2009 Clinically Preferred Drug List

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                2009 Clinically Preferred
                       Drug List
Table of Contents
Forward                                                                  4         ACE Inhibitors                                         14
Coverage Limitation                                                      4         ACE Inhibitors W/ Diuretics                            14
DESI Drugs                                                               4         ACE Inhibitor / CCB Combination                        14
Selection Process for the Clinically Preferred Drug List                 5         A-2 Antagonists (ARBs)                                 14
Generic Substitution                                                     6         A-2 Antagonists (ARBs) W/ Diuretics                    14
Specialty Pharmacy Products                                              6         Antianginal / Anti-Ischemic Agents                     15
ANTI-INFECTIVES                                                                    Antiarrhythmics                                        15
Penicillins & Cephalosporins                                             7         Cardiac Glycosides                                     15
Tetracyclines                                                            7         Sympatholytic Agents                                   15
Macrolides, Clindamycins & Ketolides                                     7         Vasodilators, Hypotensive                              15
Sulfonamides, Sulfones & Nitrofurantoins                                 7         Vasodilators, Coronary                                 15
Quinolones                                                               8         Statins                                                16
Miscellaneous Antibiotics                                                8         Statin-Calcium Channel Blocker Combination             16
Antivirals                                                               8         Bile Acid Sequestrants (BAS)                           16
HIV Antivirals & Related Agents                                          8         Fibrates                                               16
Amebicides & Trichamonacides                                             8         Other Antihyperlipidemic Agents                        16
Antiparasitics                                                           9         PANCREATIC AGENTS
Antimalarials & Antiprotazoals                                           9         Pancreatic Agents                                      16
Antihelmintic Agents                                                     9         KIDNEY & UROLOGICAL AGENTS
Leprostatic Agents                                                       9         Diuretics                                              17
Antifungals                                                              9         Benign Prostatic Hyperplasia Agents                    17
ANTINEOPLASTICS                                                                    Urologic Agents                                        17
Antineoplastics                                                          10        Urinary pH Modifiers                                   17
Immunosuppressant Agents                                                 10        Electrolyte Depleters                                  18
ANTIEMETICS                                                                        Potassium & Electrolytes                               18
Antiemetics                                                              10        SKELETAL MUSCLE RELAXANTS
NEUROLOGIC AGENTS                                                                  Skeletal Muscle Relaxants                              18
Anti-Parkinsons Agents                                                   11        OSTEOPOROSIS
Anti-Migraine Agents                                                     11        Osteoporosis Agents                                    19
Alzheimer’s Agents                                                       11        ANALGESICS
Anticonvulsants                                                          12        Anti-Inflammatory Agents (NSAID)                       19
BLOOD MODIFIERS                                                                    COX-II Agents                                          19
Anticoagulants & Heparin-Related Products                                12        Analgesics, Narcotics                                  20
Platelet Aggregation Inhibitors                                          12        Analgesics, Salicylates                                20
Hematopoietic Agents (Iron Replacement)                                  12        Analgesics, Non-Salicylates                            20
CARDIOVASCULAR                                                                     CENTRAL NERVOUS SYSTEM AGENTS
Alpha Blockers                                                           13        Anti-Anxiety Agents                                    21
Beta Blockers                                                            13        Sedatives/Hypnotics (Non-Barbiturate)                  21
Hypotensives, Miscellaneous                                              13        Sedatives/Hypnotics (Barbiturate/CNS)                  21
Calcium Channel Blockers                                                 13        Attention Deficit Disorder (ADD/ADHD) / Narcolepsy     21




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update   2                                          BOLD INDICATES BRAND NAME
Serotonin Specific Reuptake Inhibitors (SSRIs)                           22        Acne / Rosacea Products (Oral & Topical)                32
Serotonin Non-Specific Reuptake Inhibitors (SNRIs)                       22        Antifungals (Topical)                                   32
SSRI / Anti-Psychotic Combinations                                       22        Keratolytics / Wound Care                               32
Monoamine Oxidase Inhibitors (MAOIs)                                     22        Psoriasis (Oral & Topical)                              33
Antidepressants, Others                                                  22        Scabies & Pediculosis                                   33
Antipsychotic Agents                                                     23        Topical Corticosteroids                                 33
Bipolar Disorders (Anti-Mania Agents)                                    23        Topical Immunosuppressives / Immunomodulator Agents     33
GASTROINTESTINAL                                                                   Topical Local Anesthetics                               33
Anti-Ulcer / GERD Agents (PPIs)                                          24        VAGINAL ANTI-INFECTIVES
Anti-Spasmodic Agents (Anticholinergics)                                 24        Vaginal Antibiotics / Sulfonamides                      34
Bowel & Colon Agents                                                     24        Vaginal Antifungals                                     34
Irritable Bowel Syndrome (IBS) Agents                                    24        OPHTHALMICS
Laxatives & Cathartics                                                   24        Ophthalmic Antibiotics & Sulfonamides                   34
HORMONAL AGENTS                                                                    Ophthalmic Antivirals                                   34
Contraceptives                                                           25        Ophthalmic Antihistamines                               35
Estrogens                                                                25        Ophthalmic Anti-Inflammatory                            35
Estrogen Combinations                                                    26        Ophthalmic Immunomodulators                             35
Androgenic Agents                                                        26        Ophthalmic Mast Cell Stabilizers                        35
Progestational Agents                                                    26        Ophthalmic Miotics                                      35
Other Contraception Agents                                               26        Ophthalmic Mydriatics                                   36
Prenatal Vitamins                                                        27        Ophthalmic Vasoconstrictors                             36
Glucocorticoids / Mineralocorticoids (oral)                              27        Ophthalmic Antibiotic-Steroid Combination Agents        36
Anti-Thyroid & Thyroid Replacement Products                              27        OTIC AGENTS                                             36
DIABETES AGENTS                                                                    MISCELLANEOUS
Insulins                                                                 28        Alcohol Dependency Agents                               37
Injectable Hypoglycemics, Other                                          28        Dental Preparations                                     37
Oral Hypoglycemics                                                       28        Hyperparathyroid Agents                                 37
Diabetes Supplies                                                        29        Metallic Poison Treatment Agents                        37
Urine Glucose / Ketone Strips                                            29        Parasympathetic Agents                                  37
Hyperglycemics                                                           29        Smoking Cessation Products                              37
RESPIRATORY                                                                        SPECIALTY PRODUCTS
Allergy Agents                                                           30        Hepatitis Agents                                        38
Asthma Agents                                                            30        Human Growth Hormones                                   38
Corticosteroid Inhalers                                                  31        Pulmonary Agents                                        38
COPD Agents                                                              31        Multiple Sclerosis Agents                               39
Xanthine Derivatives                                                     31        Rheumatoid Arthritis Agents                           37,39
Respiratory Aids / Supplies                                              31        INDEX                                                   40
SKIN & SKIN STRUCTURE




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update   3                                       BOLD INDICATES BRAND NAME
Preface
         FORWARD
         The Clinically Drug Preferred List is a continually updated list of prescription medications that represents the current clinical judgment of
         providers and experts in the diagnosis and treatment of disease. This document represents the efforts of our clinical team to provide
         physicians, pharmacists and members with a method to evaluate the various drug products available. The Clinically Preferred Drug List
         shows both the generic and brand names for reference and convenience. All applicable dosage forms and strengths of a particular drug
         are included in the Clinically Preferred Drug List under the specific entry unless otherwise noted. Health plans are provided the option of
         imposing further restrictions or may choose not to reimburse some products listed in the Clinically Preferred Drug List.


         COVERAGE LIMITATION
         The Clinically Preferred Drug List does not provide information regarding the specific coverage and limitations a member may have,
         including specific exclusions, copays, or a lack of coverage that is not reflected in the Clinically Preferred Drug List. The Clinically
         Preferred Drug List applies only to outpatient drugs provided to members, including most specialty injectable drugs and does not apply to
         medications used in the in-patient setting or many injectables administered in a physican’s office. Injectable drug coverage is determined
         by individual plans and may not be included for all members. Note: if a drug is covered and listed as “preferred”, all strengths and
         forms of that drug are considered preferred unless specifically listed.



         DESI DRUGS
         DESI (Drug Efficacy Study Implementation) designated drugs are those drugs first marketed between 1938 and 1962 that were approved
         as safe but were not required to prove effectiveness for FDA product approval. In 1963, Congress passed the Kefauver-Harris
         Amendment, which required that manufacturers of drug products provide proof to the FDA of both safety and effectiveness before the
         product could be marketed. The DESI Program was implemented to determine which of the drugs approved between 1938 and 1962
         could indeed claim, in clinical trials, effectiveness for their specific indications.

         DESI drugs, and those identical, related and similar to them, may continue to be marketed until studies and administrative proceedings
         regarding their effectiveness have been concluded. Once the proceedings are concluded, continued marketing of the drug will only be
         permitted once a New Drug Application (NDA) is approved by the FDA. New Drug Applications must contain data from clinical trials
         demonstrating that a medication is both safe and effective for the specified indication. Many health plans do not cover DESI designated
         medications, as their effectiveness has not been proven for the condition that the product is marketed to treat.



Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update   4                               BOLD INDICATES BRAND NAME
Preface (Continued)
         SELECTION PROCESS FOR THE CLINICALLY PREFERRED DRUG LIST
         New agents are continually being developed and approved by the FDA for the treatment of different disease states. Due to the availability
         of numerous medication therapies and treatments, a process of drug selection and drug usage has been developed.
         The development, maintenance, and improvement of the Clinically Preferred Drug List are processes that require the attention of our
         Pharmacy &Therapeutics (P&T) Committee. The Clinically Preferred Drug List is a continually reviewed and revised list of drug products
         that mirrors the prevailing clinical opinion of the P&T Committee.
         New agents being considered for formulary inclusion will be reviewed for their safety, efficacy, FDA-approved indications,
         contraindications, side effects, pharmacokinetic profile, patient compliance potential, drug cost and effects on other indirect health costs.
         The thorough medical literature review conducted by the P&T Committee places emphasis on the following characteristics:
                  -    Safety and effectiveness of the product
                  -    Comparison studies with similar products if available
                  -    Potential for patient clinical or utilization abuse
                  -    Therapeutic outcomes and pharmacoeconomic data
         Agents that are given a "priority" review by the FDA will be immediately reviewed for possible inclusion into the formulary. New drugs will
         have their characteristics compared to other similar agents within a therapeutic class if possible. New drugs that are added to an existing
         therapeutic class may result in the deletion of other drug(s) within a particular therapeutic class as clinical application warrants. This
         process ensures and promotes the selection of the most clinically useful and cost-effective agents within a specific therapeutic class.




