Patient Information
Patient Name
First Name
Last Name
Phone Number
Date of Birth:
Social:
Last 4 of SS is acceptable
Carrier:
Please Select
United Healthcare
Humana
Cigna
Superior
Amerigroup
Wellcare
Patient Address:
Street Address
City
State
Zip Code
Insurance Information:
Member ID:
RxBIN:
RxPCN:
RxGRP:
Medications:
Medication 1:
Please Select
Acyclovir - Acyclovir
Adapalene - Differin
Albendazole - Albenza
Albuterol - ProAir HFA
Alendronate - Alendronate
Allopurinol - Allopurinol
Alprazolam - Alprazolam
Amitriptyline - Amitriptyline
Amlodipine - Amlodipine besylate
Amoxicillin - Amoxicillin
Amoxicillin/Clavulanate - Amoxicillin/pot. clav
Anastrozole - Arimidex
Aripiprazole - Abilify
Atazanavir - Reyataz
Atenolol - Atenolol
Atomoxetine - Strattera
Atorvastatin - Lipitor
Azelastine - Astelin
Azithromycin - Azithromycin
Baclofen - Baclofen
Benazepril - Benazepril
Benzonatate - Benzonatate
Benztropine - Benztropine
Bimatoprost Ophthalmic - Lumigan
Bisoprolol - Zebeta
Brimonidine - Alphagan P
Budesonide - Pulmicort Respules
Budesonide/Formoterol - Symbicort
Buprenorphine/Naloxone - Suboxone
Bupropion - Bupropion ER
Buspirone - Buspirone HCl
Candesartan - Atacand
Carbamazepine - Carbamazepine
Carbidopa/Levodopa - Carbidopa/levodopa
Carisoprodol - Carisoprodol
Carvedilol - Carvedilol
Cefdinir - Cefdinir
Cefuroxime - Cefuroxime axetil
Celecoxib - Celebrex
Cephalexin - Cephalexin
Cetirizine - Cetirizine
Chlorhexidine - Chlorhexidine gluconate
Chlorthalidone - Hygroton
Ciprofloxacin Oral - Ciprofloxacin HCl
Ciprofloxacin Otic - Ciprodex Otic
Citalopram - Citalopram HBR
Clarithromycin - Clarithromycin
Clindamycin Systemic - Clindamycin systemic
Clindamycin Topical - Clindamycin topical
Clobazam - Onfi
Clobetasol - Clobetasol
Clonazepam - Clonazepam
Clonidine - Clonidine
Clopidogrel - Plavix
Clotrimazole/Betamethasone - Clotrimazole/betameth.
Codeine - Tylenol with Codeine
Colchicine - Colchicine
Colesevelam - Welchol
Conjugated Estrogen - Premarin tabs
Cyanocobalamin - Cyanocobalamin
Cyclobenzaprine - Cyclobenzaprine
Cyclosporine Ophthalmic - Restasis
Dabigatran - Pradaxa
Darbepoetin - Aranesp
Darifenacin - Enablex
Desvenlafaxine - Pristiq
Dexamethasone - Dexamethasone oral
Dexlansoprazole - Dexilant
Dexmethylphenidate - Focalin XR
Diazepam - Diazepam
Diclofenac - Diclofenac sodium SR
Dicyclomine - Dicyclomine HCl
Digoxin - Digoxin
Diltiazem - Diltiazem
Diphenoxylate/Atropine - Diphenoxylate w/atropine
Diphtheria - In Various Combinations
Dipyridamole - Persantine
Divalproex - Divalproex sodium
Donepezil - Aricept
Doxazosin - Doxazosin
Doxepin - Doxepin
Doxycycline - Doxycycline
Duloxetine - Cymbalta
Dutasteride - Avodart
Efavirenz - Sustiva
Eletriptan - Relpax
Emtricitabine/Tenofovir - Truvada
Enalapril - Enalapril
Enoxaparin - Lovenox
Entecavir - Baraclude
Epinephrine - Epipen
Epoetin Alfa - Procrit
Escitalopram - Lexapro
Esomeprazole - Nexium
Estradiol Oral - Estradiol oral
Estradiol Transdermal Patch - Vivelle-DOT
Eszopiclone - Lunesta
Ethinyl Estradiol/Etonogestrel Ring - Nuvaring
Exenatide - Byetta
Ezetimibe - Zetia
Famotidine - Famotidine
Felodipine - Felodipine ER
Fenofibrate - Fenofibrate
Fentanyl Transdermal - Fentanyl transdermal
Fexofenadine - Fexofenadine
Fidaxomicin - Dificid
Finasteride - Finasteride
Fluconazole - Fluconazole
Fluocinonide - Fluocinonide
Fluoxetine - Fluoxetine
Fluticasone Nasal - Fluticasone nasal
Fluticasone Oral - Flovent HFA
Fluticasone/Salmeterol - Advair Diskus
Folic Acid - Folic acid
Fosinopril - Fosinopril sodium
Fubuxostat - Uloric
Furosemide - Furosemide oral
Gabapentin - Gabapentin
Gatifloxacin Ophthalmic - Zymar
Gemfibrozil - Gemfibrozil
Glimepiride - Glimepiride
Glipizide - Glipizide
Haemophilus Influenzae Type B - Pedvax HIB
Hepatitis A - Havrix
Hepatitis B - Recombivax HB; Engerix-B
Human Papillomavirus - Gardasil
Hydralazine - Hydralazine
Hydrochlorothiazide - Hydrochlorothiazide
Hydrocodone - Hydrocodone/APAP
Hydrocortisone Topical - Hydrocortisone top Rx
Hydroxychloroquine - Hydroxychloroquine
Hydroxyzine - Hydroxyzine
Ibandronate - Boniva
Ibuprofen - Ibuprofen
Imiquimod - Imiquimod
Indomethacin - Indomethacin
Influenza Inactivated - Fluzone
Influenza Live - Flumist
Insulin - Humulin N
Insulin Aspart - NovoLog
Insulin Detemir - Levemir
Insulin Glargine - Lantus
Insulin Lispro - Humalog
Ipratropium/Albuterol - Combivent
Irbesartan - Avapro
Isosorbide Mononitrate - Isosorbide mononitrate
Ketoconazole Topical - Ketoconazole topical
Labetalol - Labetalol
Lacosamide - Vimpat
Lamotrigine - Lamotrigine
Lansoprazole - Prevacid
Latanoprost - Xalatan
Levalbuterol - Xopenex HFA
Levetiracetam - Levetiracetam
Levocetirizine - Xyzal
Levofloxacin - Levaquin
Levothyroxine - Levothyroxine
Lidocaine - Lidoderm
Linagliptin - Tradjenta
Liraglutide - Victoza
Lisdexamfetamine - Vyvanse
Lisinopril - Lisinopril
Lithium carbonate - Lithium carbonate
Lorazepam - Lorazepam
Losartan - Cozaar
Loteprednol Ophthalmic - Lotemax
Lovastatin - Lovastatin
Lubiprostone - Amitiza
Maraviroc - Selzentry
Measles, Mumps and Rubella - MMR
Meclizine - Meclizine HCl
Medroxyprogesterone Oral - Medroxyprogesterone tab
Meloxicam - Meloxicam
Memantine - Namenda
Meningococcal (Conjugate and Polysaccharide) - Menactra, Menomune
Metaxalone - Skelaxin
Metformin - Metformin
Methadone - Methadone HCl non-inj
Methocarbamol - Methocarbamol
Methotrexate - Methotrexate
Methylphenidate - Methylphenidate
Methylprednisolone Oral - Methylprednisolone tabs
Metoclopramide - Metoclopramide
Metoprolol - Metoprolol succinate
Metronidazole - Metronidazole tabs
Minocycline - Minocycline
Mirtazapine - Mirtazapine
Modafinil - Provigil
Mometasone - Nasonex
Montelukast - Singulair
Morphine - Morphine sulfate ER
Moxifloxacin - Avelox
Moxifloxacin Ophthalmic - Vigamox
Mupirocin - Mupirocin
Naproxen - Naproxen
Nebivolol - Bystolic
Niacin - Niaspan
Nifedipine - Nifedipine ER
Nitazoxanide - Alinia
Nitrofurantoin - Nitrofurantoin mono mcr
Nitroglycerin - Nitroglycerin
Nortriptyline - Nortriptyline
Nystatin Systemic - Nystatin systemic
Nystatin Topical - Nystatin topical
Olanzapine - Zyprexa
Olmesartan - Benicar
Olopatadine - Patanol
Omega-3-Ethyl Esters - Lovaza
Omeprazole - Omeprazole
Ondansetron - Ondansetron
Oral Contraceptive - Biphasic - Oral Contraceptive
Oral Contraceptive - Monophasic - Oral Contraceptive
Oral Contraceptive - Triphasic - Oral Contraceptive
Oseltamivir - Tamiflu
Oxcarbazepine - Oxcarbazepine
Oxybutynin - Oxybutynin chloride
Oxycodone - OxyContin
Pantoprazole - Pantoprazole
Paroxetine - Paroxetine
Penicillin - Penicillin VK
Pentosan - Elmiron
Pertussis - In Various Combinations
Phenazopyridine - Phenazopyridine HCl
Phenobarbital - Phenobarbital
Phentermine - Phentermine
Phenytoin - Phenytoin sodium ext
Pioglitazone - Actos
Pneumococcal (Conjugate and Polysaccharide) - Prevnar 13, Pneumovax 23
Polio - IPOL
Polyethylene Glycol - Polyethylene glycol
Potassium Chloride - Klor-Con
Potassium Iodide - SSKI
Pramipexole - Mirapex
Prasugrel - Effient
Pravastatin - Pravastatin
Prednisolone Oral - Prednisolone sd phs oral
Prednisone - Prednisone oral
Pregabalin - Lyrica
Prenatal 1+1 - Prenatal 1+1
Prochlorperazine - Prochlorperazine maleate
Progesterone - Prometrium
Promethazine - Promethazine tabs
Propranolol - Propranolol HCl
Quetiapine - Seroquel
Quinapril - Quinapril
Rabeprazole - Aciphex
Raloxifene - Evista
Raltegravir - Insentress
Ramipril - Ramipril
Ranitidine - Ranitidine HCl
Ranolazine - Ranexa
Repaglinide - Prandin
Risedronate - Actonel
Risperidone - Risperidone
Rivaroxaban - Xarelto
Ropinirole - Ropinirole HCl
Rosiglitazone - Avandia
Rosuvistatin - Crestor
Rotavirus - RotaTeq
Saxagliptin - Onglyza
Sertraline - Sertraline
Sildenafil - Viagra
Simvastatin - Simvastatin
Sitagliptin - Januvia
Solifenacin - Vesicare
Spironolactone - Spironolactone
Sumatriptan - Sumatriptan oral
Tacrolimus - Tacrolimus
Tadalafil - Cialis
Tamsulosin - Flomax
Temazepam - Temazepam
Terazosin - Terazosin
Terbinafine - Terbinafine HCl
Testosterone - AndroGel
Tetanus - In Various Combinations
Thyroid - Thyroid, Armour
Tiotropium - Spiriva
Tizanidine - Tizanidine HCl
Tolterodine - Detrol LA
Tolvaptan - Samsca
Topiramate - Topiramate
Tramadol - Tramadol
Travoprost - Travatan Z
Trazodone - Trazodone HCl
Triamcinolone Nasal - Nasacort AQ
Triamcinolone Topical - Triamcinolone acet top
Triamterene/Hydrochlorothiazide - Triamterene w/HCTZ
Trimethoprim/Sulfamethoxazole - Trimethoprim/sulfa
Valacyclovir - Valtrex
Valsartan - Diovan
Vardenafil - Levitra
Varenicline - Chantix
Varicella - Varivax
Venlafaxine - Venlafaxine
Verapamil - Verapamil SR
Vilazodone - Viibryd
Warfarin - Warfarin
Ziprasidone - Geodon Oral
Zolpidem - Zolpidem tartrate
Zoster - Zostavax
Dosage 1:
Medication 2:
Please Select
Acyclovir - Acyclovir
Adapalene - Differin
Albendazole - Albenza
Albuterol - ProAir HFA
Alendronate - Alendronate
Allopurinol - Allopurinol
Alprazolam - Alprazolam
Amitriptyline - Amitriptyline
Amlodipine - Amlodipine besylate
Amoxicillin - Amoxicillin
Amoxicillin/Clavulanate - Amoxicillin/pot. clav
Anastrozole - Arimidex
Aripiprazole - Abilify
Atazanavir - Reyataz
Atenolol - Atenolol
Atomoxetine - Strattera
Atorvastatin - Lipitor
Azelastine - Astelin
Azithromycin - Azithromycin
Baclofen - Baclofen
Benazepril - Benazepril
Benzonatate - Benzonatate
Benztropine - Benztropine
Bimatoprost Ophthalmic - Lumigan
Bisoprolol - Zebeta
Brimonidine - Alphagan P
Budesonide - Pulmicort Respules
Budesonide/Formoterol - Symbicort
Buprenorphine/Naloxone - Suboxone
Bupropion - Bupropion ER
Buspirone - Buspirone HCl
Candesartan - Atacand
Carbamazepine - Carbamazepine
Carbidopa/Levodopa - Carbidopa/levodopa
Carisoprodol - Carisoprodol
Carvedilol - Carvedilol
Cefdinir - Cefdinir
Cefuroxime - Cefuroxime axetil
Celecoxib - Celebrex
Cephalexin - Cephalexin
Cetirizine - Cetirizine
Chlorhexidine - Chlorhexidine gluconate
Chlorthalidone - Hygroton
Ciprofloxacin Oral - Ciprofloxacin HCl
Ciprofloxacin Otic - Ciprodex Otic
Citalopram - Citalopram HBR
Clarithromycin - Clarithromycin
Clindamycin Systemic - Clindamycin systemic
Clindamycin Topical - Clindamycin topical
Clobazam - Onfi
Clobetasol - Clobetasol
Clonazepam - Clonazepam
Clonidine - Clonidine
Clopidogrel - Plavix
Clotrimazole/Betamethasone - Clotrimazole/betameth.
