidine (Zantac)
• Rapifen
• Rapinovet
• Reclast
• Reconcile
• Reglan
• Regonol
• Relaxit
• Renagel
• Renakare Gel
• Renalzin
• Respit
• Retin-A
• Retrovir
• Riboflavin (Vitamin B2)
• Rifadin
• Rifampin (Rifadin, Rimactane)
• Rilexine
• Rimactane
• Rimadyl
• Rizaben
• Roaccutane
• Robaxin
• Robenacoxib (Onsior)
• Robinul
• Rocaltrol
• Rocuronium (Zemuron)
• Roferon-A
• Romazicon
• Rompun
• Rotenone (Goodwinol)
• Roxicodone

S

• S-Adenosylmethionine (Denosyl, SAMe, Zentonil)
• Salazopyrin
• Salbutamol
• SAMe
• Sandimmune
• Sandostatin
• Secnidazole
• Secobarbital (Seconal Sodium)
• Securon
• Selegiline (Anipryl, L-deprenyl)
• Sensorcaine
• Senvelgo^*
• Septra DS
• Seroxat
• Sertraline (Zoloft, Lustral)
• Sesoral
• Sevelamer (Renagel)
• SevoFlo
• Sevoflurane (SevoFlo)
• Sildenafil (Viagra)
• Sileo
• Silver Sulfadiazine (SSD, Silvadene, Thermazene)
• Simethicone (Gas-X, Mylanta)
• Simplicef
• Singulair
• SMZ-TMP
• Sochlor
• Sodium Chloride
• Sodium Chloride Ophthalmic (AK-NaCL, Muro-128, OcuFresh, Sochlor)
• Sodium Citrate (Micralax, Relaxit)
• Sodium Lauryl Sulphoacetate (Micolette)
• Solensia^*
• Soloxine
• Solu-cortef
• Solu-Medrol
• Somatropin (Genotropin, Norditropin, Humatrope)
• Sotalol (Betapace, Sorine)
• Soybean Oil (Intralipid)
• Spectrum Oral Immunotherapy
• Spironolactone (Aldactone)
• Sporanox
• Stanozolol (Winstrol)
• Staph Lysate
• Stemetil
• Streptomycin
• Sublimaze
• Succinylcholine (Anectine, Quelicin, Suxamethonium)
• Sucralfate (Antepsin, Carafate)
• Sulfadiazine
• Sulfadimethoxine (Albon, Di-Methox)
• Sulfadoxine Pyrimethamine (Fansidar)
• Sulfamethoxazole and Trimethoprim (SMZ-TMP, Bactrim, Bactrim DS, Septra DS)
• Sulfasalazine (Azulfidine, Salazopyrin)
• Surolan
• Suxamethonium
• Sylamarin
• Symmetrel
• Synalar

T

• Tacrolimus (Protopic)
• Tagamet
• Talwin
• Tamsulosin (Flomax)
• Tardak
• Taurine
• Telmisartan (Micardis)
• Temaril-P
• Tenormin
• Tepoxalin (Zubrin)
• Terbinafine (Lamisil)
• Terbutaline (Bricanyl)
• Tessalon
• Tessie (tasipimidine)^*
• Testosterone (Androgel, Fortesta, Testopel)
• Tetanus
• Tetracaine (TetraVisc)
• Theophylline (Theo-24, Theolair, Uniphyl)
• Thiamine (Vitamin B1)
• Thyrogen
• Thyrotropin (Thyrogen, TRH)
• Thyroxine (Synthroid)
• Ticarcillin (Ticar)
• Ticarcillin / Clavulanate (Timentin)
• Timentin
• Timolol (Blocadren, Timoptol, Tiopex)
• Timoptol
• Tinidazole
• Tobramycin (Nebcin, Tobrex)
• Toceranib (Palladia)
• Tolfedine
• Tolfenamic acid (Tolfedine)
• Topamax
• Topiramate (Topamax)
• Torbugesic
• Torbutrol
• Torsemide (Demadex)
• Tracrium
• Tramadol (Ultram, Ultracet)
• Tranexamic Acid
• Tranilast (Rizaben)
• Travoprost (Travatan)
• Trazodone (Oleptro)
• Trental
• Tretinoin (Atralin, Tretin-X, Refissa, Retin-A)
• TRH
• Triamcinolone (Kenalog)
• Tribrissen
• Trientine (Syprine)
• Trifluorothymidine (Viroptic)
• Trilostane (Vetoryl)
• Trimeprazine / Prednisone (Temaril P)
• Trimethoprim / Sulfadiazine (Tribrissen)
• Trocoxil
• Tromethamine (Tham)
• Tropicamide (Mydriacyl)
• Trusopt
• TSH
• Tumil-K
• Tums
• Tussigon
• Tylan
• Tylosin (Tylan)

U

• UDCA
• Ultracet
• Ultram
• Urdox
• Uroeze
• Ursodeoxycholic Acid (Urso, Actigall, Ursodiol, UDCA, Urdox)

V

• Valine
• Valium
• Valproate
• Varenzin-CA1^*
• Vasopressin (Argipressin, Pitressin)
• Vecuronium (Norcuron)
• Venlafazine
• Ventolin
• Veraflox
• Verapamil (Cordilox, Securon)
• Vetalar-V
• Vetasyl
• Vetmedin
• Vetoryl
• Viagra
• Vibramycin
• Vigamox
• Vinblastine (Velban)
• Vincristine (Oncovin)
• Viokase
• Viraferon
• Viroptic
• Vitamin B1
• Vitamin B-12
• Vitamin B2
• Vitamin B3
• Vitamin B5
• Vitamin B6
• Vitamin B Complex
• Vitamin K
• Voluven
• Voriconazole (VFEND)

W

• Walpole’s solution
• Waxsol
• Winstrol

X

• Xalatan
• Xanax
• Xylapan
• Xylazine (Rompun, Xylapan)

Y

• Ypozane

Z

• Zantac
• Zeniquin
• Zenrelia^*
• Zentonil
• Zidovudine (AZT, Retrovir)
• Zinacef
• Zithromax
• Zofran
• Zoledronic Acid (Zometa, Reclast)
• Zometa
• Zonegran
• Zonisamide (Zonegran)
• Zovirax
• Zubrin
• Zyloric
• Zyrtec
• Zyvox

* Medications marked with an asterisk were added to the formulary effective October 7, 2026. Claims processed prior to this date are not eligible for reconsideration based on these additions to the formulary.