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update   5                               BOLD INDICATES BRAND NAME
         GENERIC SUBSTITUTION
         Whenever available, FDA approved generic drugs considered bioequivalent with the respective brand name drug should be used
         regardless of the brand name indicated. Greater economy is realized using generic equivalents. This policy is not meant to preclude any
         state statutes that may exist (e.g., Non-Substitutable Drugs). Inclusion of a drug product for generic substitution is subject to the following:
         FDA Rating of "A" for generic equivalency, denoting bioequivalency, as well as thorough review by the P&T Committee for efficacy and
         safety.


         SPECIALTY PHARMACY PRODUCTS
         Depending on drug coverage parameters regarding injectable medications, which is often the route of administration of specialty
         products, categories of drugs covered will generally include the specialty pharmacy products although these products often require
         prior authorization and higher copayments due to complexity of therapy and high costs.




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update   6                                  BOLD INDICATES BRAND NAME
Antibiotics
            GENERIC DRUGS                                        PREFERRED BRANDS                              NON-PREFERRED BRANDS
Penicillins & Cephalosporins
Amoxicillin / Amoxil                                    Augmentin XR (Amoxicillin potassium clavulanate)   Ceclor CD (Cefaclor ER)
Amoxicillin Potassium Clavulanate / Augmentin/ES        Augmentin 125mg and 250mg Chewable Tablets         Cefaclor ER
Ampicillin / Omnipen, Polycillin                        Augmentin 125mg/5mL and 250mg/5mL Susp             Cedax (Ceftibuten)
Cefaclor / Ceclor                                       Lorabid (Loracarbef)                               Moxatag (Amoxicillin)
Cefadroxil / Duricef, Ultracef                                                                             Suprax (Cefixime)
Cefdinir / Omnicef                                                                                         Spectracef (Cefditoren pivoxil)
Cefuroxime Axetil / Ceftin                                                                                 Dispermox (Amoxicillin)
Cephalexin / Keflex, Biocef
Cefpodoxime proxetil / Vantin
Cefprozil / Cefzil
Dicloxacillin / Dynapen
Penicillin VK / Veetids, V-Cillin K
Tetracyclines                                                                                              Declomycin (Demeclocycline)
                                                                                                           Demeclocycline
Doxycycline / Vibramycin, Monodox, Vibra-Tabs           Adoxa Pak (Doxycycline monohydrate)                Doryx (Doxycycline hyclate)
Minocycline / Minocin, Dynacin                          Oracea (Doxycycline monohydrate)                   Solodyn (Minocycline)
Tetracycline / Sumycin



Macrolides, Clindamycins & Ketolides
Azithromycin / Zithromax                                                                                   Ilosone (Erythro-Estolate)
Clindamycin / Cleocin                                                                                      Erythro-Estolate
Erythro-Base / Ery-Tab, E-Mycin                                                                            Ketek (Telithromycin)
Erythro-Ethylsuccinate / EES, Eryped                                                                       Z-Max (Azithromycin)
Erythro-Stearate / Erythrocin
Erythro & Sulfa / Pediazole
Clarithromcyin / Biaxin/XL
Sulfonamides, Sulfones & Nitrofurantoins
Nitrofurantoin / Macrodantin                            Furadantin (Nitrofurantoin)                        Gantrisin Ped (Sulfisoxazole)
Sulfa-Trimethoprim / Septra, Bactrim/DS                                                                    Macrodantin (Nitrofurantoin Macro)
Sulfasalazine / Azulfidine




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update          7                                    BOLD INDICATES BRAND NAME
Antibiotics (Continued) / Anti-infectives
             GENERIC DRUGS                                       PREFERRED BRANDS             NON-PREFERRED BRANDS
Quinolones
Ciprofloxacin / Cipro/XR                                Cipro Susp (Ciprofloxacin)        Avelox (Moxifloxacin)
Ofloxacin / Floxin                                      Levaquin (Levofloxacin)           Factive (Gemifloxacin)
                                                        Noroxin (Norfloxacin)             Proquin XR (Ciprofloxacin)




Miscellaneous Antibiotics
                                                        Dapsone (Dapsone)                 Xifaxan (Rifaximin)
                                                        Vancocin (Vancomycin)
                                                        Zyvox (Linezolid)
Antivirals
Acyclovir / Zovirax                                     Relenza (Zanamivir)               Cytovene (Ganciclovir)
Amantadine / Symmetrel                                  Tamiflu (Oseltamivir)             Ganciclovir
Famciclovir / Famvir                                    Valtrex (Valacyclovir)            Flumadine (Rimantadine)
                                                        Synagis (Palivizumab)*            Rimantadine
                                                        Valcyte (Valganciclovir)          Virazole (Ribavirin)

Amebicides, Trichomonacides
Metronidazole / Flagyl                                  Tindamax (Tinidazole)                 Flagyl ER (Metronidazole)
Paromomycin Sulfate / Humatin                           Yodoxin (Iodoquinol)

                                                                 PREFERRED BRANDS
HIV Antivirals/Related Agents*                          Intelence (Etravirine)            Selzentry (Maraviroc)
Agenerase (Amprenavir)                                  Invirase (Saquinavir)             Sustiva (Efavirenz)
Aptivus (Tipranavir)                                    Isentress (raltegravir)           Trizivir (Abacavir / Lamivudine / Zidovudine)
Atripla (Efavirenz / Emtricitab / Tenofovir)            Kaletra (Ritonavir / Lopinavir)   Truvada (Emtricitabine / Tenofovir)
Combivir (Lamivudine / Zidovudine)                      Lexiva (Fosamprenavir)            Videx pediatric soln/chewable (Didanosine)
Crixivan (Indinavir)                                    Norvir (Ritonavir)                Videx/EC (Didanosine)
Emtriva, Tabs Only (Emtricitabine)                      Prezista (Darunavir ethanolate)   Viracept (Nelfinavir)
Epivir (Lamivudine)                                     Rescriptor (Delavirdine)          Viramune (Nevirapine)
Epzicom (Abacavir / Lamivudine)                         Retrovir (Zidovudine)             Viread (Tenofovir)
Fuzeon (Enfuvirtide)                                    Reyataz (Atazanavir)              Zerit (Stavudine)
*Use generic equivalents where available if                                               Ziagen (Abacavir)
covered by plan design.


*Specialty products may have a higher copayment, depending on plan benefit design.




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update         8                    BOLD INDICATES BRAND NAME
Anti-infectives (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS                     NON-PREFERRED BRANDS
Antiparasitics
                                                        Alinia Suspension/Tablets (Nitazoxanide)



Antimalarials & Antiprotozoals
Chloroquine Phosphate / Chloroquine/ Aralen             Malarone (Atovaquone / Proguanil)
Hydroxychloroquine / Plaquenil, Quineprox               Qualaquin (Quinine sulfate)
Mefloquine / Lariam                                     Daraprim (Pyrimethamine)
                                                        Fansidar (Pyrimethamine/Sulfadoxamine)
                                                        Mepron (Atovaquone)
                                                        Nebupent (Pentamidine)
                                                        Primaquine (Primaquine Phosphate)
Antihelmintic Agents
Mebendazole / Vermox                                    Albenza (Albendazole)
                                                        Biltricide (Praziquantel)
                                                        Mintezol (Thiabendazole)
                                                        Stromectol (Ivermectin)
Leprostatic Agents
                                                        Thalomid (Thalidomide)


Antimycobacterials
                                                        Mycobutin (Rifabutin)
                                                        Seromycin (Cycloserine)
Miscellaneous Topical Agents
Mupirocin / Bactroban                                   Zovirax (Acyclovir)                        Altabax (Retapamulin)
                                                                                                   Denavir (Penciclovir)
                                                                                                   Bactroban Nasal (Mupirocin)

Antifungals
Microsize Griseofulvin / Grifulvin V                    Ancobon (Flucytosine)                      Vfend Susp (Voriconazole)
Nystatin / Mycostatin                                   Lamisil Granules (Terbinafine)
Clotrimazole / Mycelex Troches                          Noxafil (Posaconazole)
Fluconazole / Diflucan                                  Sporanox Oral Solution (Itraconazole)
Itraconazole / Sporanox                                 Vfend Tablets (Voriconazole)
Ketoconazole / Nizoral
Terbinafine / Lamisil




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update        9                            BOLD INDICATES BRAND NAME
Antineoplastics, Immunosuppressant Agents, Antiemetics
                                                                 PREFERRED BRANDS                             NON-PREFERRED BRANDS
Antineoplastics*
Alkeran / Melphalan                       Hexalen / Altretamine                   Tarceva / Erlotinib         Eligard / Leuprolide
Arimidex / Anastrozole                    Hycamtin / Topotecan                    Tasigna / Nilotinib         Fareston / Toremifene Citrate
Aromasin / Exemestane                     Leucovorin / leucovorin                 Temodar /Temozolomide       Faslodex / Fulvestrant
Carac, Efudex, Fluoroplex/                Leukeran / Chlorambucil                 Teslac / Testolactone       Iressa / Gefitinib
Fluorouracil                              Lysodren / Mitotane                     Thioguanine / Thioguanine   Nilandron / Nilutamide
Casodex / Bicalutamide                    Matulane / Procarbazine                 Trexall / Methotrexate      Targretin / Bexarotene
CEENU / Lomustine                         Mesnex / Mesna                          Tykerb / Lapatinib          Zolinza / Vorinostat
Cytoxan / Cyclophosphamide                Myleran / Busulfan                      Vepesid / Etoposide
Droxia, Hydrea / Hydroxyurea              Nolvadex / Tamoxifen                    Vesanoid / Tretinoin
Emcyt / Estramustine                      Panretin / Alitretinoin                 Xeloda / Capecitabine
Eulexin / Flutamide                       Purinethol / Mercaptopurine             Zoladex / Goserelin
Femara / Letrozole                        Revlimid / Lenalidomide
Fludarabine, oral                         Sprycel / Dasatinib
Gleevec / Imatinib                        Sutent / Sunitinib Malate
*Note: Use generic equivalents where available if covered by plan benefit design.