Codeine - Tylenol with Codeine
Colchicine - Colchicine
Colesevelam - Welchol
Conjugated Estrogen - Premarin tabs
Cyanocobalamin - Cyanocobalamin
Cyclobenzaprine - Cyclobenzaprine
Cyclosporine Ophthalmic - Restasis
Dabigatran - Pradaxa
Darbepoetin - Aranesp
Darifenacin - Enablex
Desvenlafaxine - Pristiq
Dexamethasone - Dexamethasone oral
Dexlansoprazole - Dexilant
Dexmethylphenidate - Focalin XR
Diazepam - Diazepam
Diclofenac - Diclofenac sodium SR
Dicyclomine - Dicyclomine HCl
Digoxin - Digoxin
Diltiazem - Diltiazem
Diphenoxylate/Atropine - Diphenoxylate w/atropine
Diphtheria - In Various Combinations
Dipyridamole - Persantine
Divalproex - Divalproex sodium
Donepezil - Aricept
Doxazosin - Doxazosin
Doxepin - Doxepin
Doxycycline - Doxycycline
Duloxetine - Cymbalta
Dutasteride - Avodart
Efavirenz - Sustiva
Eletriptan - Relpax
Emtricitabine/Tenofovir - Truvada
Enalapril - Enalapril
Enoxaparin - Lovenox
Entecavir - Baraclude
Epinephrine - Epipen
Epoetin Alfa - Procrit
Escitalopram - Lexapro
Esomeprazole - Nexium
Estradiol Oral - Estradiol oral
Estradiol Transdermal Patch - Vivelle-DOT
Eszopiclone - Lunesta
Ethinyl Estradiol/Etonogestrel Ring - Nuvaring
Exenatide - Byetta
Ezetimibe - Zetia
Famotidine - Famotidine
Felodipine - Felodipine ER
Fenofibrate - Fenofibrate
Fentanyl Transdermal - Fentanyl transdermal
Fexofenadine - Fexofenadine
Fidaxomicin - Dificid
Finasteride - Finasteride
Fluconazole - Fluconazole
Fluocinonide - Fluocinonide
Fluoxetine - Fluoxetine
Fluticasone Nasal - Fluticasone nasal
Fluticasone Oral - Flovent HFA
Fluticasone/Salmeterol - Advair Diskus
Folic Acid - Folic acid
Fosinopril - Fosinopril sodium
Fubuxostat - Uloric
Furosemide - Furosemide oral
Gabapentin - Gabapentin
Gatifloxacin Ophthalmic - Zymar
Gemfibrozil - Gemfibrozil
Glimepiride - Glimepiride
Glipizide - Glipizide
Haemophilus Influenzae Type B - Pedvax HIB
Hepatitis A - Havrix
Hepatitis B - Recombivax HB; Engerix-B
Human Papillomavirus - Gardasil
Hydralazine - Hydralazine
Hydrochlorothiazide - Hydrochlorothiazide
Hydrocodone - Hydrocodone/APAP
Hydrocortisone Topical - Hydrocortisone top Rx
Hydroxychloroquine - Hydroxychloroquine
Hydroxyzine - Hydroxyzine
Ibandronate - Boniva
Ibuprofen - Ibuprofen
Imiquimod - Imiquimod
Indomethacin - Indomethacin
Influenza Inactivated - Fluzone
Influenza Live - Flumist
Insulin - Humulin N
Insulin Aspart - NovoLog
Insulin Detemir - Levemir
Insulin Glargine - Lantus
Insulin Lispro - Humalog
Ipratropium/Albuterol - Combivent
Irbesartan - Avapro
Isosorbide Mononitrate - Isosorbide mononitrate
Ketoconazole Topical - Ketoconazole topical
Labetalol - Labetalol
Lacosamide - Vimpat
Lamotrigine - Lamotrigine
Lansoprazole - Prevacid
Latanoprost - Xalatan
Levalbuterol - Xopenex HFA
Levetiracetam - Levetiracetam
Levocetirizine - Xyzal
Levofloxacin - Levaquin
Levothyroxine - Levothyroxine
Lidocaine - Lidoderm
Linagliptin - Tradjenta
Liraglutide - Victoza
Lisdexamfetamine - Vyvanse
Lisinopril - Lisinopril
Lithium carbonate - Lithium carbonate
Lorazepam - Lorazepam
Losartan - Cozaar
Loteprednol Ophthalmic - Lotemax
Lovastatin - Lovastatin
Lubiprostone - Amitiza
Maraviroc - Selzentry
Measles, Mumps and Rubella - MMR
Meclizine - Meclizine HCl
Medroxyprogesterone Oral - Medroxyprogesterone tab
Meloxicam - Meloxicam
Memantine - Namenda
Meningococcal (Conjugate and Polysaccharide) - Menactra, Menomune
Metaxalone - Skelaxin
Metformin - Metformin
Methadone - Methadone HCl non-inj
Methocarbamol - Methocarbamol
Methotrexate - Methotrexate
Methylphenidate - Methylphenidate
Methylprednisolone Oral - Methylprednisolone tabs
Metoclopramide - Metoclopramide
Metoprolol - Metoprolol succinate
Metronidazole - Metronidazole tabs
Minocycline - Minocycline
Mirtazapine - Mirtazapine
Modafinil - Provigil
Mometasone - Nasonex
Montelukast - Singulair
Morphine - Morphine sulfate ER
Moxifloxacin - Avelox
Moxifloxacin Ophthalmic - Vigamox
Mupirocin - Mupirocin
Naproxen - Naproxen
Nebivolol - Bystolic
Niacin - Niaspan
Nifedipine - Nifedipine ER
Nitazoxanide - Alinia
Nitrofurantoin - Nitrofurantoin mono mcr
Nitroglycerin - Nitroglycerin
Nortriptyline - Nortriptyline
Nystatin Systemic - Nystatin systemic
Nystatin Topical - Nystatin topical
Olanzapine - Zyprexa
Olmesartan - Benicar
Olopatadine - Patanol
Omega-3-Ethyl Esters - Lovaza
Omeprazole - Omeprazole
Ondansetron - Ondansetron
Oral Contraceptive - Biphasic - Oral Contraceptive
Oral Contraceptive - Monophasic - Oral Contraceptive
Oral Contraceptive - Triphasic - Oral Contraceptive
Oseltamivir - Tamiflu
Oxcarbazepine - Oxcarbazepine
Oxybutynin - Oxybutynin chloride
Oxycodone - OxyContin
Pantoprazole - Pantoprazole
Paroxetine - Paroxetine
Penicillin - Penicillin VK
Pentosan - Elmiron
Pertussis - In Various Combinations
Phenazopyridine - Phenazopyridine HCl
Phenobarbital - Phenobarbital
Phentermine - Phentermine
Phenytoin - Phenytoin sodium ext
Pioglitazone - Actos
Pneumococcal (Conjugate and Polysaccharide) - Prevnar 13, Pneumovax 23
Polio - IPOL
Polyethylene Glycol - Polyethylene glycol
Potassium Chloride - Klor-Con
Potassium Iodide - SSKI
Pramipexole - Mirapex
Prasugrel - Effient
Pravastatin - Pravastatin
Prednisolone Oral - Prednisolone sd phs oral
Prednisone - Prednisone oral
Pregabalin - Lyrica
Prenatal 1+1 - Prenatal 1+1
Prochlorperazine - Prochlorperazine maleate
Progesterone - Prometrium
Promethazine - Promethazine tabs
Propranolol - Propranolol HCl
Quetiapine - Seroquel
Quinapril - Quinapril
Rabeprazole - Aciphex
Raloxifene - Evista
Raltegravir - Insentress
Ramipril - Ramipril
Ranitidine - Ranitidine HCl
Ranolazine - Ranexa
Repaglinide - Prandin
Risedronate - Actonel
Risperidone - Risperidone
Rivaroxaban - Xarelto
Ropinirole - Ropinirole HCl
Rosiglitazone - Avandia
Rosuvistatin - Crestor
Rotavirus - RotaTeq
Saxagliptin - Onglyza
Sertraline - Sertraline
Sildenafil - Viagra
Simvastatin - Simvastatin
Sitagliptin - Januvia
Solifenacin - Vesicare
Spironolactone - Spironolactone
Sumatriptan - Sumatriptan oral
Tacrolimus - Tacrolimus
Tadalafil - Cialis
Tamsulosin - Flomax
Temazepam - Temazepam
Terazosin - Terazosin
Terbinafine - Terbinafine HCl
Testosterone - AndroGel
Tetanus - In Various Combinations
Thyroid - Thyroid, Armour
Tiotropium - Spiriva
Tizanidine - Tizanidine HCl
Tolterodine - Detrol LA
Tolvaptan - Samsca
Topiramate - Topiramate
Tramadol - Tramadol
Travoprost - Travatan Z
Trazodone - Trazodone HCl
Triamcinolone Nasal - Nasacort AQ
Triamcinolone Topical - Triamcinolone acet top
Triamterene/Hydrochlorothiazide - Triamterene w/HCTZ
Trimethoprim/Sulfamethoxazole - Trimethoprim/sulfa
Valacyclovir - Valtrex
Valsartan - Diovan
Vardenafil - Levitra
Varenicline - Chantix
Varicella - Varivax
Venlafaxine - Venlafaxine
Verapamil - Verapamil SR
Vilazodone - Viibryd
Warfarin - Warfarin
Ziprasidone - Geodon Oral
Zolpidem - Zolpidem tartrate
Zoster - Zostavax
Dosage 2:
Medication:
Please Select
Acyclovir - Acyclovir
Adapalene - Differin
Albendazole - Albenza
Albuterol - ProAir HFA
Alendronate - Alendronate
Allopurinol - Allopurinol
Alprazolam - Alprazolam
Amitriptyline - Amitriptyline
Amlodipine - Amlodipine besylate
Amoxicillin - Amoxicillin
Amoxicillin/Clavulanate - Amoxicillin/pot. clav
Anastrozole - Arimidex
Aripiprazole - Abilify
Atazanavir - Reyataz
Atenolol - Atenolol
Atomoxetine - Strattera
Atorvastatin - Lipitor
Azelastine - Astelin
Azithromycin - Azithromycin
Baclofen - Baclofen
Benazepril - Benazepril
Benzonatate - Benzonatate
Benztropine - Benztropine
Bimatoprost Ophthalmic - Lumigan
Bisoprolol - Zebeta
Brimonidine - Alphagan P
Budesonide - Pulmicort Respules
Budesonide/Formoterol - Symbicort
Buprenorphine/Naloxone - Suboxone
Bupropion - Bupropion ER
Buspirone - Buspirone HCl
Candesartan - Atacand
Carbamazepine - Carbamazepine
Carbidopa/Levodopa - Carbidopa/levodopa
Carisoprodol - Carisoprodol
Carvedilol - Carvedilol
Cefdinir - Cefdinir
Cefuroxime - Cefuroxime axetil
Celecoxib - Celebrex
Cephalexin - Cephalexin
Cetirizine - Cetirizine
Chlorhexidine - Chlorhexidine gluconate
Chlorthalidone - Hygroton
Ciprofloxacin Oral - Ciprofloxacin HCl
Ciprofloxacin Otic - Ciprodex Otic
Citalopram - Citalopram HBR
Clarithromycin - Clarithromycin
Clindamycin Systemic - Clindamycin systemic
Clindamycin Topical - Clindamycin topical
Clobazam - Onfi
Clobetasol - Clobetasol
Clonazepam - Clonazepam
Clonidine - Clonidine
Clopidogrel - Plavix
Clotrimazole/Betamethasone - Clotrimazole/betameth.
Codeine - Tylenol with Codeine
Colchicine - Colchicine
Colesevelam - Welchol
Conjugated Estrogen - Premarin tabs
Cyanocobalamin - Cyanocobalamin
Cyclobenzaprine - Cyclobenzaprine
Cyclosporine Ophthalmic - Restasis
Dabigatran - Pradaxa
Darbepoetin - Aranesp
Darifenacin - Enablex
Desvenlafaxine - Pristiq
Dexamethasone - Dexamethasone oral
Dexlansoprazole - Dexilant
Dexmethylphenidate - Focalin XR
Diazepam - Diazepam
Diclofenac - Diclofenac sodium SR
Dicyclomine - Dicyclomine HCl
Digoxin - Digoxin
Diltiazem - Diltiazem
Diphenoxylate/Atropine - Diphenoxylate w/atropine
Diphtheria - In Various Combinations
Dipyridamole - Persantine
Divalproex - Divalproex sodium
Donepezil - Aricept
Doxazosin - Doxazosin
Doxepin - Doxepin
Doxycycline - Doxycycline
Duloxetine - Cymbalta
Dutasteride - Avodart
Efavirenz - Sustiva
Eletriptan - Relpax
Emtricitabine/Tenofovir - Truvada
Enalapril - Enalapril
Enoxaparin - Lovenox
Entecavir - Baraclude
Epinephrine - Epipen
Epoetin Alfa - Procrit
Escitalopram - Lexapro
Esomeprazole - Nexium
Estradiol Oral - Estradiol oral
Estradiol Transdermal Patch - Vivelle-DOT
Eszopiclone - Lunesta
Ethinyl Estradiol/Etonogestrel Ring - Nuvaring
Exenatide - Byetta
Ezetimibe - Zetia
Famotidine - Famotidine
Felodipine - Felodipine ER
Fenofibrate - Fenofibrate
Fentanyl Transdermal - Fentanyl transdermal
Fexofenadine - Fexofenadine
Fidaxomicin - Dificid
Finasteride - Finasteride
Fluconazole - Fluconazole
Fluocinonide - Fluocinonide
Fluoxetine - Fluoxetine
Fluticasone Nasal - Fluticasone nasal
Fluticasone Oral - Flovent HFA
Fluticasone/Salmeterol - Advair Diskus
Folic Acid - Folic acid
Fosinopril - Fosinopril sodium
Fubuxostat - Uloric
Furosemide - Furosemide oral
Gabapentin - Gabapentin
Gatifloxacin Ophthalmic - Zymar
Gemfibrozil - Gemfibrozil
Glimepiride - Glimepiride
Glipizide - Glipizide
Haemophilus Influenzae Type B - Pedvax HIB
Hepatitis A - Havrix
Hepatitis B - Recombivax HB; Engerix-B
Human Papillomavirus - Gardasil
Hydralazine - Hydralazine
Hydrochlorothiazide - Hydrochlorothiazide
Hydrocodone - Hydrocodone/APAP
Hydrocortisone Topical - Hydrocortisone top Rx
Hydroxychloroquine - Hydroxychloroquine
Hydroxyzine - Hydroxyzine
Ibandronate - Boniva
Ibuprofen - Ibuprofen
Imiquimod - Imiquimod
Indomethacin - Indomethacin
Influenza Inactivated - Fluzone
Influenza Live - Flumist
Insulin - Humulin N
Insulin Aspart - NovoLog
Insulin Detemir - Levemir
Insulin Glargine - Lantus
Insulin Lispro - Humalog
Ipratropium/Albuterol - Combivent
Irbesartan - Avapro
Isosorbide Mononitrate - Isosorbide mononitrate
Ketoconazole Topical - Ketoconazole topical
Labetalol - Labetalol
Lacosamide - Vimpat
Lamotrigine - Lamotrigine
Lansoprazole - Prevacid
Latanoprost - Xalatan
Levalbuterol - Xopenex HFA
Levetiracetam - Levetiracetam
Levocetirizine - Xyzal
Levofloxacin - Levaquin
Levothyroxine - Levothyroxine
Lidocaine - Lidoderm
Linagliptin - Tradjenta
Liraglutide - Victoza
Lisdexamfetamine - Vyvanse
Lisinopril - Lisinopril
Lithium carbonate - Lithium carbonate
Lorazepam - Lorazepam
Losartan - Cozaar
Loteprednol Ophthalmic - Lotemax
Lovastatin - Lovastatin
Lubiprostone - Amitiza
Maraviroc - Selzentry
Measles, Mumps and Rubella - MMR
Meclizine - Meclizine HCl
Medroxyprogesterone Oral - Medroxyprogesterone tab
Meloxicam - Meloxicam
Memantine - Namenda
Meningococcal (Conjugate and Polysaccharide) - Menactra, Menomune
Metaxalone - Skelaxin
Metformin - Metformin
Methadone - Methadone HCl non-inj
Methocarbamol - Methocarbamol
Methotrexate - Methotrexate
Methylphenidate - Methylphenidate
Methylprednisolone Oral - Methylprednisolone tabs
Metoclopramide - Metoclopramide
Metoprolol - Metoprolol succinate
Metronidazole - Metronidazole tabs
Minocycline - Minocycline
Mirtazapine - Mirtazapine
Modafinil - Provigil
Mometasone - Nasonex
Montelukast - Singulair
Morphine - Morphine sulfate ER
Moxifloxacin - Avelox
Moxifloxacin Ophthalmic - Vigamox
Mupirocin - Mupirocin
Naproxen - Naproxen
Nebivolol - Bystolic
Niacin - Niaspan
Nifedipine - Nifedipine ER
Nitazoxanide - Alinia
Nitrofurantoin - Nitrofurantoin mono mcr
Nitroglycerin - Nitroglycerin
Nortriptyline - Nortriptyline
Nystatin Systemic - Nystatin systemic
Nystatin Topical - Nystatin topical
Olanzapine - Zyprexa
Olmesartan - Benicar
Olopatadine - Patanol
Omega-3-Ethyl Esters - Lovaza
Omeprazole - Omeprazole
Ondansetron - Ondansetron
Oral Contraceptive - Biphasic - Oral Contraceptive
Oral Contraceptive - Monophasic - Oral Contraceptive
Oral Contraceptive - Triphasic - Oral Contraceptive
Oseltamivir - Tamiflu
Oxcarbazepine - Oxcarbazepine
Oxybutynin - Oxybutynin chloride
Oxycodone - OxyContin
Pantoprazole - Pantoprazole
Paroxetine - Paroxetine
Penicillin - Penicillin VK
Pentosan - Elmiron
Pertussis - In Various Combinations
Phenazopyridine - Phenazopyridine HCl
Phenobarbital - Phenobarbital
Phentermine - Phentermine
Phenytoin - Phenytoin sodium ext
Pioglitazone - Actos
Pneumococcal (Conjugate and Polysaccharide) - Prevnar 13, Pneumovax 23
Polio - IPOL
Polyethylene Glycol - Polyethylene glycol
Potassium Chloride - Klor-Con
Potassium Iodide - SSKI
Pramipexole - Mirapex
Prasugrel - Effient
Pravastatin - Pravastatin
Prednisolone Oral - Prednisolone sd phs oral
Prednisone - Prednisone oral
Pregabalin - Lyrica
Prenatal 1+1 - Prenatal 1+1
Prochlorperazine - Prochlorperazine maleate
Progesterone - Prometrium
Promethazine - Promethazine tabs
Propranolol - Propranolol HCl
Quetiapine - Seroquel
Quinapril - Quinapril
Rabeprazole - Aciphex
Raloxifene - Evista
Raltegravir - Insentress
Ramipril - Ramipril
Ranitidine - Ranitidine HCl
Ranolazine - Ranexa
Repaglinide - Prandin
Risedronate - Actonel
Risperidone - Risperidone
Rivaroxaban - Xarelto
Ropinirole - Ropinirole HCl
Rosiglitazone - Avandia
Rosuvistatin - Crestor
Rotavirus - RotaTeq
Saxagliptin - Onglyza
Sertraline - Sertraline
Sildenafil - Viagra
Simvastatin - Simvastatin
Sitagliptin - Januvia
Solifenacin - Vesicare
Spironolactone - Spironolactone
Sumatriptan - Sumatriptan oral
Tacrolimus - Tacrolimus
Tadalafil - Cialis
Tamsulosin - Flomax
Temazepam - Temazepam
Terazosin - Terazosin
Terbinafine - Terbinafine HCl
Testosterone - AndroGel
Tetanus - In Various Combinations
Thyroid - Thyroid, Armour
Tiotropium - Spiriva
Tizanidine - Tizanidine HCl
Tolterodine - Detrol LA
Tolvaptan - Samsca
Topiramate - Topiramate
Tramadol - Tramadol
Travoprost - Travatan Z
Trazodone - Trazodone HCl
Triamcinolone Nasal - Nasacort AQ
Triamcinolone Topical - Triamcinolone acet top
Triamterene/Hydrochlorothiazide - Triamterene w/HCTZ
Trimethoprim/Sulfamethoxazole - Trimethoprim/sulfa
Valacyclovir - Valtrex
Valsartan - Diovan
Vardenafil - Levitra
Varenicline - Chantix
Varicella - Varivax
Venlafaxine - Venlafaxine
Verapamil - Verapamil SR
Vilazodone - Viibryd
Warfarin - Warfarin
Ziprasidone - Geodon Oral
Zolpidem - Zolpidem tartrate
Zoster - Zostavax
Dosage:
Medication:
Please Select
Acyclovir - Acyclovir
Adapalene - Differin
Albendazole - Albenza
Albuterol - ProAir HFA
Alendronate - Alendronate
Allopurinol - Allopurinol
Alprazolam - Alprazolam
Amitriptyline - Amitriptyline
Amlodipine - Amlodipine besylate
Amoxicillin - Amoxicillin
Amoxicillin/Clavulanate - Amoxicillin/pot. clav
Anastrozole - Arimidex
Aripiprazole - Abilify
Atazanavir - Reyataz
Atenolol - Atenolol
Atomoxetine - Strattera
Atorvastatin - Lipitor
Azelastine - Astelin
Azithromycin - Azithromycin
Baclofen - Baclofen
Benazepril - Benazepril
Benzonatate - Benzonatate
Benztropine - Benztropine
Bimatoprost Ophthalmic - Lumigan
Bisoprolol - Zebeta
Brimonidine - Alphagan P
Budesonide - Pulmicort Respules
Budesonide/Formoterol - Symbicort
Buprenorphine/Naloxone - Suboxone
Bupropion - Bupropion ER
Buspirone - Buspirone HCl
Candesartan - Atacand
Carbamazepine - Carbamazepine
Carbidopa/Levodopa - Carbidopa/levodopa
Carisoprodol - Carisoprodol
Carvedilol - Carvedilol
Cefdinir - Cefdinir
Cefuroxime - Cefuroxime axetil
Celecoxib - Celebrex
Cephalexin - Cephalexin
Cetirizine - Cetirizine
Chlorhexidine - Chlorhexidine gluconate
Chlorthalidone - Hygroton
Ciprofloxacin Oral - Ciprofloxacin HCl
Ciprofloxacin Otic - Ciprodex Otic
Citalopram - Citalopram HBR
Clarithromycin - Clarithromycin
Clindamycin Systemic - Clindamycin systemic
Clindamycin Topical - Clindamycin topical
Clobazam - Onfi
Clobetasol - Clobetasol
Clonazepam - Clonazepam
Clonidine - Clonidine
Clopidogrel - Plavix
Clotrimazole/Betamethasone - Clotrimazole/betameth.