            GENERIC DRUGS                                        PREFERRED BRANDS                             NON-PREFERRED BRANDS

Immunosuppressant Agents
Azathioprine / Imuran                                   Azasan (Azathioprine)                             Myfortic (Mycophenolate sodium)
Cyclosporine / Sandimmune, Neoral                       Cellcept Oral Soln (Mycophenolate mofetil)        Simulect (Basiliximab)
Mycophenolate mofetil / Cellcept                        Neoral (Cyclosporine)                             Orthoclone OKT-3 (Muromonab-CD3)
                                                        Prograf (Tacrolimus anhydrous)                    Zenapax (Daclizumab)
                                                        Rapamune (Sirolimus)
                                                        Sandimmune (Cyclosporine)

Antiemetics
Granisetron / Kytril                                    Transderm-Scop Patch (Scopalamine)                Cesamet (Nabilone)
Meclizine / Antivert, Vertin                            Anzemet (Dolasetron)                              Dronabinol
Prochlorperazine / Compazine                            Emend (Aprepitant)                                Marinol (Dronabinol)
Promethazine HCL / Phenergan                                                                              Sancuso Patch (Granisetron)
Trimethobenzamide / Tigan
Ondansetron / Zofran/ODT




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      10                                     BOLD INDICATES BRAND NAME
Neurologic Drugs
            GENERIC DRUGS                                        PREFERRED BRANDS                        NON-PREFERRED BRANDS
Anti-Parkinsons Agents
Amantadine / Symmetrel                                  Apokyn (Apomorphine)                         Akineton (Biperiden)
Benztropine / Cogentin                                  Azilect (Rasagiline)                         Kemadrin (Procyclidine)
Bromocriptine / Parlodel                                Comtan (Entacapone)                          Neupro (Rotigotine)
Cabergoline / Dostinex                                  Mirapex (Pramipexole)                        Requip XL (Ropinirole)
Carbidopa/Levodopa / Sinemet/CR, Parcopa                Lodosyn (Carbidopa)                          Stalevo (Carbidopa/Levodopa/Entacapone)
Ropinirole / Requip                                                                                  Tasmar (Tolcapone)
Selegiline / Eldepryl, Carbex                                                                        Zelapar (Selegiline)
Trihexyphenidyl / Artane
Anti-Migraine Agents
Sumatriptan / Imitrex inj, tabs, nasal spray            Triptans:                                    Triptans:
                                                        Amerge (Naratriptan)                         Axert (Almotriptan)
                                                        Frova (Frovatriptan)
                                                        Maxalt/MLT (Rizatriptan)
                                                        Relpax (Eletriptan)
                                                        Treximet (Sumatriptan / Naproxen)
                                                        Zomig/ZMT (Zolmitriptan)

                                                        Ergotamines/Others:
Ergotamines/Others:                                     Ergomar (Ergotamine)                         Ergotamines/Others:
Aspirin/Butalbital/Caff / Fiorinal                      Phrenilin/Forte (Acetaminophen/Butalbital)   Migranal Nasal (Dihydroergotamine)
APAP/Butalbital/Caff / Fioricet
Ergotamine/Caffeine / Cafergot
Isometheptene / APAP/ Dichlorlphenazone / Midrin
Isometheptene/APAP/Caffeine / Migralam
Dihydroergotamine/ DHE 45

Alzheimer’s Agents
                                                        AchE Inhibitors                              AchE Inhibitors
Galantamine / Razadyne                                  Aricept/ODT (Donepezil)                      Cognex (Tacrine)
                                                        Exelon / Exelon Patch (Rivastigmine)         Mytelase (Ambenonium)
                                                        Mestinon (Pyridostigmine)                    Razadyne ER (Galantamine)
                                                        Prostigmin (Neostigmine)                     NMDA Receptor Antagonists
                                                                                                     Namenda (Memantine)


ALS Agents
                                                        Rilutek (Riluzole)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update       11                               BOLD INDICATES BRAND NAME
Neurologic Drugs (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS                 NON-PREFERRED BRANDS
Anticonvulsants
Carbamazepine / Tegretol/XR                             Banzel (Rufinamide)                   Equetro (Carbamazepine)
Clonazepam / Klonopin                                   Carbatrol (Carbamazepine)             Keppra XR (Levetiracetam)
Divalproex sodium / Depakote, Depakote ER               Celontin (Methsuximide)               Stavzor (Valproic Acid)
Ethosuximide / Zarontin                                 Diastat (Diazepam)                    Vimpat (Lacosamide)
Lamotrigine /Lamictal                                   Dilantin 30mg/50mg ONLY (Phenytoin)   Zonegran (Zonisamide)
Levetiracetam / Keppra                                  Felbatol (Felbamate)                  Zonisamide
Gabapentin / Neurontin, Gabarone                        Gabitril (Tiagabine)
Mephobarbital / Mebaral                                 Lyrica (Pregabalin)
Oxcarbazepine / Trileptal                               Phenytek (Phenytoin Sodium)
Phenobarbital / Phenobarbital                           Peganone (Ethotoin)
Phenytoin / Dilantin                                    Tegretol XR 100mg (Carbamazepine)
Primidone / Mysoline                                    Neurontin suspension (Gabapentin)
Topiramate / Topamax
Valproic Acid / Depakene




Blood Modifiers
            GENERIC DRUGS                                        PREFERRED BRANDS                 NON-PREFERRED BRANDS
Anticoagulants / Heparins
Warfarin sodium / Coumadin                              Arixtra (Fondaparinux)*               Innohep (Tinzaparin)*
Heparin sodium                                          Fragmin (Dalteparin)*
                                                        Lovenox (Enoxaparin)*

Platelet Aggregation Inhibitors
Cilostazol / Pletal                                     Aggrenox (Dipyridamole / Aspirin)
Dipyridamole / Persantine                               Plavix (Clopidogrel)
Ticlopidine / Ticlid
Pentoxifylline / Trental
Anagrelide / Agrylin
Hematopoietic Agents
Ferrous Sulfate       Ferrous Gluconate                 Aranesp (Darbepoetin)*                CaloMist (cyanocobalamin)
Ferrous Fumarate      Folic Acid                        Foltx (FA/ B12 / B 6)                 Chromagen Fa/Forte
Ferrogen                                                InFed (Iron dextran)                  Conison
Cyanocobalamin injection                                Niferex-150 Forte                     Ferrogels Forte
                                                        Procrit (Epoetin)*                    Epogen (Epoetin)*
                                                        Repliva                               Folgard RX (FA/ B12 / B 6)



*Specialty products may have a higher copayment, depending on plan benefit design.

Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      12                         BOLD INDICATES BRAND NAME
Cardiovascular Agents
            GENERIC DRUGS                                        PREFERRED BRANDS                            NON-PREFERRED BRANDS
Alpha Blockers
Doxazosin / Cardura                                     Dibenzyline (Phenoxybenzamine)
Prazosin / Minipress
Terazosin / Hytrin

Beta Blockers
Acebutolol / Sectral                                    Coreg CR (Carvedilol)                            Levatol (Penbutolol)
Atenolol / Tenormin                                                                                      Innopran XL (Propranolol)
Betaxolol / Kerlone                                                                                      Bystolic (Nebivolol)
Bisoprolol / Zebeta
Carvedilol / Coreg
Labetalol / Trandate
Metoprolol / Lopressor, Toprol XL
Nadolol / Corgard
Pindolol / Visken
Propranolol / Inderal/SR/LA
Sotalol / Betapace/AF
Timolol / Blocadren
Hypotensives, Miscellaneous
Atenolol/Chlorthalidone / Tenoretic                     Demser (Metyrosine)
Bisoprolol/HCTZ / Ziac
Propranolol/HCTZ / Inderide
Metoprolol/HCTZ/ Lopressor HCT
Nadolol/Bendroflumethiazide / Corzide
Calcium Channel Blockers
Amlodipine / Norvasc                                    Cardizem LA (Diltiazem)                          Caduet (Amlodipine/Atorvastatin)
Diltiazem / Cardizem/CD                                 Covera HS (Verapamil)                            Cardene / SR (Nicardipine)
Diltiazem / Dilacor XR, Tiazac                          Sular (Nisoldipine) 10mg, 8.5mg, 17mg, 25.5mg,   Nicardipine
Felodipine / Plendil                                    34mg                                             Dynacirc/CR (Isradipine)
Isradipine / Dynacirc
Nifedipine / Adalat/CC, Procardia/XL,
Nifedipine/ER
Nimodipine / Nimotop
Nisoldipine / Sular (20mg, 30mg, 40mg)
Verapamil / Calan/SR, Isoptin/SR, Verelan/PM




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      13                                    BOLD INDICATES BRAND NAME
Cardiovascular Agents (Continued)
             GENERIC DRUGS                                       PREFERRED BRANDS             NON-PREFERRED BRANDS
ACE Inhibitors
Benazepril / Lotensin
Captopril / Capoten                                     Aceon (Perindopril Erbumine)
Enalapril / Vasotec                                     Altace (Ramipril)
Fosinopril /Monopril
Lisinopril / Prinivil, Zestril
Moexipril / Univasc
Quinapril / Accupril
Trandolapril / Mavik
ACE Inhibitors with Diuretics
Benazepril/HCTZ / Lotensin HCT
Captopril /HCTZ / Capozide
Enalapril/HCTZ / Vaseretic
Fosinopril/HCTZ / Monopril HCT
Lisinopril/HCTZ / Prinzide, Zestoretic
Quinapril/HCTZ / Accuretic
Moexipril/HCTZ / Uniretic
ACE Inhibitor / CCB Combination
Benazepril/Amlodipine / Lotrel                                                            Lexxel (Felodipine/Enalapril)
                                                                                          Tarka (Trandolapril/Verapamil)

A-2 Antagonists (ARBs)
                                                        Atacand (Candesartan)             Avapro (Irbesartan)
                                                        Benicar (Olmesartan)              Teveten (Eprosartan)
                                                        Cozaar (Losartan)
                                                        Diovan (Valsartan)
                                                        Micardis (Telmisartan)
A-2 Antagonists (ARBs) with Diuretics
                                                        Atacand HCT (Candesartan/HCTZ)    Avalide (Irbesartan/HCTZ)
                                                        Benicar HCT (Olmesartan/HCTZ)     Teveten HCT (Eprosartan/HCTZ)
                                                        Diovan HCT (Valsartan/HCTZ)
                                                        Hyzaar (Losartan/HCTZ)
                                                        Micardis HCT (Telmisartan/HCTZ)
A-2 Antagonist (ARB) with CCB
                                                        Exforge (Valsartan/Amlodipine)    AZOR (Olmesartan/Amlodpine)

Renin Inhibitors / with Duretics
                                                        Tekturna (Aliskiren)
                                                        Tekturna HCT (Aliskiren/HCTZ)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      14                     BOLD INDICATES BRAND NAME
Cardiovascular Agents (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS                   NON-PREFERRED BRANDS
Antianginal / Anti-Ischemic
                                                        Ranexa (Ranolazine)



Antiarrhythmics
Amiodarone / Cordarone, Pacerone                        Ethmozine (Moricizine)                  Norpace CR (Disopyramide)
Disopyramide / Norpace                                  Procanbid (Procainamide)
Flecainide / Tambocor                                   Rythmol SR Only (Propafenone)
Mexiletine / Mexitil                                    Tikosyn (Dofetilide)
Procainamide / Pronestyl/SR
Propafenone / Rythmol
Quinidine Gluconate / Quinaglute
Cardiac Glycosides
Digoxin / Digitek, Lanoxin                                                                      Lanoxicaps (Digoxin)




Sympatholytic Agents
Clonidine / Catapres                                    Catapres TTS (Clonidine)                Clorpres (Clonidine/Chlorthalidone)
Guanfacine / Tenex                                                                              Guanabenz
Methyldopa / Aldomet
Methyldopa/HCTZ / Aldoril
Vasodilators, Hypotensive
Hydralazine / Apresoline                                Hydra-zide (Hydralazine/HCTZ)
Minoxidil / Loniten


Vasodilators, Coronary
Nitrates                                                Nitrates                                Nitrates
Isosorbide Dinitrate / Isordil, Sorbitrate, Isochron    Nitrolingual (Nitroglycerin Spray)
Isosorbide Mononitrate / ISMO, Imdur, Monoket           Dilatrate-SR (Isosorbide dinitrate)
Nitroglycerin (Orals) / Nitroquick, Nitrostat           Imdur (Isosorbide mononitrate)
Nitroglycerin (Discs) / Nitrodisc                       Monoket (Isosorbide mononitrate)
Nitroglycerin (Patch) / Nitro-Dur                       Nitro-BID (Nitroglycerin)
                                                        Minitran (Nitroglycerin)
Combinations                                            Nitrostat (Nitroglycerin)


                                                        Combinations
                                                        BiDil (Isosorb Dinitrate/Hydralazine)



Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update        15                         BOLD INDICATES BRAND NAME
Antihyperlipidemics
            GENERIC DRUGS                                        PREFERRED BRANDS                           NON-PREFERRED BRANDS
Statins
Lovastatin / Mevacor                                    Advicor (Niacin/Lovastatin)                     Lescol/XL (Fluvastatin)
Pravastatin / Pravachol                                 Altoprev (Lovastatin)
Simvastatin / Zocor                                     Crestor (Rosuvastatin)
                                                        Lipitor (Atorvastatin)
                                                        Vytorin (Ezetimibe/Simvastatin)

Statin – CCB Combination
                                                                                                        Caduet (Amlodipine / Atorvastatin)



Bile Acid Sequestrants
Cholestyramine / Questran                               Welchol (Colesevelam)
Colestipol granules, tab / Colestid


Fibrates
Gemfibrozil / Lopid                                     Tricor Tablets (Fenofibrate nanocrystallized)   Antara (Fenofibrate, micronized)
Fenofibrate, micronized / Lofibra, Tricor               Triglide (Fenofibrate)
                                                        Trilipix (Fenofibric acid)

Other Antihyperlipidemic Agents
                                                        Zetia (Ezetimibe)                               Niacor (niacin)
                                                        Niaspan (Niacin Extend Release)
                                                        Lovaza (Omega-3 Acid Ethyl Esters)
                                                        Simcor (Simvastatin / Niaspan)




Pancreatic Agents
            GENERIC DRUGS                                        PREFERRED BRANDS                           NON-PREFERRED BRANDS
Amylase/Lipase/Protease / Pancrease MT                  Creon (Amylase/Lipase/Protease)                 Kutrase, Pancrecarb (Amylase/Lipase/Protease)
                                                        Lipram (Amylase/Lipase/Protease)                Enzymax (Pancreatin)
                                                        Ultrase (Amylase/Lipase/Protease)               Ku-zyme HP (Pancreatin)
                                                        Viokase (Amylase/Lipase/Protease)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update        16                                    BOLD INDICATES BRAND NAME
Kidney & Urologic Agents
            GENERIC DRUGS                                        PREFERRED BRANDS            NON-PREFERRED BRANDS
Diuretics
Acetazolamide / Diamox                                                                   Diamox Sequels (Acetazolamide)
Amiloride/ HCTZ / Midamor, Moduretic                                                     Dyrenium (Triamterene)
Bumetanide / Bumex                                                                       Edecrin (Ethacrynic acid)
Chlorothiazide / Diuril
Chlorthalidone / Hygroton
Eplerenone / Inspra
Furosemide / Lasix
HCTZ / Esidrix / Hydrodiuril
Indapamide / Lozol
Methyclothiazide / Enduron
Methazolamide / Neptazane
Metolazone / Zaroxolyn
Spironolactone/HCTZ / Aldactone, Aldactazide
Torsemide / Demadex
Triamterene / HCTZ / Dyazide, Maxzide
Benign Prostatic Hyperplasia Agents
Doxazosin / Cardura                                     Avodart (Dutasteride)            Cardura XL (Doxazosin mesylate)
Finasteride / Proscar                                   Flomax (Tamsulosin)              Rapaflo (Silodosin)
Prazosin / Minipress                                    Uroxatral (Alfuzosin)
Terazosin / Hytrin
Urologic Agents
Erectile dysfunction agents                             Erectile dysfunction agents      Erectile dysfunction agents
                                                        Cialis (Tadalafil)               Levitra (Vardenafil)
                                                        Viagra (Sildenafil)              Edex (Alprostadil)
Miscellaneous                                           MUSE, Caverject (Alprostadil)    Yocon, Viritab (Yohimbine)
Flavoxate / Urispas                                                                      Yohimbine
Oxybutynin / Ditropan/XL                                Miscellaneous
Phenazopyridine / Pyridium                              Detrol/ LA (Tolterodine)         Miscellaneous
                                                        VESICare (Solifenacin)           Gelnique (Oxybutynin Gel)
                                                        Elmiron (Pentosan polysulfate)   Sanctura (Trospium)
                                                        Cystagon (Cysteamine)            Monurol (Fosfomycin)
                                                        Enablex (Darifenacin)            Hiprex (Methenamine)
                                                        Oxytrol (Oxybutynin)             Toviaz (Fesoterodine)
                                                        Sanctura XR (Trospium)
Urinary pH Modifiers                                                                     Bicitra (Citric Acid + Sodium Citrate)
Potassium Citrate / Urocit-K                                                             Citric Acid + Sodium or Potassium Citrate
                                                                                         Poly-Citra/K (Citric Acid + Potassium Citrate)
                                                                                         Renacidin (Mag carb/citric acid/lact)
                                                                                         Shohl’s Modified (Citric acid/Sod citrate)
                                                                                         UroQid-acid (Methen mand/NaPhos)
                                                                                         K-Phos Original (Potassium Acid Phosphate)
                                                                                         K-Phos MF(Sodium Phos/Potassium Phos)
                                                                                         K-Phos N° 2 (Sodium Phos/Potassium Phos)
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      17                     BOLD INDICATES BRAND NAME
Kidney & Urologic Agents (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS            NON-PREFERRED BRANDS
Electrolyte Depleters
Sodium Polystyrene Sulfonate / Kayexalate,              Fosrenol (Lanthanum Carbonate)   Magnebind (Calcium Carb/Mag Carb)
Kionex, SPS                                             Renagel (Sevelamer HCl)
Calcium acetate / PhosLo                                Renvela (Sevelamer Carbonate)

Potassium & Electrolytes
Potassium Chloride / K-Dur, Ktab, K-Lor, Kay-Ciel,      Klor-Con (Potassium chloride)    Kaochlor-EFF (Potass chloride/pot bicar)
Kaochlor                                                                                 Kaon elixir (Potassium chloride)
Potassium Bicarb+Potassium Cit / K-Lyte                                                  K-Lyte DS (Potass bicarb/Potass cit/Ca)
Potassium Gluconate / Kaon                                                               Micro-K (Potassium Chloride)
                                                                                         Rum-K (Potassium chloride)
                                                                                         Tri-K (Potassium Acetate/Bicarb/Citrate)

Gout & Hyperuricemia
Allopurinol / Zyloprim                                                                   Colchicine/Probenecid
Colchicine                                                                               Uloric (Febuxostat)
Probenecid




Skeletal Muscle Relaxants
            GENERIC DRUGS                                        PREFERRED BRANDS            NON-PREFERRED BRANDS
Skeletal Muscle Relaxants
Baclofen / Lioresal                                     Skelaxin (Metaxalone)            Amrix (cyclobenzaprine)
Carisoprodol / Soma, Vanadom                                                             Sux-Cert (Succinylcholine)
Chlorzoxazone / Parafon Forte                                                            Norflex (Orphenadrine)
Cyclobenzaprine / Flexeril                                                               Orphenadrine
Dantrolene / Dantrium                                                                    Norgesic/Forte (Orphenadrine/ASA/Caff)
Methocarbamol / Robaxin                                                                  Orphenadrine/ASA/Caff
                                                                                         Tizanidine
                                                                                         Zanaflex (Tizanidine)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      18                    BOLD INDICATES BRAND NAME
Osteoporosis Agents
              GENERIC DRUGS                                      PREFERRED BRANDS                         NON-PREFERRED BRANDS
Osteoporosis / Paget’s Disease Agents
Alendronate / Fosamax                                   Boniva (Ibandronate)                          Actonel (Risedronate)
Etidronate / Didronel                                   Evista (Raloxifene)                           Actonel w/Calcium (Risedronate/Calcium)
                                                        Fosamax Plus D (Alendronate-Vitamin D3)       Aredia (Pamidronate)
                                                        Miacalcin (Calcitonin – Nasal / Injectable)   Ganite (Gallium Nitrate)
                                                        Fortical (Calcitonin)                         Pamidronate
                                                                                                      Reclast (zoledronic acid)
Injectables                                             Injectables                                   Skelid (Tiludronate)
                                                        Forteo (Teriparatide)