Codeine - Tylenol with Codeine
Colchicine - Colchicine
Colesevelam - Welchol
Conjugated Estrogen - Premarin tabs
Cyanocobalamin - Cyanocobalamin
Cyclobenzaprine - Cyclobenzaprine
Cyclosporine Ophthalmic - Restasis
Dabigatran - Pradaxa
Darbepoetin - Aranesp
Darifenacin - Enablex
Desvenlafaxine - Pristiq
Dexamethasone - Dexamethasone oral
Dexlansoprazole - Dexilant
Dexmethylphenidate - Focalin XR
Diazepam - Diazepam
Diclofenac - Diclofenac sodium SR
Dicyclomine - Dicyclomine HCl
Digoxin - Digoxin
Diltiazem - Diltiazem
Diphenoxylate/Atropine - Diphenoxylate w/atropine
Diphtheria - In Various Combinations
Dipyridamole - Persantine
Divalproex - Divalproex sodium
Donepezil - Aricept
Doxazosin - Doxazosin
Doxepin - Doxepin
Doxycycline - Doxycycline
Duloxetine - Cymbalta
Dutasteride - Avodart
Efavirenz - Sustiva
Eletriptan - Relpax
Emtricitabine/Tenofovir - Truvada
Enalapril - Enalapril
Enoxaparin - Lovenox
Entecavir - Baraclude
Epinephrine - Epipen
Epoetin Alfa - Procrit
Escitalopram - Lexapro
Esomeprazole - Nexium
Estradiol Oral - Estradiol oral
Estradiol Transdermal Patch - Vivelle-DOT
Eszopiclone - Lunesta
Ethinyl Estradiol/Etonogestrel Ring - Nuvaring
Exenatide - Byetta
Ezetimibe - Zetia
Famotidine - Famotidine
Felodipine - Felodipine ER
Fenofibrate - Fenofibrate
Fentanyl Transdermal - Fentanyl transdermal
Fexofenadine - Fexofenadine
Fidaxomicin - Dificid
Finasteride - Finasteride
Fluconazole - Fluconazole
Fluocinonide - Fluocinonide
Fluoxetine - Fluoxetine
Fluticasone Nasal - Fluticasone nasal
Fluticasone Oral - Flovent HFA
Fluticasone/Salmeterol - Advair Diskus
Folic Acid - Folic acid
Fosinopril - Fosinopril sodium
Fubuxostat - Uloric
Furosemide - Furosemide oral
Gabapentin - Gabapentin
Gatifloxacin Ophthalmic - Zymar
Gemfibrozil - Gemfibrozil
Glimepiride - Glimepiride
Glipizide - Glipizide
Haemophilus Influenzae Type B - Pedvax HIB
Hepatitis A - Havrix
Hepatitis B - Recombivax HB; Engerix-B
Human Papillomavirus - Gardasil
Hydralazine - Hydralazine
Hydrochlorothiazide - Hydrochlorothiazide
Hydrocodone - Hydrocodone/APAP
Hydrocortisone Topical - Hydrocortisone top Rx
Hydroxychloroquine - Hydroxychloroquine
Hydroxyzine - Hydroxyzine
Ibandronate - Boniva
Ibuprofen - Ibuprofen
Imiquimod - Imiquimod
Indomethacin - Indomethacin
Influenza Inactivated - Fluzone
Influenza Live - Flumist
Insulin - Humulin N
Insulin Aspart - NovoLog
Insulin Detemir - Levemir
Insulin Glargine - Lantus
Insulin Lispro - Humalog
Ipratropium/Albuterol - Combivent
Irbesartan - Avapro
Isosorbide Mononitrate - Isosorbide mononitrate
Ketoconazole Topical - Ketoconazole topical
Labetalol - Labetalol
Lacosamide - Vimpat
Lamotrigine - Lamotrigine
Lansoprazole - Prevacid
Latanoprost - Xalatan
Levalbuterol - Xopenex HFA
Levetiracetam - Levetiracetam
Levocetirizine - Xyzal
Levofloxacin - Levaquin
Levothyroxine - Levothyroxine
Lidocaine - Lidoderm
Linagliptin - Tradjenta
Liraglutide - Victoza
Lisdexamfetamine - Vyvanse
Lisinopril - Lisinopril
Lithium carbonate - Lithium carbonate
Lorazepam - Lorazepam
Losartan - Cozaar
Loteprednol Ophthalmic - Lotemax
Lovastatin - Lovastatin
Lubiprostone - Amitiza
Maraviroc - Selzentry
Measles, Mumps and Rubella - MMR
Meclizine - Meclizine HCl
Medroxyprogesterone Oral - Medroxyprogesterone tab
Meloxicam - Meloxicam
Memantine - Namenda
Meningococcal (Conjugate and Polysaccharide) - Menactra, Menomune
Metaxalone - Skelaxin
Metformin - Metformin
Methadone - Methadone HCl non-inj
Methocarbamol - Methocarbamol
Methotrexate - Methotrexate
Methylphenidate - Methylphenidate
Methylprednisolone Oral - Methylprednisolone tabs
Metoclopramide - Metoclopramide
Metoprolol - Metoprolol succinate
Metronidazole - Metronidazole tabs
Minocycline - Minocycline
Mirtazapine - Mirtazapine
Modafinil - Provigil
Mometasone - Nasonex
Montelukast - Singulair
Morphine - Morphine sulfate ER
Moxifloxacin - Avelox
Moxifloxacin Ophthalmic - Vigamox
Mupirocin - Mupirocin
Naproxen - Naproxen
Nebivolol - Bystolic
Niacin - Niaspan
Nifedipine - Nifedipine ER
Nitazoxanide - Alinia
Nitrofurantoin - Nitrofurantoin mono mcr
Nitroglycerin - Nitroglycerin
Nortriptyline - Nortriptyline
Nystatin Systemic - Nystatin systemic
Nystatin Topical - Nystatin topical
Olanzapine - Zyprexa
Olmesartan - Benicar
Olopatadine - Patanol
Omega-3-Ethyl Esters - Lovaza
Omeprazole - Omeprazole
Ondansetron - Ondansetron
Oral Contraceptive - Biphasic - Oral Contraceptive
Oral Contraceptive - Monophasic - Oral Contraceptive
Oral Contraceptive - Triphasic - Oral Contraceptive
Oseltamivir - Tamiflu
Oxcarbazepine - Oxcarbazepine
Oxybutynin - Oxybutynin chloride
Oxycodone - OxyContin
Pantoprazole - Pantoprazole
Paroxetine - Paroxetine
Penicillin - Penicillin VK
Pentosan - Elmiron
Pertussis - In Various Combinations
Phenazopyridine - Phenazopyridine HCl
Phenobarbital - Phenobarbital
Phentermine - Phentermine
Phenytoin - Phenytoin sodium ext
Pioglitazone - Actos
Pneumococcal (Conjugate and Polysaccharide) - Prevnar 13, Pneumovax 23
Polio - IPOL
Polyethylene Glycol - Polyethylene glycol
Potassium Chloride - Klor-Con
Potassium Iodide - SSKI
Pramipexole - Mirapex
Prasugrel - Effient
Pravastatin - Pravastatin
Prednisolone Oral - Prednisolone sd phs oral
Prednisone - Prednisone oral
Pregabalin - Lyrica
Prenatal 1+1 - Prenatal 1+1
Prochlorperazine - Prochlorperazine maleate
Progesterone - Prometrium
Promethazine - Promethazine tabs
Propranolol - Propranolol HCl
Quetiapine - Seroquel
Quinapril - Quinapril
Rabeprazole - Aciphex
Raloxifene - Evista
Raltegravir - Insentress
Ramipril - Ramipril
Ranitidine - Ranitidine HCl
Ranolazine - Ranexa
Repaglinide - Prandin
Risedronate - Actonel
Risperidone - Risperidone
Rivaroxaban - Xarelto
Ropinirole - Ropinirole HCl
Rosiglitazone - Avandia
Rosuvistatin - Crestor
Rotavirus - RotaTeq
Saxagliptin - Onglyza
Sertraline - Sertraline
Sildenafil - Viagra
Simvastatin - Simvastatin
Sitagliptin - Januvia
Solifenacin - Vesicare
Spironolactone - Spironolactone
Sumatriptan - Sumatriptan oral
Tacrolimus - Tacrolimus
Tadalafil - Cialis
Tamsulosin - Flomax
Temazepam - Temazepam
Terazosin - Terazosin
Terbinafine - Terbinafine HCl
Testosterone - AndroGel
Tetanus - In Various Combinations
Thyroid - Thyroid, Armour
Tiotropium - Spiriva
Tizanidine - Tizanidine HCl
Tolterodine - Detrol LA
Tolvaptan - Samsca
Topiramate - Topiramate
Tramadol - Tramadol
Travoprost - Travatan Z
Trazodone - Trazodone HCl
Triamcinolone Nasal - Nasacort AQ
Triamcinolone Topical - Triamcinolone acet top
Triamterene/Hydrochlorothiazide - Triamterene w/HCTZ
Trimethoprim/Sulfamethoxazole - Trimethoprim/sulfa
Valacyclovir - Valtrex
Valsartan - Diovan
Vardenafil - Levitra
Varenicline - Chantix
Varicella - Varivax
Venlafaxine - Venlafaxine
Verapamil - Verapamil SR
Vilazodone - Viibryd
Warfarin - Warfarin
Ziprasidone - Geodon Oral
Zolpidem - Zolpidem tartrate
Zoster - Zostavax
Dosage:
Medication:
Please Select
Acyclovir - Acyclovir
Adapalene - Differin
Albendazole - Albenza
Albuterol - ProAir HFA
Alendronate - Alendronate
Allopurinol - Allopurinol
Alprazolam - Alprazolam
Amitriptyline - Amitriptyline
Amlodipine - Amlodipine besylate
Amoxicillin - Amoxicillin
Amoxicillin/Clavulanate - Amoxicillin/pot. clav
Anastrozole - Arimidex
Aripiprazole - Abilify
Atazanavir - Reyataz
Atenolol - Atenolol
Atomoxetine - Strattera
Atorvastatin - Lipitor
Azelastine - Astelin
Azithromycin - Azithromycin
Baclofen - Baclofen
Benazepril - Benazepril
Benzonatate - Benzonatate
Benztropine - Benztropine
Bimatoprost Ophthalmic - Lumigan
Bisoprolol - Zebeta
Brimonidine - Alphagan P
Budesonide - Pulmicort Respules
Budesonide/Formoterol - Symbicort
Buprenorphine/Naloxone - Suboxone
Bupropion - Bupropion ER
Buspirone - Buspirone HCl
Candesartan - Atacand
Carbamazepine - Carbamazepine
Carbidopa/Levodopa - Carbidopa/levodopa
Carisoprodol - Carisoprodol
Carvedilol - Carvedilol
Cefdinir - Cefdinir
Cefuroxime - Cefuroxime axetil
Celecoxib - Celebrex
Cephalexin - Cephalexin
Cetirizine - Cetirizine
Chlorhexidine - Chlorhexidine gluconate
Chlorthalidone - Hygroton
Ciprofloxacin Oral - Ciprofloxacin HCl
Ciprofloxacin Otic - Ciprodex Otic
Citalopram - Citalopram HBR
Clarithromycin - Clarithromycin
Clindamycin Systemic - Clindamycin systemic
Clindamycin Topical - Clindamycin topical
Clobazam - Onfi
Clobetasol - Clobetasol
Clonazepam - Clonazepam
Clonidine - Clonidine
Clopidogrel - Plavix
Clotrimazole/Betamethasone - Clotrimazole/betameth.