Anti-Inflammatory & Analgesic Agents
              GENERIC DRUGS                                      PREFERRED BRANDS                         NON-PREFERRED BRANDS
Anti-Inflammatory Agents (NSAIDs)
Etodolac / Lodine/XL                                                                                  Arthrotec (Diclofenac/Misoprostol)
Flurbiprofen / Ansaid                                                                                 Cataflam (Diclofenac Potassium)
Ibuprofen / Motrin                                                                                    Diclofenac Potassium
Indomethacin / Indocin/SR                                                                             Diclofenac Sodium
Ketoprofen / Orudis, Oruvail                                                                          Fenoprofen
Meclofenamate / Meclomen                                                                              Flector Patch (Diclofenac epolamine)
Nabumetone / Relafen                                                                                  Ketorolac
Naproxen / Naprosyn/EC                                                                                Nalfon (Fenoprofen)
Naproxen Sodium / Anaprox/DS                                                                          Naprelan (Naproxen sodium)
Oxaprozin / Daypro                                                                                    Ponstel (Mefenamic acid)
Piroxicam / Feldene                                                                                   Toradol (Ketorolac)
Sulindac / Clinoril                                                                                   Voltaren Gel (Diclofenac)
Tolmetin / Tolectin/DS                                                                                Voltaren/XR (Diclofenac Sodium)
Meloxicam/ Mobic
COX-II Agents
                                                        Celebrex (Celecoxib)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update       19                                BOLD INDICATES BRAND NAME
Anti-Inflammatory & Analgesic Agents (continued)
            GENERIC DRUGS                                        PREFERRED BRANDS                     NON-PREFERRED BRANDS
Narcotic Analgesics
Acetaminophen w/Codeine / Tylenol #2/3/4                Avinza (Morphine Sulfate Extend Release)   Alcet (Oxycodone w/Acetaminophen)
Aspirin w/Codeine / Empirin #2/3/4                      Dilaudid Oral Solution (Hydromorphone)     Codeine/Carisoprodol/Aspirin
Butorphanol / Stadol                                    MSIR (Morphine Sulfate)                    Darvon-N 100 (Propoxyphene Napsylate)
Codeine/Aspirin/Butalbital/Caff / Fiorinal #3           OxyFast (Oxycodone)                        Kadian (Morphine Sulfate Sust Release)
Codeine/Acetam/Butalbital/Caffeine / Fioricet           OxyIR (Oxycodone)                          Levo-Dromoran (Levorphanol)
Fentanyl Citrate / Duragesic Patches, Actiq             OxyContin (Oxycodone)                      Levorphanol
Hydrocodone/Acet /Vicodin, Lorcet, Lortab, Norco        Subutex (Buprenorphine)                    Magnacet (Oxycodone w/Acetaminophen)
Hydrocodone/Ibuprofen / Vicoprofen                      Suboxone (Buprenorphine/Naloxone)          Numorphan (Oxymorphone)
Hydromorphone / Dilaudid                                                                           Opana/ER (Oxymorphone)
Meperidine / Demerol                                                                               Soma Compound (Codeine/Carisoprodol/Aspirin)
Methadone / Dolophine                                                                              Ultram ER (Tramadol)
Morphine Sulfate / Roxanol, MS Contin                                                              Vopac (Codeine/ Acetaminophen)
Oxycodone w/Acetaminophen / Percocet, Tylox                                                        Xodol (Hydrocodone/Acetaminophen)
Oxycodone w/Aspirin / Percodan                                                                     Zydone (Hydrocodone/Acetaminophen)
Oxycodone/Ibuprofen / Combunox                                                                     Fentora (Fentanyl buccal)
Pentazocine/Naloxone / Talwin NX
Pentazocine/Acetaminophen / Talacen
Propoxyphene / Darvon
Propoxyphene w/Acetaminoph / Darvocet-N
Tramadol / Ultram
Tramadol w/Acetaminophen / Ultracet

Salicylate Analgesics
Aspirin/Butalbital/Caff / Fiorinal                                                                 Equagesic (Aspirin/Meprobamate)
Chol Sal w/ Mag Salicylate / Trilisate, Tricosal
Aspirin/Sal-amide/Acetamin/Caff / Levacet
Diflunisal / Dolobid
Salsalate / Disalcid

Non-Salicylate Analgesics                                                                           Flextra (Acetaminophen/Phenyltolox/Caff)
Acetaminophen/Butalbital / Axocet
Acetaminophen/Caffeine/Butalbital / Esgic, Fioricet




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      20                             BOLD INDICATES BRAND NAME
Central Nervous System Agents
            GENERIC DRUGS                                        PREFERRED BRANDS                NON-PREFERRED BRANDS
Anti-Anxiety Agents
Alprazolam / Xanax/XR, Niravam                                                               Tranxene SD (Clorazepate)
Buspirone / Buspar                                                                           Alprazolam oral concentrate
Chlordiazepoxide / Librium                                                                   Meprobamate
Clonazepam / Klonopin                                                                        Miltown (Meprobamate)
Clorazepate / Tranxene
Diazepam / Valium
Lorazepam / Ativan
Oxazepam / Serax

Sedative-Hypnotics, Non-Barbiturate
Chloral Hydrate solution                                Ambien CR (Zolpidem)                 Aquachloral (Chloral hydrate)
Estazolam / Prosom                                      Restoril 7.5mg, 22.5mg (Temazepam)   Doral (Quazepam)
Flurazepam / Dalmane                                                                         Lunesta (Eszopiclone)
Temazepam / Restoril                                                                         Rozerem (Ramelteon)
Triazolam / Halcion                                                                          Somnote (Chloral hydrate)
Zaleplon / Sonata
Zolpidem / Ambien

Sedative-Hypnotics, Barbiturate
Mephobarbital / Mebaral                                                                      Butisol (Butabarbital)
Phenobarbital                                                                                Seconal (Secobarbital)


Attention Deficit Disorder (ADD/ADHD),
Narcolepsy & Adrenergic Agents                          Concerta (Methylphenidate)           Desoxyn (Methamphetamine)
Amphetamine/D-Amphetamine / Adderall/XR                 Daytrana Patches (Methylphenidate)   Focalin XR (Dexmethylphenidate)
D-Amphetamine / Dexedrine, Dextrostat                   Metadate CD (Methylphenidate)        Methylin Solution (Methylphenidate)
Dexmethylphenidate / Focalin                            Provigil (Modafinil)                 Ritalin LA (Methylphenidate)
Methylphenidate / Ritalin/SR/ Metadate/ER               Strattera (Atomoxetine)              Liquadd (Dextroamphetamine)
                                                        Vyvanse (Lisdexamfetamine)
                                                        Xyrem (Sodium Oxybate)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update     21                         BOLD INDICATES BRAND NAME
Central Nervous System Agents (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS            NON-PREFERRED BRANDS
Serotonin Specific Reuptake Inhibitors
(SSRIs)                                                                                  Lexapro (Escitalopram)
Citalopram / Celexa                                                                      Luvox CR (Fluvoxamine)
Fluoxetine / Prozac, Sarafem, Rapiflux                                                   Pexeva (Paroxetine Mesylate)
Fluvoxamine / Luvox                                                                      Prozac Weekly (Fluoxetine)
Paroxetine / Paxil/CR, Paxil Suspension
Sertraline / Zoloft

Serotonin Non-Specific Reuptake Inhibitors
(SNRIs)                                                 Cymbalta (Duloxetine)            Savella (Milnacipran)
Venlafaxine / Effexor                                   Effexor XR (Venlafaxine)
                                                        Pristiq (Desvenlafaxine)

SSRI / Antipsychotic Combinations
                                                                                         Symbyax (Fluoxetine / Olanzapine)


Monoamine Oxidase Inhibitors (MAOIs)
Tranylcypromine / Parnate                               Nardil (Phenylzine)              Emsam (Selegiline)
                                                                                         Marplan (Isocarboxazid)

Antidpressants, Other
Amitriptyline / Elavil, Endep                           Surmontil 100mg (Trimipramine)   Imipramine Pamoate
Amoxapine / Asendin                                                                      Nefazodone
Bupropion / Wellbutrin/SR/ XL                                                            Serzone (Nefazodone)
Clomipramine / Anafranil                                                                 Tofranil-PM (Imipramine Pamoate)
Desipramine / Norpramin                                                                  Amitriptyline / perphenazine
Doxepin / Adapin, Sinequan
Imipramine / Tofranil
Maprotiline / Ludiomil
Mirtazapine / Remeron, Remeron Soltab
Nortriptyline / Aventyl, Pamelor
Protriptyline / Vivactil
Trazodone / Desyrel
Trimipramine / Surmontil 25mg and 50mg




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update       22                   BOLD INDICATES BRAND NAME
Central Nervous System Agents (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS        NON-PREFERRED BRANDS
Antipsychotic Agents, Typical
Chlorpromazine / Thorazine                              Orap (Pimozide)              Mellaril (Thioridazine)
Fluphenazine / Prolixin                                 Moban (Molindone)            Thioridazine
Haloperidol / Haldol
Loxapine / Loxitane
Perphenazine / Trilafon
Trifluoperazine / Stelazine
Thiothixene / Navane

Antipsychotic Agents, Atypical
Clozapine / Clozaril                                    Clozaril (Clozapine)         Abilify (Aripiprazole)
Risperidone / Risperdal                                 Geodon (Ziprasidone)         Fazaclo (Clozapine)
                                                        Seroquel/XR (Quetiapine)     Invega (Paliperidone)
                                                        Zyprexa/ZYDIS (Olanzapine)

Bipolar Disorder (Anti-Mania) Agents
Lithium Carbonate / Eskalith
Lithium Carbonate / Lithobid




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update    23                   BOLD INDICATES BRAND NAME
Gastrointestinal Agents
            GENERIC DRUGS                                        PREFERRED BRANDS                               NON-PREFERRED BRANDS
Anti-Ulcer / GERD Agents
Cimetidine / Tagamet                                    Axid Solution (Nizatidine)                          Aciphex (Rabeprazole)
Famotidine / Pepcid/AC/RPD                              Nexium (Esomeprazole)                               Helidac (Tetracyc/Bis subsal/Metronidazole)
Metoclopramide / Reglan                                 Carafate Suspension (Sucralfate)                    Kapidex (Dexlansoprazole)
Misoprostol / Cytotec                                   Pylera (Biskalcitrate/Metronidazole/Tetracycline)   Prevacid NapraPac (Lansoprazole/Naproxen)
Nizatidine / Axid                                                                                           Prevacid (Lansoprazole)
Omeprazole / Prilosec                                                                                       PrevPac (Lansoprazole/Amox/Clarithrom)
Pantoprazole / Protonix                                                                                     Prilosec OTC (Omeprazole)
Ranitidine / Zantac/Syrup, Taladine                                                                         Protonix Susp (Pantoprazole)
Sucralfate / Carafate                                                                                       Zegerid (Omeprazole Powder

Anti-Spasmodic Agents                                                                                       Colytrol (Belladonna alkaloids)
Atropine sulfate / Sal-Tropine                          Pamine/Forte (Methscopalamine)                      Donnamar (Hyoscyamine)
Belladona w/phenobarb / Donnatal                        Levsinex, Levsin, NuLev (Hyoscyamine)               IB-STAT (Hyoscyamine)
Dicyclomine / Bentyl                                    Spacol T/S (Hyoscyamine)                            Pro-Banthine (Propantheline)
Hyoscyamine/ Cystospaz, Spacol I.D.                                                                         Simetyl (Atrop/Scopolam/Hyoscyamine)
                                                                                                            Spacol (Belladonna alkaloids)
                                                                                                            Symax Duotab (Hyoscyamine)
Bowel & Colon Agents
Mesalamine / Rowasa                                     Apriso (Mesalamine)
Loperamide/ Imodium                                     Asacol / HD (Mesalamine)                            Dipentum (Olsalazine)
Diphenoxylate/Atropine/ Lomotil                         Canasa (Mesalamine)                                 Lialda (Mesalamine, extended-release)
Ursodiol / Actigall                                     Colazal (Balsalazide Disodium)
Ursodiol / Urso/Forte                                   Entocort EC (Budesonide)
                                                        Motofen (Difenoxin/Atropine sulfate)
                                                        Pentasa (Mesalamine)

Irritable Bowel Syndrome Agents
                                                        Lotronex (Alosetron)


Laxatives & Cathartics
Lactulose                                               Amitiza (Lubiprostone)                              Kristalose (Lactulose)
PEG 3350 / Miralax                                      Colyte (Sod sulf/sod/NAHCO3/KCL/PEG's)              Osmoprep Tab (NaPhos MB m-h/na Phos,Di-Ba)
PEG 3350/electrolyte soln                               Golytely pack (Sod sulf/sod/NaHCO3/KCL/PEG's)       Trilyte (Sod chloride/NAHCO3/KCl/PEG's)
                                                        Halflytely (Bisac/NaCl/NaHCO3/KCL/PEG 3350)         Visicol (Na PHOS mono&dibasic/cellulose)
                                                        Nulytely (Sod chloride/NAHCO3/KCl/PEG's)            OCL soln (Sod sulf/sod/NAHCO3/KCL/PEG's
                                                        Relistor (Methylnaltrexone)                         Moviprep (PEG 3350/Sod Sul/NaCl/ASB/KCL)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update        24                                     BOLD INDICATES BRAND NAME
Oral Contraceptives & Hormone Replacement
            GENERIC DRUGS                                        PREFERRED BRANDS                   NON-PREFERRED BRANDS
Contraceptives
Orals – Monophasic                                      Orals - Monophasic                      Orals - Monophasic
Apri Aviane Balziva Cryselle Kariva Kelnor              Yaz                                     Alesse Brevicon Desogen Demulen Loestrin
Low-Ogestrel Lessina Lutera Ocella Ogestrel                                                     24 Fe Levlen Levlite Loestrin/Fe Mircette
Levora Mononessa        Junel/Fe Necon                                                          Nordette Modicon Norinyl Ortho-Cept Ortho-
Microgestin/Fe Nortrel Portia Previfem                                                          Novum Ortho Cyclen Ovcon/Fe Ovral
Reclipsen Solia Sronyx     Sprintec Zovia               Orals - Biphasic                        Lo/Ovral Femcon Fe Yasmin
                                                        Necon 10/11
Orals – Biphasic
                                                                                                Orals – Biphasic
                                                                                                Ortho-Novum 10/11
                                                        Orals – Triphasic
Orals – Triphasic
                                                        Cyclessa
Aranelle Cesia Enpresse Leena Necon 7/7/7
                                                        Ortho Tri-Cyclen Lo                     Orals – Triphasic
Nortrel 7/7/7 Trinessa Tri-Legest Fe Tri-Sprintec
                                                                                                Estrostep/Fe Ortho-Novum 7/7/7 Tri-Levlen
Tri-Previfem Trivora Velivet
                                                        Orals – Extended-Cycle                  Tri-Norinyl Triphasil Ortho Tri-Cyclen
                                                        Seasonique
Orals – Extended-Cycle                                  Lybrel
Quasense Jolessa                                                                                Orals – Extended-Cycle
                                                                                                Seasonale
                                                        Progestins
                                                                                                LoSeasonique
                                                        Plan B
Progestins
                                                        Ovrette
Camila     Jolivette                                                                            Progestins
Errin      Nora-Be                                                                              Nor-QD     Ortho-Micronor
                                                        Others                                  Mirena
                                                        Nuvaring
                                                                                                Others
                                                                                                Ortho-Evra
Estrogens, Oral
Estropipate / Ogen, Ortho-Est                           Cenestin (Conjugated Estrogen)          Femtrace (Estradiol)
Estradiol / Estrace, Esclim                             Enjuvia (Conjugated Estrogen)           Menest (Esterified Estrogen)
                                                        Gynodiol (Estradiol)
                                                        Ortho-Est (Estropipate)
                                                        Premarin (Conjugated Estrogen)
Estrogens, Patches & Gels                                                                       Alora (Estradiol)
Estradiol / Climara                                     Climara (Estradiol)                     Elestrin (Estradiol)
                                                        Estraderm (Estradiol)                   Estrogel (Estradiol)
                                                        Evamist (Estradiol)                     Menostar (Estrogen)
                                                        Vivelle DOT (Estradiol Patch)
                                                        Divigel (Estradiol)
Estrogens, Vaginal
                                                        Estring (Estradiol)                     Estrace (Estradiol)
                                                        Premarin Cream (Conjugated Estrogens)   Femring (Estradiol)
                                                        Vagifem (Estradiol)


Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update       25                          BOLD INDICATES BRAND NAME
Oral Contraceptives & Hormone Replacement (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS                           NON-PREFERRED BRANDS
Estrogen Combinations
ME-Testosterone/Estrogen/Ester / EEMT/HS                Orals                                           Orals
(Estradiol / Norethin AC) / Activella 1-0.5             Prempro (Conj. Estrogen/Medroxyprogest)         Angeliq (Estradiol / Drospirenone)
                                                        Premphase (Conj. Estrogen/Medroxyprogest)       FemHRT (Estradiol / Norethin)
                                                        Estratest/HS (ME-Testosterone/Estrogen/Ester)   Prefest (Estradiol/Norgestimate)
                                                        Activella 0.5-0.1 (Estradiol / Noreth AC)

                                                        Patches                                         Patches
                                                        Combipatch (Estradiol / Norethindrone)          Climara PRO (Estradiol/ Levonorgestrel)

Androgenic Agents
                                                        Androderm (Testosterone Patch)                  Anadrol (Oxymetholone)
Prasterone / DHEA                                       Androgel (Testosterone Gel)                     Android (Methyltestosterone)
                                                        Androxy (Fluoxymesterone)                       Delatestryl (Testosterone enanthate)
                                                        Methitest (Methyltestosterone)                  Depo-Testosterone (Testosterone cypio)
                                                        Testim (Testosterone)                           First-Testosterone (Testosterone prop)
                                                                                                        Nandrolone DE (Nandrolone dec)
                                                                                                        Oxandrin (Oxandrolone)
                                                                                                        Oxandrolone
                                                                                                        Striant (Testosterone)
                                                                                                        Testopel (Testosterone)
                                                                                                        Testred (Methyltestosterone)
                                                                                                        Testosterone cypionate
                                                                                                        Testosterone enanthate
                                                                                                        Testosterone propionate
Progestational Agents
Medroxyprogesterone / Provera                           Prometrium (Progesterone, micronized)           Depo-Provera (Medroxyprogesterone)
Norethindrone acetate / Aygestin                        Crinone (Progesterone)                          Endometrin (Progesterone)
Progesterone oil                                                                                        First-Progesterone MC (Progesterone)
                                                                                                        Prochieve (Progesterone, Micron.)