Codeine - Tylenol with Codeine
Colchicine - Colchicine
Colesevelam - Welchol
Conjugated Estrogen - Premarin tabs
Cyanocobalamin - Cyanocobalamin
Cyclobenzaprine - Cyclobenzaprine
Cyclosporine Ophthalmic - Restasis
Dabigatran - Pradaxa
Darbepoetin - Aranesp
Darifenacin - Enablex
Desvenlafaxine - Pristiq
Dexamethasone - Dexamethasone oral
Dexlansoprazole - Dexilant
Dexmethylphenidate - Focalin XR
Diazepam - Diazepam
Diclofenac - Diclofenac sodium SR
Dicyclomine - Dicyclomine HCl
Digoxin - Digoxin
Diltiazem - Diltiazem
Diphenoxylate/Atropine - Diphenoxylate w/atropine
Diphtheria - In Various Combinations
Dipyridamole - Persantine
Divalproex - Divalproex sodium
Donepezil - Aricept
Doxazosin - Doxazosin
Doxepin - Doxepin
Doxycycline - Doxycycline
Duloxetine - Cymbalta
Dutasteride - Avodart
Efavirenz - Sustiva
Eletriptan - Relpax
Emtricitabine/Tenofovir - Truvada
Enalapril - Enalapril
Enoxaparin - Lovenox
Entecavir - Baraclude
Epinephrine - Epipen
Epoetin Alfa - Procrit
Escitalopram - Lexapro
Esomeprazole - Nexium
Estradiol Oral - Estradiol oral
Estradiol Transdermal Patch - Vivelle-DOT
Eszopiclone - Lunesta
Ethinyl Estradiol/Etonogestrel Ring - Nuvaring
Exenatide - Byetta
Ezetimibe - Zetia
Famotidine - Famotidine
Felodipine - Felodipine ER
Fenofibrate - Fenofibrate
Fentanyl Transdermal - Fentanyl transdermal
Fexofenadine - Fexofenadine
Fidaxomicin - Dificid
Finasteride - Finasteride
Fluconazole - Fluconazole
Fluocinonide - Fluocinonide
Fluoxetine - Fluoxetine
Fluticasone Nasal - Fluticasone nasal
Fluticasone Oral - Flovent HFA
Fluticasone/Salmeterol - Advair Diskus
Folic Acid - Folic acid
Fosinopril - Fosinopril sodium
Fubuxostat - Uloric
Furosemide - Furosemide oral
Gabapentin - Gabapentin
Gatifloxacin Ophthalmic - Zymar
Gemfibrozil - Gemfibrozil
Glimepiride - Glimepiride
Glipizide - Glipizide
Haemophilus Influenzae Type B - Pedvax HIB
Hepatitis A - Havrix
Hepatitis B - Recombivax HB; Engerix-B
Human Papillomavirus - Gardasil
Hydralazine - Hydralazine
Hydrochlorothiazide - Hydrochlorothiazide
Hydrocodone - Hydrocodone/APAP
Hydrocortisone Topical - Hydrocortisone top Rx
Hydroxychloroquine - Hydroxychloroquine
Hydroxyzine - Hydroxyzine
Ibandronate - Boniva
Ibuprofen - Ibuprofen
Imiquimod - Imiquimod
Indomethacin - Indomethacin
Influenza Inactivated - Fluzone
Influenza Live - Flumist
Insulin - Humulin N
Insulin Aspart - NovoLog
Insulin Detemir - Levemir
Insulin Glargine - Lantus
Insulin Lispro - Humalog
Ipratropium/Albuterol - Combivent
Irbesartan - Avapro
Isosorbide Mononitrate - Isosorbide mononitrate
Ketoconazole Topical - Ketoconazole topical
Labetalol - Labetalol
Lacosamide - Vimpat
Lamotrigine - Lamotrigine
Lansoprazole - Prevacid
Latanoprost - Xalatan
Levalbuterol - Xopenex HFA
Levetiracetam - Levetiracetam
Levocetirizine - Xyzal
Levofloxacin - Levaquin
Levothyroxine - Levothyroxine
Lidocaine - Lidoderm
Linagliptin - Tradjenta
Liraglutide - Victoza
Lisdexamfetamine - Vyvanse
Lisinopril - Lisinopril
Lithium carbonate - Lithium carbonate
Lorazepam - Lorazepam
Losartan - Cozaar
Loteprednol Ophthalmic - Lotemax
Lovastatin - Lovastatin
Lubiprostone - Amitiza
Maraviroc - Selzentry
Measles, Mumps and Rubella - MMR
Meclizine - Meclizine HCl
Medroxyprogesterone Oral - Medroxyprogesterone tab
Meloxicam - Meloxicam
Memantine - Namenda
Meningococcal (Conjugate and Polysaccharide) - Menactra, Menomune
Metaxalone - Skelaxin
Metformin - Metformin
Methadone - Methadone HCl non-inj
Methocarbamol - Methocarbamol
Methotrexate - Methotrexate
Methylphenidate - Methylphenidate
Methylprednisolone Oral - Methylprednisolone tabs
Metoclopramide - Metoclopramide
Metoprolol - Metoprolol succinate
Metronidazole - Metronidazole tabs
Minocycline - Minocycline
Mirtazapine - Mirtazapine
Modafinil - Provigil
Mometasone - Nasonex
Montelukast - Singulair
Morphine - Morphine sulfate ER
Moxifloxacin - Avelox
Moxifloxacin Ophthalmic - Vigamox
Mupirocin - Mupirocin
Naproxen - Naproxen
Nebivolol - Bystolic
Niacin - Niaspan
Nifedipine - Nifedipine ER
Nitazoxanide - Alinia
Nitrofurantoin - Nitrofurantoin mono mcr
Nitroglycerin - Nitroglycerin
Nortriptyline - Nortriptyline
Nystatin Systemic - Nystatin systemic
Nystatin Topical - Nystatin topical
Olanzapine - Zyprexa
Olmesartan - Benicar
Olopatadine - Patanol
Omega-3-Ethyl Esters - Lovaza
Omeprazole - Omeprazole
Ondansetron - Ondansetron
Oral Contraceptive - Biphasic - Oral Contraceptive
Oral Contraceptive - Monophasic - Oral Contraceptive
Oral Contraceptive - Triphasic - Oral Contraceptive
Oseltamivir - Tamiflu
Oxcarbazepine - Oxcarbazepine
Oxybutynin - Oxybutynin chloride
Oxycodone - OxyContin
Pantoprazole - Pantoprazole
Paroxetine - Paroxetine
Penicillin - Penicillin VK
Pentosan - Elmiron
Pertussis - In Various Combinations
Phenazopyridine - Phenazopyridine HCl
Phenobarbital - Phenobarbital
Phentermine - Phentermine
Phenytoin - Phenytoin sodium ext
Pioglitazone - Actos
Pneumococcal (Conjugate and Polysaccharide) - Prevnar 13, Pneumovax 23
Polio - IPOL
Polyethylene Glycol - Polyethylene glycol
Potassium Chloride - Klor-Con
Potassium Iodide - SSKI
Pramipexole - Mirapex
Prasugrel - Effient
Pravastatin - Pravastatin
Prednisolone Oral - Prednisolone sd phs oral
Prednisone - Prednisone oral
Pregabalin - Lyrica
Prenatal 1+1 - Prenatal 1+1
Prochlorperazine - Prochlorperazine maleate
Progesterone - Prometrium
Promethazine - Promethazine tabs
Propranolol - Propranolol HCl
Quetiapine - Seroquel
Quinapril - Quinapril
Rabeprazole - Aciphex
Raloxifene - Evista
Raltegravir - Insentress
Ramipril - Ramipril
Ranitidine - Ranitidine HCl
Ranolazine - Ranexa
Repaglinide - Prandin
Risedronate - Actonel
Risperidone - Risperidone
Rivaroxaban - Xarelto
Ropinirole - Ropinirole HCl
Rosiglitazone - Avandia
Rosuvistatin - Crestor
Rotavirus - RotaTeq
Saxagliptin - Onglyza
Sertraline - Sertraline
Sildenafil - Viagra
Simvastatin - Simvastatin
Sitagliptin - Januvia
Solifenacin - Vesicare
Spironolactone - Spironolactone
Sumatriptan - Sumatriptan oral
Tacrolimus - Tacrolimus
Tadalafil - Cialis
Tamsulosin - Flomax
Temazepam - Temazepam
Terazosin - Terazosin
Terbinafine - Terbinafine HCl
Testosterone - AndroGel
Tetanus - In Various Combinations
Thyroid - Thyroid, Armour
Tiotropium - Spiriva
Tizanidine - Tizanidine HCl
Tolterodine - Detrol LA
Tolvaptan - Samsca
Topiramate - Topiramate
Tramadol - Tramadol
Travoprost - Travatan Z
Trazodone - Trazodone HCl
Triamcinolone Nasal - Nasacort AQ
Triamcinolone Topical - Triamcinolone acet top
Triamterene/Hydrochlorothiazide - Triamterene w/HCTZ
Trimethoprim/Sulfamethoxazole - Trimethoprim/sulfa
Valacyclovir - Valtrex
Valsartan - Diovan
Vardenafil - Levitra
Varenicline - Chantix
Varicella - Varivax
Venlafaxine - Venlafaxine
Verapamil - Verapamil SR
Vilazodone - Viibryd
Warfarin - Warfarin
Ziprasidone - Geodon Oral
Zolpidem - Zolpidem tartrate
Zoster - Zostavax
Dosage:
Medication:
Please Select
Acyclovir - Acyclovir
Adapalene - Differin
Albendazole - Albenza
Albuterol - ProAir HFA
Alendronate - Alendronate
Allopurinol - Allopurinol
Alprazolam - Alprazolam
Amitriptyline - Amitriptyline
Amlodipine - Amlodipine besylate
Amoxicillin - Amoxicillin
Amoxicillin/Clavulanate - Amoxicillin/pot. clav
Anastrozole - Arimidex
Aripiprazole - Abilify
Atazanavir - Reyataz
Atenolol - Atenolol
Atomoxetine - Strattera
Atorvastatin - Lipitor
Azelastine - Astelin
Azithromycin - Azithromycin
Baclofen - Baclofen
Benazepril - Benazepril
Benzonatate - Benzonatate
Benztropine - Benztropine
Bimatoprost Ophthalmic - Lumigan
Bisoprolol - Zebeta
Brimonidine - Alphagan P
Budesonide - Pulmicort Respules
Budesonide/Formoterol - Symbicort
Buprenorphine/Naloxone - Suboxone
Bupropion - Bupropion ER
Buspirone - Buspirone HCl
Candesartan - Atacand
Carbamazepine - Carbamazepine
Carbidopa/Levodopa - Carbidopa/levodopa
Carisoprodol - Carisoprodol
Carvedilol - Carvedilol
Cefdinir - Cefdinir
Cefuroxime - Cefuroxime axetil
Celecoxib - Celebrex
Cephalexin - Cephalexin
Cetirizine - Cetirizine
Chlorhexidine - Chlorhexidine gluconate
Chlorthalidone - Hygroton
Ciprofloxacin Oral - Ciprofloxacin HCl
Ciprofloxacin Otic - Ciprodex Otic
Citalopram - Citalopram HBR
Clarithromycin - Clarithromycin
Clindamycin Systemic - Clindamycin systemic
Clindamycin Topical - Clindamycin topical
Clobazam - Onfi
Clobetasol - Clobetasol
Clonazepam - Clonazepam
Clonidine - Clonidine
Clopidogrel - Plavix
Clotrimazole/Betamethasone - Clotrimazole/betameth.