Other Contraception Agents
                                                                                                        Mifeprex (Mifepristone)


Miscellaneous
Megestrol acetate suspension / Megace                   Synarel (Naferellin)                            Megace ES (Megestrol acetate suspension)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      26                                   BOLD INDICATES BRAND NAME
Prenatal Vitamins
            GENERIC DRUGS                                        PREFERRED BRANDS                     NON-PREFERRED BRANDS
Prenatal Vitamins
Natalcare CFE, Nutrinate, Natacaps, Perry               Neevo/DHA                                 Cenogen OB/Ultra, Citracal Prenatal RX,
Prenatal, Vinatal, Prenatal Start, Prenatal Plus,       Niferex-PN/Forte                          Duet/DHA, Embrex-600, Materna, Mynate 90
Maternity, Prenatal Advantage, Vinate GT,               Precare                                   Plus, Natachew, Natafort, Nestabs CBF/FA,
Prenatabs CBF                                           Precare Conceive/Prenatal                 Novanatal, Prena-Cap, Prenatal MR 90 FE,
                                                        Prenate Elite                             Prenate Advance, Prenate GT, Strongstart,
                                                        PrimaCare/One                             Stuartnatal Plus, Premesis RX




Corticosteroids
            GENERIC DRUGS                                        PREFERRED BRANDS                     NON-PREFERRED BRANDS
Glucocorticoids / Mineralocorticoids (Oral)
Cortisone Acetate / Cortone                             Entocort EC (Budesonide)                  Celestone (Betamethasone)
Dexamethasone / Decadron                                                                          Dexpak (Dexamethasone)
Fludrocortisone / Florinef                                                                        Medrol (Methylprednisolone)
Hydrocortisone / Cortef                                                                           Orapred ODT (Prednisolone sod phos)
Methylprednisolone / Medrol
Prednisone / Deltasone, Sterapred
Prednisolone / Prelone, Pediapred, Orapred
Glucocorticoids (Rectal)
                                                        ProctoFoamHC (Hydrocortisone/Pramoxine)
                                                        Cortifoam (Hydrocortisone acetate)




Thyroid Replacement and Anti-Thyroid Agents
            GENERIC DRUGS                                        PREFERRED BRANDS                     NON-PREFERRED BRANDS
Levothyroxine / Synthroid                               Levoxyl (Levothyroxine)                   Thyrolar (Liotrix)
 Liothyronine / Cytomel                                 Nature-Throid (Thyroid, pork)
Methimazole / Tapazole                                  Westhroid (Thyroid, pork)
Propylthiouracil / Propylthiouracil
Potassium Iodide / Lugol’s
Thyroid / Armour Thyroid, Unithroid




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update       27                              BOLD INDICATES BRAND NAME
Diabetes Agents
            GENERIC DRUGS                                        PREFERRED BRANDS                    NON-PREFERRED BRANDS
Insulins
                                                        Apidra/SoloStar (Insulin Glulisine)      Exubera (Insulin Regular Human Rec)
                                                        Lantus (Insulin Glargine)                Novolin, Novalog Innolet Insulins & Pens
                                                        Levemir (Insulin Detemir)
                                                        Humulin & Humalog Insulins & Pens

Injectable Hypoglycemics, Other
                                                        Symlin (Pramlintide Acetate)
                                                        Byetta (Exenatide)


Oral Hypoglycemics
Acarbose / Precose                                      Januvia (Sitagliptin Phosphate)          Fortamet (Metformin Extended Release)
Acetohexamide / Dymelor                                 Janumet (Sitagliptin / Metformin)        Glumetza (Metformin)
Chlorpropamide / Diabinese                              Prandin (Repaglinide)                    Glycron (Glyburide, micronized)
Glimepiride / Amaryl                                    Starlix (Nateglinide)                    Glyset (Miglitol)
Glipizide / Glucotrol, Glucotrol XL                                                              Prandimet (Repaglinide / Metformin)
Glipizide/Metformin / Metaglip                                                                   Riomet (Metformin)
Glyburide / Diabeta, Glynase, Micronase
Glyburide/Metformin / Glucovance
Metformin / Glucophage/XR
Tolazamide / Tolinase
Tolbutamide / Orinase                                   Thiazolidinediones
                                                        Actos (Pioglitazone)
Thiazolidinediones                                      Avandia (Rosiglitazone)
                                                                                                 Thiazolidinediones

                                                        Thiazolidinedione Combinations
                                                        ActoPlusMet (Pioglitazone/Metformin)
Thiazolidinedione Combinations                          Avandamet (Rosiglitazone/ Metformin)
                                                        Avandaryl (Rosiglitazone/ Glimepiride)   Thiazolidinedione Combinations
                                                        Duetact (Pioglitazone/Glimepiride)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update        28                          BOLD INDICATES BRAND NAME
Diabetes Products
            GENERIC DRUGS                                        PREFERRED BRANDS                      NON-PREFERRED BRANDS
Diabetes Supplies
                                                        Accuchek / III / Simplicity                 Ascensia Products
                                                        B-D Syringes                                B-D Logic & Latitude Products
                                                        Lifescan Products: OneTouch Ultra meters,   Freestyle Products
                                                        OneTouch meters                             InDuo
                                                        Soft Clix Lancet Device & Lancets           Precision Products
                                                        Soft Touch Lancet Device & Lancets          Therasense Products
                                                                                                    Prestige / TrueTrack Products

Urine Glucose / Ketone Strips
                                                        ChemStrips K                                ChemStrips/BG




Hyperglycemics
                                                                                                    Proglycem (Diazoxide)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update    29                                BOLD INDICATES BRAND NAME
Respiratory Agents
            GENERIC DRUGS                                        PREFERRED BRANDS                          NON-PREFERRED BRANDS
Antihistamines, Non/Low Sedating
Fexofenadine / Allegra                                  Allegra D (Fexofenadine w/ Decongestant)       Clarinex-D 12 Hour, 24 Hour (Desloratadine)
Loratadine / Claritin*                                  Allegra Suspension (Fexofenadine)              Clarinex Syrup (Desloratadine)
Cetirizine / Zyrtec/D*                                  Clarinex (Desloratadine)                       Allegra ODT (Fexofenadine)
*OTC                                                                                                   Xyzal (Levocetirizine)
Antihistamines, First Generation
Brompheniramine / Lodrane, Brovex                       Deconamine Syr, Chew, SR (Chlorphenir/pseud)   Ahist (Chlorpheniramine Tannate)
Diphenhydramine / Benadryl, Hydramine, Dytan            Histex SR (Carbinoxamine)                      Carbinoxamine 4mg, 10mg
Hydroxyzine / Atarax                                    Palgic Liquid (Carbinoxamine)                  Conex (Brompheniramine Tannate)
Hydroxyzine Pamoate / Vistaril                          Tussionex (Chlorphenir/Hydrocodone)            J-Tan (Brompheniramine Tannate)
Cyproheptadine / Periactin                                                                             Lodrane 24 (Brompheniramine Maleate)
Chlorpheniramine                                                                                       P-Tex (Brompheniramine Tannate)
Clemastine                                                                                             Palgic (Carbinoxamine)
Dexbrompheniramine/PSE                                                                                 Pediatan (Chlorpheniramine Tannate)
Dexchlorpheniramine                                                                                    Qdall AR (Chlorpheniramine Maleate)
P-Ephed+Bromphen                                                                                       Ricobid-H (Chlorpheniramine Maleate)
                                                                                                       Semprex-D (Pseudoephedrine/Acrivastine)
                                                                                                       Vazol (Brompheniramine Maleate)
                                                                                                       Zymine (Tripolidine)

Other Allergy Agents
Ipratropium / Atrovent Nasal Spray                      Astelin (Azelastine)                           Patanase (Olopatadine)
                                                        Astepro (Azelastine)

Asthma Agents
Albuterol / Ventolin                                    Advair Diskus/ HFA (Fluticasone/Salmeterol)    Alupent (Metaproterenol)
Albuterol Sulfate / Vospire ER, Accuneb                 Foradil (Formoterol)                           Proventil HFA (Albuterol)
Cromolyn Sodium solution / Intal                        Intal (Cromolyn sodium)                        Ventolin HFA (Albuterol)
Metaproterenol / Alupent                                Maxair (Pirbuterol)
Terbutaline / Brethine                                  ProAir (Albuterol HFA)
                                                        Serevent Diskus (Salmeterol)
                                                        Symbicort (budesonide/Formoterol)
                                                        Tilade (Nedocromil)
                                                        Xopenex/HFA (Levalbuterol)

                                                        Leukotriene Modifiers
                                                        Singulair (Montelukast)                        Leukotriene Modifiers
                                                                                                       Zyflo/CR (Zileuton)
                                                                                                       Accolate (Zafirlukast)

                                                                                                       Injectables
                                                                                                       Xolair (Omalizumab)



Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      30                                   BOLD INDICATES BRAND NAME
Respiratory Agents (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS                          NON-PREFERRED BRANDS
Corticosteroid Inhalers
                                                        Asmanex (Mometasone Furoate)                   Aerobid/M (Flunisolide/Menthol)
                                                        Flovent/ HFA (Fluticasone)                     Azmacort (Triamcinolone)
                                                        Pulmicort (Budesonide)                         Alvesco (Ciclesonide)
                                                        Qvar (Beclomethasone)

Intranasal Corticosteroids
Fluticasone / Flonase                                   Nasacort AQ (Triamcinolone)                    Beconase/AQ (Beclomethasone)
Flunisolide                                             Nasonex (Mometasone)                           Nasarel (Flunisolide)
                                                        Rhinocort Aqua (Budesonide)                    Omnaris (Ciclesonide)
                                                        Veramyst (Fluticasone furoate)

COPD Agents
Albuterol/Ipratropium / DuoNeb                          Atrovent/ HFA (Ipratropium)                    Brovana (Arformoterol)
Ipratropium / Atrovent (Nebulization ampules)           Combivent (Albuterol/Ipratropium)
                                                        Perforomist (Formoterol)
                                                        Spiriva (Tiotropium)

Xanthine Derivatives
Theophylline / Theochron, Theocap                       Elixophyllin (Theophylline anhydrous)          Cafcit (Caffeine citrated)
                                                        Uniphyl (Theophylline anhydrous)               Caffeine citrated
                                                        Slo-Bid 50mg, 100mg (Theophylline anhydrous)   Dilor (Dyphylline)
                                                                                                       Dyphylline
                                                                                                       Lufyllin (Dyphylline)
                                                                                                       Theo-24 (Theophylline anhydrous)


Miscellaneous Respiratory Products
                                                        Epipen/Jr (Epinephrine)                        MD Turbo
                                                        Tobi (Tobramycin)
                                                        Twinject (Epinephrine)
                                                        Respi-Tann/ PD (Carbetapentane/Pseud)
                                                        Pulmozyme (Dornase alfa)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      31                                  BOLD INDICATES BRAND NAME
Skin & Skin Structure Agents
            GENERIC DRUGS                                        PREFERRED BRANDS                        NON-PREFERRED BRANDS
Acne / Rosacea Products (Oral & Topical)
Benzoyl Peroxide w/ E-mycin / Benzamycin/Pak            Azelex (Azelaic acid)                        Aczone (dapsone gel)
Clindamycin / Cleocin-T Solution                        Benzaclin (Benzoyl Peroxide / Clindamycin)   Avar (Sulfacetamide/sulfur)
Erythromycin/ Emgel, T-Stat                             Differin (Adapalene)                         Akne-mycin (Erythromycin base)
Isotretinoin / Accutane, Sotret, Claravis               Duac (Clindamycin/benzoyl peroxide)          Atralin (Tretinoin 0.05% Gel)
Metronidazole / Metrolotion/Gel, Nydamax                Finacea (Azelaic acid)                       Brevoxyl (Benzoyl Peroxide)
Sulfacetamide 10% / Klaron                              Lavoclen-4, 8 (Benzoyl peroxide)             Clindareach (Clindamycin)
Sulfacetamide w/ Sulfur / Novacet, Zetacet,             Metrogel (Metronidazole)                     Epiduo (Adapalene/Benzoyl Peroxide)
Plexion, Rosula                                         Retin-A Micro (Tretinoin microspheres)       Noritate (Metronidazole)
Tretinoin / Retin-A, Avita                              Rosula Clarifying Wash/CLK                   Sulfoxyl (Benzoyl peroxide/Sulfur)
                                                        (Sulfacetamide/Sulfur/Urea/Meth              Tretin-X (Tretinoin)
                                                        Anthranilate/Titanium dioxide)               Z-clinz (Clindamycin/Benzoyl peroxide)
                                                                                                     Ziana Gel (Clindamicin/Tretinoin)