Codeine - Tylenol with Codeine
Colchicine - Colchicine
Colesevelam - Welchol
Conjugated Estrogen - Premarin tabs
Cyanocobalamin - Cyanocobalamin
Cyclobenzaprine - Cyclobenzaprine
Cyclosporine Ophthalmic - Restasis
Dabigatran - Pradaxa
Darbepoetin - Aranesp
Darifenacin - Enablex
Desvenlafaxine - Pristiq
Dexamethasone - Dexamethasone oral
Dexlansoprazole - Dexilant
Dexmethylphenidate - Focalin XR
Diazepam - Diazepam
Diclofenac - Diclofenac sodium SR
Dicyclomine - Dicyclomine HCl
Digoxin - Digoxin
Diltiazem - Diltiazem
Diphenoxylate/Atropine - Diphenoxylate w/atropine
Diphtheria - In Various Combinations
Dipyridamole - Persantine
Divalproex - Divalproex sodium
Donepezil - Aricept
Doxazosin - Doxazosin
Doxepin - Doxepin
Doxycycline - Doxycycline
Duloxetine - Cymbalta
Dutasteride - Avodart
Efavirenz - Sustiva
Eletriptan - Relpax
Emtricitabine/Tenofovir - Truvada
Enalapril - Enalapril
Enoxaparin - Lovenox
Entecavir - Baraclude
Epinephrine - Epipen
Epoetin Alfa - Procrit
Escitalopram - Lexapro
Esomeprazole - Nexium
Estradiol Oral - Estradiol oral
Estradiol Transdermal Patch - Vivelle-DOT
Eszopiclone - Lunesta
Ethinyl Estradiol/Etonogestrel Ring - Nuvaring
Exenatide - Byetta
Ezetimibe - Zetia
Famotidine - Famotidine
Felodipine - Felodipine ER
Fenofibrate - Fenofibrate
Fentanyl Transdermal - Fentanyl transdermal
Fexofenadine - Fexofenadine
Fidaxomicin - Dificid
Finasteride - Finasteride
Fluconazole - Fluconazole
Fluocinonide - Fluocinonide
Fluoxetine - Fluoxetine
Fluticasone Nasal - Fluticasone nasal
Fluticasone Oral - Flovent HFA
Fluticasone/Salmeterol - Advair Diskus
Folic Acid - Folic acid
Fosinopril - Fosinopril sodium
Fubuxostat - Uloric
Furosemide - Furosemide oral
Gabapentin - Gabapentin
Gatifloxacin Ophthalmic - Zymar
Gemfibrozil - Gemfibrozil
Glimepiride - Glimepiride
Glipizide - Glipizide
Haemophilus Influenzae Type B - Pedvax HIB
Hepatitis A - Havrix
Hepatitis B - Recombivax HB; Engerix-B
Human Papillomavirus - Gardasil
Hydralazine - Hydralazine
Hydrochlorothiazide - Hydrochlorothiazide
Hydrocodone - Hydrocodone/APAP
Hydrocortisone Topical - Hydrocortisone top Rx
Hydroxychloroquine - Hydroxychloroquine
Hydroxyzine - Hydroxyzine
Ibandronate - Boniva
Ibuprofen - Ibuprofen
Imiquimod - Imiquimod
Indomethacin - Indomethacin
Influenza Inactivated - Fluzone
Influenza Live - Flumist
Insulin - Humulin N
Insulin Aspart - NovoLog
Insulin Detemir - Levemir
Insulin Glargine - Lantus
Insulin Lispro - Humalog
Ipratropium/Albuterol - Combivent
Irbesartan - Avapro
Isosorbide Mononitrate - Isosorbide mononitrate
Ketoconazole Topical - Ketoconazole topical
Labetalol - Labetalol
Lacosamide - Vimpat
Lamotrigine - Lamotrigine
Lansoprazole - Prevacid
Latanoprost - Xalatan
Levalbuterol - Xopenex HFA
Levetiracetam - Levetiracetam
Levocetirizine - Xyzal
Levofloxacin - Levaquin
Levothyroxine - Levothyroxine
Lidocaine - Lidoderm
Linagliptin - Tradjenta
Liraglutide - Victoza
Lisdexamfetamine - Vyvanse
Lisinopril - Lisinopril
Lithium carbonate - Lithium carbonate
Lorazepam - Lorazepam
Losartan - Cozaar
Loteprednol Ophthalmic - Lotemax
Lovastatin - Lovastatin
Lubiprostone - Amitiza
Maraviroc - Selzentry
Measles, Mumps and Rubella - MMR
Meclizine - Meclizine HCl
Medroxyprogesterone Oral - Medroxyprogesterone tab
Meloxicam - Meloxicam
Memantine - Namenda
Meningococcal (Conjugate and Polysaccharide) - Menactra, Menomune
Metaxalone - Skelaxin
Metformin - Metformin
Methadone - Methadone HCl non-inj
Methocarbamol - Methocarbamol
Methotrexate - Methotrexate
Methylphenidate - Methylphenidate
Methylprednisolone Oral - Methylprednisolone tabs
Metoclopramide - Metoclopramide
Metoprolol - Metoprolol succinate
Metronidazole - Metronidazole tabs
Minocycline - Minocycline
Mirtazapine - Mirtazapine
Modafinil - Provigil
Mometasone - Nasonex
Montelukast - Singulair
Morphine - Morphine sulfate ER
Moxifloxacin - Avelox
Moxifloxacin Ophthalmic - Vigamox
Mupirocin - Mupirocin
Naproxen - Naproxen
Nebivolol - Bystolic
Niacin - Niaspan
Nifedipine - Nifedipine ER
Nitazoxanide - Alinia
Nitrofurantoin - Nitrofurantoin mono mcr
Nitroglycerin - Nitroglycerin
Nortriptyline - Nortriptyline
Nystatin Systemic - Nystatin systemic
Nystatin Topical - Nystatin topical
Olanzapine - Zyprexa
Olmesartan - Benicar
Olopatadine - Patanol
Omega-3-Ethyl Esters - Lovaza
Omeprazole - Omeprazole
Ondansetron - Ondansetron
Oral Contraceptive - Biphasic - Oral Contraceptive
Oral Contraceptive - Monophasic - Oral Contraceptive
Oral Contraceptive - Triphasic - Oral Contraceptive
Oseltamivir - Tamiflu
Oxcarbazepine - Oxcarbazepine
Oxybutynin - Oxybutynin chloride
Oxycodone - OxyContin
Pantoprazole - Pantoprazole
Paroxetine - Paroxetine
Penicillin - Penicillin VK
Pentosan - Elmiron
Pertussis - In Various Combinations
Phenazopyridine - Phenazopyridine HCl
Phenobarbital - Phenobarbital
Phentermine - Phentermine
Phenytoin - Phenytoin sodium ext
Pioglitazone - Actos
Pneumococcal (Conjugate and Polysaccharide) - Prevnar 13, Pneumovax 23
Polio - IPOL
Polyethylene Glycol - Polyethylene glycol
Potassium Chloride - Klor-Con
Potassium Iodide - SSKI
Pramipexole - Mirapex
Prasugrel - Effient
Pravastatin - Pravastatin
Prednisolone Oral - Prednisolone sd phs oral
Prednisone - Prednisone oral
Pregabalin - Lyrica
Prenatal 1+1 - Prenatal 1+1
Prochlorperazine - Prochlorperazine maleate
Progesterone - Prometrium
Promethazine - Promethazine tabs
Propranolol - Propranolol HCl
Quetiapine - Seroquel
Quinapril - Quinapril
Rabeprazole - Aciphex
Raloxifene - Evista
Raltegravir - Insentress
Ramipril - Ramipril
Ranitidine - Ranitidine HCl
Ranolazine - Ranexa
Repaglinide - Prandin
Risedronate - Actonel
Risperidone - Risperidone
Rivaroxaban - Xarelto
Ropinirole - Ropinirole HCl
Rosiglitazone - Avandia
Rosuvistatin - Crestor
Rotavirus - RotaTeq
Saxagliptin - Onglyza
Sertraline - Sertraline
Sildenafil - Viagra
Simvastatin - Simvastatin
Sitagliptin - Januvia
Solifenacin - Vesicare
Spironolactone - Spironolactone
Sumatriptan - Sumatriptan oral
Tacrolimus - Tacrolimus
Tadalafil - Cialis
Tamsulosin - Flomax
Temazepam - Temazepam
Terazosin - Terazosin
Terbinafine - Terbinafine HCl
Testosterone - AndroGel
Tetanus - In Various Combinations
Thyroid - Thyroid, Armour
Tiotropium - Spiriva
Tizanidine - Tizanidine HCl
Tolterodine - Detrol LA
Tolvaptan - Samsca
Topiramate - Topiramate
Tramadol - Tramadol
Travoprost - Travatan Z
Trazodone - Trazodone HCl
Triamcinolone Nasal - Nasacort AQ
Triamcinolone Topical - Triamcinolone acet top
Triamterene/Hydrochlorothiazide - Triamterene w/HCTZ
Trimethoprim/Sulfamethoxazole - Trimethoprim/sulfa
Valacyclovir - Valtrex
Valsartan - Diovan
Vardenafil - Levitra
Varenicline - Chantix
Varicella - Varivax
Venlafaxine - Venlafaxine
Verapamil - Verapamil SR
Vilazodone - Viibryd
Warfarin - Warfarin
Ziprasidone - Geodon Oral
Zolpidem - Zolpidem tartrate
Zoster - Zostavax
Dosage:
Medication:
Please Select
Acyclovir - Acyclovir
Adapalene - Differin
Albendazole - Albenza
Albuterol - ProAir HFA
Alendronate - Alendronate
Allopurinol - Allopurinol
Alprazolam - Alprazolam
Amitriptyline - Amitriptyline
Amlodipine - Amlodipine besylate
Amoxicillin - Amoxicillin
Amoxicillin/Clavulanate - Amoxicillin/pot. clav
Anastrozole - Arimidex
Aripiprazole - Abilify
Atazanavir - Reyataz
Atenolol - Atenolol
Atomoxetine - Strattera
Atorvastatin - Lipitor
Azelastine - Astelin
Azithromycin - Azithromycin
Baclofen - Baclofen
Benazepril - Benazepril
Benzonatate - Benzonatate
Benztropine - Benztropine
Bimatoprost Ophthalmic - Lumigan
Bisoprolol - Zebeta
Brimonidine - Alphagan P
Budesonide - Pulmicort Respules
Budesonide/Formoterol - Symbicort
Buprenorphine/Naloxone - Suboxone
Bupropion - Bupropion ER
Buspirone - Buspirone HCl
Candesartan - Atacand
Carbamazepine - Carbamazepine
Carbidopa/Levodopa - Carbidopa/levodopa
Carisoprodol - Carisoprodol
Carvedilol - Carvedilol
Cefdinir - Cefdinir
Cefuroxime - Cefuroxime axetil
Celecoxib - Celebrex
Cephalexin - Cephalexin
Cetirizine - Cetirizine
Chlorhexidine - Chlorhexidine gluconate
Chlorthalidone - Hygroton
Ciprofloxacin Oral - Ciprofloxacin HCl
Ciprofloxacin Otic - Ciprodex Otic
Citalopram - Citalopram HBR
Clarithromycin - Clarithromycin
Clindamycin Systemic - Clindamycin systemic
Clindamycin Topical - Clindamycin topical
Clobazam - Onfi
Clobetasol - Clobetasol
Clonazepam - Clonazepam
Clonidine - Clonidine
Clopidogrel - Plavix
Clotrimazole/Betamethasone - Clotrimazole/betameth.
Codeine - Tylenol with Codeine
Colchicine - Colchicine
Colesevelam - Welchol
Conjugated Estrogen - Premarin tabs
Cyanocobalamin - Cyanocobalamin
Cyclobenzaprine - Cyclobenzaprine
Cyclosporine Ophthalmic - Restasis
Dabigatran - Pradaxa
Darbepoetin - Aranesp
Darifenacin - Enablex
Desvenlafaxine - Pristiq
Dexamethasone - Dexamethasone oral
Dexlansoprazole - Dexilant
Dexmethylphenidate - Focalin XR
Diazepam - Diazepam
Diclofenac - Diclofenac sodium SR
Dicyclomine - Dicyclomine HCl
Digoxin - Digoxin
Diltiazem - Diltiazem
Diphenoxylate/Atropine - Diphenoxylate w/atropine
Diphtheria - In Various Combinations
Dipyridamole - Persantine
Divalproex - Divalproex sodium
Donepezil - Aricept
Doxazosin - Doxazosin
Doxepin - Doxepin
Doxycycline - Doxycycline
Duloxetine - Cymbalta
Dutasteride - Avodart
Efavirenz - Sustiva
Eletriptan - Relpax
Emtricitabine/Tenofovir - Truvada
Enalapril - Enalapril
Enoxaparin - Lovenox
Entecavir - Baraclude
Epinephrine - Epipen
Epoetin Alfa - Procrit
Escitalopram - Lexapro
Esomeprazole - Nexium
Estradiol Oral - Estradiol oral
Estradiol Transdermal Patch - Vivelle-DOT
Eszopiclone - Lunesta
Ethinyl Estradiol/Etonogestrel Ring - Nuvaring
Exenatide - Byetta
Ezetimibe - Zetia
Famotidine - Famotidine
Felodipine - Felodipine ER
Fenofibrate - Fenofibrate
Fentanyl Transdermal - Fentanyl transdermal
Fexofenadine - Fexofenadine
Fidaxomicin - Dificid
Finasteride - Finasteride
Fluconazole - Fluconazole
Fluocinonide - Fluocinonide
Fluoxetine - Fluoxetine
Fluticasone Nasal - Fluticasone nasal
Fluticasone Oral - Flovent HFA
Fluticasone/Salmeterol - Advair Diskus
Folic Acid - Folic acid
Fosinopril - Fosinopril sodium
Fubuxostat - Uloric
Furosemide - Furosemide oral
Gabapentin - Gabapentin
Gatifloxacin Ophthalmic - Zymar
Gemfibrozil - Gemfibrozil
Glimepiride - Glimepiride
Glipizide - Glipizide
Haemophilus Influenzae Type B - Pedvax HIB
Hepatitis A - Havrix
Hepatitis B - Recombivax HB; Engerix-B
Human Papillomavirus - Gardasil
Hydralazine - Hydralazine
Hydrochlorothiazide - Hydrochlorothiazide
Hydrocodone - Hydrocodone/APAP
Hydrocortisone Topical - Hydrocortisone top Rx
Hydroxychloroquine - Hydroxychloroquine
Hydroxyzine - Hydroxyzine
Ibandronate - Boniva
Ibuprofen - Ibuprofen
Imiquimod - Imiquimod
Indomethacin - Indomethacin
Influenza Inactivated - Fluzone
Influenza Live - Flumist
Insulin - Humulin N
Insulin Aspart - NovoLog
Insulin Detemir - Levemir
Insulin Glargine - Lantus
Insulin Lispro - Humalog
Ipratropium/Albuterol - Combivent
Irbesartan - Avapro
Isosorbide Mononitrate - Isosorbide mononitrate
Ketoconazole Topical - Ketoconazole topical
Labetalol - Labetalol
Lacosamide - Vimpat
Lamotrigine - Lamotrigine
Lansoprazole - Prevacid
Latanoprost - Xalatan
Levalbuterol - Xopenex HFA
Levetiracetam - Levetiracetam
Levocetirizine - Xyzal
Levofloxacin - Levaquin
Levothyroxine - Levothyroxine
Lidocaine - Lidoderm
Linagliptin - Tradjenta
Liraglutide - Victoza
Lisdexamfetamine - Vyvanse
Lisinopril - Lisinopril
Lithium carbonate - Lithium carbonate
Lorazepam - Lorazepam
Losartan - Cozaar
Loteprednol Ophthalmic - Lotemax
Lovastatin - Lovastatin
Lubiprostone - Amitiza
Maraviroc - Selzentry
Measles, Mumps and Rubella - MMR
Meclizine - Meclizine HCl
Medroxyprogesterone Oral - Medroxyprogesterone tab
Meloxicam - Meloxicam
Memantine - Namenda
Meningococcal (Conjugate and Polysaccharide) - Menactra, Menomune
Metaxalone - Skelaxin
Metformin - Metformin
Methadone - Methadone HCl non-inj
Methocarbamol - Methocarbamol
Methotrexate - Methotrexate
Methylphenidate - Methylphenidate
Methylprednisolone Oral - Methylprednisolone tabs
Metoclopramide - Metoclopramide
Metoprolol - Metoprolol succinate
Metronidazole - Metronidazole tabs
Minocycline - Minocycline
Mirtazapine - Mirtazapine
Modafinil - Provigil
Mometasone - Nasonex
Montelukast - Singulair
Morphine - Morphine sulfate ER
Moxifloxacin - Avelox
Moxifloxacin Ophthalmic - Vigamox
Mupirocin - Mupirocin
Naproxen - Naproxen
Nebivolol - Bystolic
Niacin - Niaspan
Nifedipine - Nifedipine ER
Nitazoxanide - Alinia
Nitrofurantoin - Nitrofurantoin mono mcr
Nitroglycerin - Nitroglycerin
Nortriptyline - Nortriptyline
Nystatin Systemic - Nystatin systemic
Nystatin Topical - Nystatin topical
Olanzapine - Zyprexa
Olmesartan - Benicar
Olopatadine - Patanol
Omega-3-Ethyl Esters - Lovaza
Omeprazole - Omeprazole
Ondansetron - Ondansetron
Oral Contraceptive - Biphasic - Oral Contraceptive
Oral Contraceptive - Monophasic - Oral Contraceptive
Oral Contraceptive - Triphasic - Oral Contraceptive
Oseltamivir - Tamiflu
Oxcarbazepine - Oxcarbazepine
Oxybutynin - Oxybutynin chloride
Oxycodone - OxyContin
Pantoprazole - Pantoprazole
Paroxetine - Paroxetine
Penicillin - Penicillin VK
Pentosan - Elmiron
Pertussis - In Various Combinations
Phenazopyridine - Phenazopyridine HCl
Phenobarbital - Phenobarbital
Phentermine - Phentermine
Phenytoin - Phenytoin sodium ext
Pioglitazone - Actos
Pneumococcal (Conjugate and Polysaccharide) - Prevnar 13, Pneumovax 23
Polio - IPOL
Polyethylene Glycol - Polyethylene glycol
Potassium Chloride - Klor-Con
Potassium Iodide - SSKI
Pramipexole - Mirapex
Prasugrel - Effient
Pravastatin - Pravastatin
Prednisolone Oral - Prednisolone sd phs oral
Prednisone - Prednisone oral
Pregabalin - Lyrica
Prenatal 1+1 - Prenatal 1+1
Prochlorperazine - Prochlorperazine maleate
Progesterone - Prometrium
Promethazine - Promethazine tabs
Propranolol - Propranolol HCl
Quetiapine - Seroquel
Quinapril - Quinapril
Rabeprazole - Aciphex
Raloxifene - Evista
Raltegravir - Insentress
Ramipril - Ramipril
Ranitidine - Ranitidine HCl
Ranolazine - Ranexa
Repaglinide - Prandin
Risedronate - Actonel
Risperidone - Risperidone
Rivaroxaban - Xarelto
Ropinirole - Ropinirole HCl
Rosiglitazone - Avandia
Rosuvistatin - Crestor
Rotavirus - RotaTeq
Saxagliptin - Onglyza
Sertraline - Sertraline
Sildenafil - Viagra
Simvastatin - Simvastatin
Sitagliptin - Januvia
Solifenacin - Vesicare
Spironolactone - Spironolactone
Sumatriptan - Sumatriptan oral
Tacrolimus - Tacrolimus
Tadalafil - Cialis
Tamsulosin - Flomax
Temazepam - Temazepam
Terazosin - Terazosin
Terbinafine - Terbinafine HCl
Testosterone - AndroGel
Tetanus - In Various Combinations
Thyroid - Thyroid, Armour
Tiotropium - Spiriva
Tizanidine - Tizanidine HCl
Tolterodine - Detrol LA
Tolvaptan - Samsca
Topiramate - Topiramate
Tramadol - Tramadol
Travoprost - Travatan Z
Trazodone - Trazodone HCl
Triamcinolone Nasal - Nasacort AQ
Triamcinolone Topical - Triamcinolone acet top
Triamterene/Hydrochlorothiazide - Triamterene w/HCTZ
Trimethoprim/Sulfamethoxazole - Trimethoprim/sulfa
Valacyclovir - Valtrex
Valsartan - Diovan
Vardenafil - Levitra
Varenicline - Chantix
Varicella - Varivax
Venlafaxine - Venlafaxine
Verapamil - Verapamil SR
Vilazodone - Viibryd
Warfarin - Warfarin
Ziprasidone - Geodon Oral
Zolpidem - Zolpidem tartrate
Zoster - Zostavax
Dosage:
Medication:
Please Select
Acyclovir - Acyclovir
Adapalene - Differin
Albendazole - Albenza
Albuterol - ProAir HFA
Alendronate - Alendronate
Allopurinol - Allopurinol
Alprazolam - Alprazolam
Amitriptyline - Amitriptyline
Amlodipine - Amlodipine besylate
Amoxicillin - Amoxicillin
Amoxicillin/Clavulanate - Amoxicillin/pot. clav
Anastrozole - Arimidex
Aripiprazole - Abilify
Atazanavir - Reyataz
Atenolol - Atenolol
Atomoxetine - Strattera
Atorvastatin - Lipitor
Azelastine - Astelin
Azithromycin - Azithromycin
Baclofen - Baclofen
Benazepril - Benazepril
Benzonatate - Benzonatate
Benztropine - Benztropine
Bimatoprost Ophthalmic - Lumigan
Bisoprolol - Zebeta
Brimonidine - Alphagan P
Budesonide - Pulmicort Respules
Budesonide/Formoterol - Symbicort
Buprenorphine/Naloxone - Suboxone
Bupropion - Bupropion ER
Buspirone - Buspirone HCl
Candesartan - Atacand
Carbamazepine - Carbamazepine
Carbidopa/Levodopa - Carbidopa/levodopa
Carisoprodol - Carisoprodol
Carvedilol - Carvedilol
Cefdinir - Cefdinir
Cefuroxime - Cefuroxime axetil
Celecoxib - Celebrex
Cephalexin - Cephalexin
Cetirizine - Cetirizine
Chlorhexidine - Chlorhexidine gluconate
Chlorthalidone - Hygroton
Ciprofloxacin Oral - Ciprofloxacin HCl
Ciprofloxacin Otic - Ciprodex Otic
Citalopram - Citalopram HBR
Clarithromycin - Clarithromycin
Clindamycin Systemic - Clindamycin systemic
Clindamycin Topical - Clindamycin topical
Clobazam - Onfi
Clobetasol - Clobetasol
Clonazepam - Clonazepam
Clonidine - Clonidine
Clopidogrel - Plavix
Clotrimazole/Betamethasone - Clotrimazole/betameth.
Codeine - Tylenol with Codeine
Colchicine - Colchicine
Colesevelam - Welchol
Conjugated Estrogen - Premarin tabs
Cyanocobalamin - Cyanocobalamin
Cyclobenzaprine - Cyclobenzaprine
Cyclosporine Ophthalmic - Restasis
Dabigatran - Pradaxa
Darbepoetin - Aranesp
Darifenacin - Enablex
Desvenlafaxine - Pristiq
Dexamethasone - Dexamethasone oral
Dexlansoprazole - Dexilant
Dexmethylphenidate - Focalin XR
Diazepam - Diazepam
Diclofenac - Diclofenac sodium SR
Dicyclomine - Dicyclomine HCl
Digoxin - Digoxin
Diltiazem - Diltiazem
Diphenoxylate/Atropine - Diphenoxylate w/atropine
Diphtheria - In Various Combinations
Dipyridamole - Persantine
Divalproex - Divalproex sodium
Donepezil - Aricept
Doxazosin - Doxazosin
Doxepin - Doxepin
Doxycycline - Doxycycline
Duloxetine - Cymbalta
Dutasteride - Avodart
Efavirenz - Sustiva
Eletriptan - Relpax
Emtricitabine/Tenofovir - Truvada
Enalapril - Enalapril
Enoxaparin - Lovenox
Entecavir - Baraclude
Epinephrine - Epipen
Epoetin Alfa - Procrit
Escitalopram - Lexapro
Esomeprazole - Nexium
Estradiol Oral - Estradiol oral
Estradiol Transdermal Patch - Vivelle-DOT
Eszopiclone - Lunesta
Ethinyl Estradiol/Etonogestrel Ring - Nuvaring
Exenatide - Byetta
Ezetimibe - Zetia
Famotidine - Famotidine
Felodipine - Felodipine ER
Fenofibrate - Fenofibrate
Fentanyl Transdermal - Fentanyl transdermal
Fexofenadine - Fexofenadine
Fidaxomicin - Dificid
Finasteride - Finasteride
Fluconazole - Fluconazole
Fluocinonide - Fluocinonide
Fluoxetine - Fluoxetine
Fluticasone Nasal - Fluticasone nasal
Fluticasone Oral - Flovent HFA
Fluticasone/Salmeterol - Advair Diskus
Folic Acid - Folic acid
Fosinopril - Fosinopril sodium
Fubuxostat - Uloric
Furosemide - Furosemide oral
Gabapentin - Gabapentin
Gatifloxacin Ophthalmic - Zymar
Gemfibrozil - Gemfibrozil
Glimepiride - Glimepiride
Glipizide - Glipizide
Haemophilus Influenzae Type B - Pedvax HIB
Hepatitis A - Havrix
Hepatitis B - Recombivax HB; Engerix-B
Human Papillomavirus - Gardasil
Hydralazine - Hydralazine
Hydrochlorothiazide - Hydrochlorothiazide
Hydrocodone - Hydrocodone/APAP
Hydrocortisone Topical - Hydrocortisone top Rx
Hydroxychloroquine - Hydroxychloroquine
Hydroxyzine - Hydroxyzine
Ibandronate - Boniva
Ibuprofen - Ibuprofen
Imiquimod - Imiquimod
Indomethacin - Indomethacin
Influenza Inactivated - Fluzone
Influenza Live - Flumist
Insulin - Humulin N
Insulin Aspart - NovoLog
Insulin Detemir - Levemir
Insulin Glargine - Lantus
Insulin Lispro - Humalog
Ipratropium/Albuterol - Combivent
Irbesartan - Avapro
Isosorbide Mononitrate - Isosorbide mononitrate
Ketoconazole Topical - Ketoconazole topical
Labetalol - Labetalol
Lacosamide - Vimpat
Lamotrigine - Lamotrigine
Lansoprazole - Prevacid
Latanoprost - Xalatan
Levalbuterol - Xopenex HFA
Levetiracetam - Levetiracetam
Levocetirizine - Xyzal
Levofloxacin - Levaquin
Levothyroxine - Levothyroxine
Lidocaine - Lidoderm
Linagliptin - Tradjenta
Liraglutide - Victoza
Lisdexamfetamine - Vyvanse
Lisinopril - Lisinopril
Lithium carbonate - Lithium carbonate
Lorazepam - Lorazepam
Losartan - Cozaar
Loteprednol Ophthalmic - Lotemax
Lovastatin - Lovastatin
Lubiprostone - Amitiza
Maraviroc - Selzentry
Measles, Mumps and Rubella - MMR
Meclizine - Meclizine HCl
Medroxyprogesterone Oral - Medroxyprogesterone tab
Meloxicam - Meloxicam
Memantine - Namenda
Meningococcal (Conjugate and Polysaccharide) - Menactra, Menomune
Metaxalone - Skelaxin
Metformin - Metformin
Methadone - Methadone HCl non-inj
Methocarbamol - Methocarbamol
Methotrexate - Methotrexate
Methylphenidate - Methylphenidate
Methylprednisolone Oral - Methylprednisolone tabs
Metoclopramide - Metoclopramide
Metoprolol - Metoprolol succinate
Metronidazole - Metronidazole tabs
Minocycline - Minocycline
Mirtazapine - Mirtazapine
Modafinil - Provigil
Mometasone - Nasonex
Montelukast - Singulair
Morphine - Morphine sulfate ER
Moxifloxacin - Avelox
Moxifloxacin Ophthalmic - Vigamox
Mupirocin - Mupirocin
Naproxen - Naproxen
Nebivolol - Bystolic
Niacin - Niaspan
Nifedipine - Nifedipine ER
Nitazoxanide - Alinia
Nitrofurantoin - Nitrofurantoin mono mcr
Nitroglycerin - Nitroglycerin
Nortriptyline - Nortriptyline
Nystatin Systemic - Nystatin systemic
Nystatin Topical - Nystatin topical
Olanzapine - Zyprexa
Olmesartan - Benicar
Olopatadine - Patanol
Omega-3-Ethyl Esters - Lovaza
Omeprazole - Omeprazole
Ondansetron - Ondansetron
Oral Contraceptive - Biphasic - Oral Contraceptive
Oral Contraceptive - Monophasic - Oral Contraceptive
Oral Contraceptive - Triphasic - Oral Contraceptive
Oseltamivir - Tamiflu
Oxcarbazepine - Oxcarbazepine
Oxybutynin - Oxybutynin chloride
Oxycodone - OxyContin
Pantoprazole - Pantoprazole
Paroxetine - Paroxetine
Penicillin - Penicillin VK
Pentosan - Elmiron
Pertussis - In Various Combinations
Phenazopyridine - Phenazopyridine HCl
Phenobarbital - Phenobarbital
Phentermine - Phentermine
Phenytoin - Phenytoin sodium ext
Pioglitazone - Actos
Pneumococcal (Conjugate and Polysaccharide) - Prevnar 13, Pneumovax 23
Polio - IPOL
Polyethylene Glycol - Polyethylene glycol
Potassium Chloride - Klor-Con
Potassium Iodide - SSKI
Pramipexole - Mirapex
Prasugrel - Effient
Pravastatin - Pravastatin
Prednisolone Oral - Prednisolone sd phs oral
Prednisone - Prednisone oral
Pregabalin - Lyrica
Prenatal 1+1 - Prenatal 1+1
Prochlorperazine - Prochlorperazine maleate
Progesterone - Prometrium
Promethazine - Promethazine tabs
Propranolol - Propranolol HCl
Quetiapine - Seroquel
Quinapril - Quinapril
Rabeprazole - Aciphex
Raloxifene - Evista
Raltegravir - Insentress
Ramipril - Ramipril
Ranitidine - Ranitidine HCl
Ranolazine - Ranexa
Repaglinide - Prandin
Risedronate - Actonel
Risperidone - Risperidone
Rivaroxaban - Xarelto
Ropinirole - Ropinirole HCl
Rosiglitazone - Avandia
Rosuvistatin - Crestor
Rotavirus - RotaTeq
Saxagliptin - Onglyza
Sertraline - Sertraline
Sildenafil - Viagra
Simvastatin - Simvastatin
Sitagliptin - Januvia
Solifenacin - Vesicare
Spironolactone - Spironolactone
Sumatriptan - Sumatriptan oral
Tacrolimus - Tacrolimus
Tadalafil - Cialis
Tamsulosin - Flomax
Temazepam - Temazepam
Terazosin - Terazosin
Terbinafine - Terbinafine HCl
Testosterone - AndroGel
Tetanus - In Various Combinations
Thyroid - Thyroid, Armour
Tiotropium - Spiriva
Tizanidine - Tizanidine HCl
Tolterodine - Detrol LA
Tolvaptan - Samsca
Topiramate - Topiramate
Tramadol - Tramadol
Travoprost - Travatan Z
Trazodone - Trazodone HCl
Triamcinolone Nasal - Nasacort AQ
Triamcinolone Topical - Triamcinolone acet top
Triamterene/Hydrochlorothiazide - Triamterene w/HCTZ
Trimethoprim/Sulfamethoxazole - Trimethoprim/sulfa
Valacyclovir - Valtrex
Valsartan - Diovan
Vardenafil - Levitra
Varenicline - Chantix
Varicella - Varivax
Venlafaxine - Venlafaxine
Verapamil - Verapamil SR
Vilazodone - Viibryd
Warfarin - Warfarin
Ziprasidone - Geodon Oral
Zolpidem - Zolpidem tartrate
Zoster - Zostavax
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