Antifungals (Topical)
Clotrimazole / Lotrimin, Mycelex                        Ertaczo (Sertaconazole)                      Bensal-HP (Benzoic acid/Salicylic acid)
Clotrimazole+Betamethisone/ Lotrisone                   Mentax (Butenafine)                          Exelderm (Sulconazole)
Ciclopirox / Penlac                                                                                  Loprox (Ciclopirox)
Econazole nitrate / Spectazole                                                                       Naftin (Naftifine)
Ketoconazole / Nizoral                                                                               Oxistat (Oxiconazole)
Miconazole / Monistat-Derm                                                                           Triple Dye (Gent viol/Brlnt Grn/Prof)
Nystatin / Mycostatin                                                                                Versiclear (Sodium Thiosulfate/SA)
Nystatin w/Triamcinolone / Mycolog II                                                                Vusion (Miconazole/Zinc oxide)
                                                                                                     Xolegel (Ketoconazole)
                                                                                                     Extina (Ketoconazole)
Keratolytics / Wound Care
Ammonium Lactate / Lac-Hydrin                           Condylox Gel/Solution (Podofilox)            Regranex (Becaplermin)
Benzoyl Peroxide / Benzac AC, Desquam/X, Triaz          Keralac (Urea)                               Santyl (Collagenase)
Benzoyl Peroxide/Urea / Zoderm                          Zoderm (Benzoyl Peroxide/Urea)               Sulfamylon (Mafenide)
Lactic Acid / Lactinol                                                                               Salex Shampoo (Salicylic Acid)
Podofilox / Condylox solution                                                                        Umecta (Urea)
Salicylic Acid / Duofilm, Salex                                                                      Veregen (Sinecatechins)
Silver Sulfadiazine / Silvadene
Trypsin-Balsam Peru-Castor / Granulex, Xenaderm
Urea / Carmol




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      32                                BOLD INDICATES BRAND NAME
Skin & Skin Structure (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS                              NON-PREFERRED BRANDS
Psoriasis Agents (Oral & Topical)
Anthralin / Psoriatec                                   Dovonex (Calcipotriene)                            8-MOP (Methoxsalen)
Calcipotriene Sol’n / Dovonex Solution                  Dritho-Scalp (Anthralin)                           Taclonex (Calcipotriene/Betameth)
                                                        Oxsoralen (Methoxsalen)                            Vectical (Calcitriol)
                                                        Soriatane (Acitretin)
                                                        Tazorac (Tazarotene)

Scabies & Pediculosis Agents
Lindane / Lindane                                       Eurax (Crotamiton)
Permethrin 5% / Elimite
Malathion / Ovide
Topical Corticosteroids
Alclometasone Dipropionate / Aclovate           IV      Capex Shampoo (Fluocinolone acet)           III    Cloderm (Clocortolone pivalate)                  II
Amcinonide / Cyclocort                            II    Clobex (Clobetasol propionate)                I    Cordran (Flurandrenolide)                    I-III
Aug Betameth Diprop / Diprolene                I/II     Locoid Lipocream (Hydrocortisone But)     IV       Derma-Smoothe/FS (Fluocinolone acet)            III
Betameth Diprop, Valerate / Diprosone, Valisone II      Locoid Liquid (Hydrocortisone But)        IV       Dermatop (Prednicarbate)                        III
Clobetasol Propionate / Temovate, Olux             I                                                       Desonate (Desonide)                             IV
Desonide / Desowen                              IV                                                         First-Hydrocortisone (Hydrocortisone)          IV
Desoximetasone / Topicort                         II                                                       Halog (Halcinonide)                              II
Diflorasone Diacetate / Psorcon                    I                                                       Luxiq (Betamethasone valerate)                 III
Fluocinolone Acetonide / Synalar                 III                                                       Olux/E (Clobetasol propionate)                    I
Fluocinonide / Lidex                             II                                                        Pandel (Hydrocortisone probutate)               III
Fluticasone propionate / Cutivate               III                                                        Prednicarbate                                  III
Halobetasol Propionate / Ultravate                 I                                                       Vanos (Fluocinonide)                             I
Hydrocortisone / Hytone, Cortizone              IV                                                         Verdeso (Desonide)                            IV
Hydrocortisone butyr / Locoid                  III
Hydrocortisone Valerate / Westcort             III
Mometasone Furoate / Elocon                    III
Triamcinolone / Aristocort, Kenalog            III
Topical immunosuppressives &
Miscellaneous                                           Aldara (Imiquimod)
                                                        Elidel (Pimecrolimus)                              Misc
                                                        Protopic (Tacrolimus)                              Atopiclair (Dl-e ac/Grape/Hyaluronic acid)
                                                                                                           Mimyx (Emollient Combination)

Topical Local Anesthetics
Lidocaine-prilocaine / EMLA                             Americaine Spray (Benzocaine)                      Americaine, Anacaine Oint (Benzocaine)
Lidocaine / Lidamantle                                  Lidoderm (Lidocaine)                               Cetacaine (Tetracaine/Benzocaine)
                                                        Pramosone (HC acetate/Pramoxine)                   Epifoam (HC acetate/pramoxine HCl)
Relative potency of topical corticosteroids: I = Very High Potency       II = High Potency   III = Medium Potency   IV = Low Potency



Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update       33                                      BOLD INDICATES BRAND NAME
Vaginal Agents
             GENERIC DRUGS                                       PREFERRED BRANDS                    NON-PREFERRED BRANDS
Vaginal Antibiotics
Metronidazole / Metrogel-vaginal                        AVC (Sulfanilamide)                      Cleocin supp (Clindamycin phosphate)
Clindamycin / Cleocin cream                             Clindesse (Clindamycin phosphate)        Dayto-Sulf (Sulfathiaz/Sulfacetam/S-Benz)
Triple Sulfa / Sultrin

Vaginal Antifungals
Miconazole / Monistat-7                                 Gynazole-1 (Butoconazole)
Nystatin Vaginal tabs
Terconazole / Terazol 3, 7




Ophthalmics
             GENERIC DRUGS                                       PREFERRED BRANDS                    NON-PREFERRED BRANDS
Ophthalmic Antibiotics
Bacitracin / AK Tracin                                  Blephamide/SOP (Na sulfacet/Prednisln)   Terramycin Polymyxin B
Ciprofloxacin / Ciloxan                                 Iquix (Levofloxacin)                     AzaSite (Azithromycin)
Erythromycin / Ilotycin                                 Quixin (Levofloxacin)
Gentamycin / Garamycin, Gentak                          Vigamox (Moxifloxacin)
Neomycin/Polymyxin/Gramicidin / Neosporin               Zymar (Gatifloxacin)
Neomycin/Polymyxin/Bacitracin
Ofloxacin / Ocuflox
Polymyxin w/Bacitracin / Polysporin
Polymyxin/Trimethoprim / Polytrim
Sulfacetamide 10% / Bleph-10
Sulfacetamide oint
Sulfacetam w/prednisolone / Vasocidin
Tobramycin / Tobrex

Ophthalmic Antivirals
Trifluridine / Viroptic                                 Natacyn (Natamycin)                      Vitrasert (Ganciclovir)
                                                                                                 Vitravene (Fomivirsen sodium)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update        34                          BOLD INDICATES BRAND NAME
Ophthalmics (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS                    NON-PREFERRED BRANDS
Ophthalmic Antihistamines
Ketotifen / Zaditor                                     Optivar (Azelastine)                     Elestat (Epinastine)
                                                        Patanol (Olopatadine)                    Emadine (Emedastine)
                                                        Pataday (Olopatadine)

Ophthalmic Anti-Inflammatory Agents
Dexamethasone / Decadron, Ak-Dex                        Alrex (Loteprednol)                      Acular LS/PF (Ketorolac)
Diclofenac / Voltaren                                   Lotemax (Loteprednol)                    Durezol (Difluprednate)
Fluorometholone / FML                                   Pred Mild (Prednisolone acetate)         Flarex (Fluorometholone)
Flurbiprofen / Ocufen                                   Retisert (Fluocinolone acetonide)        FML Forte/SOP (Fluorometholone)
Prednisolone acetate / Pred Forte                                                                Inflamase Mild (Prednisolone sod)
Prednisolone sod / Inflamase Forte,                                                              Maxidex (Dexamethasone)
Econopred Plus                                                                                   Nevanac (Nepafenac)
                                                                                                 Vexol (Rimexolone)
                                                                                                 Xibrom (Bromfenac sod)

Ophthalmic Immunomodulators /Lubricants
                                                        Restasis (Cyclosporine)
                                                        Lacrisert (Hydroxypropyl Cellulose)

Ophthalmic Mast Cell Stabilizers
Cromolyn Sodium / Crolom                                Alamast (Pemirolast)                     Alocril (Nedocromil)
                                                                                                 Alomide (Lodoxamide)

Ophthalmic Miotics
Betaxolol / Betoptic                                    Azopt (Brinzolamide)                     Combigan (Brimonidine/timolol)
Brimonidine / Alphagan                                  Alphagan P (Brimonidine)                 Iopidine (Apraclonidine)
Carbachol / Carbastat, IsoptoCarbachol                  Betimol (Timolol)                        Istalol (Timolol maleate)
Carteolol / Ocupress                                    Betoptic-S (Betaxolol)                   Miochol-E (Acetylcholine chloride)
Dorzolamide / Trusopt                                   Lumigan (Bimatoprost)
Levobunolol / Betagan                                   Phospholine Iodide (Echothiophate iod)
Metipranolol / Optipranolol                             Pilopine HS (Pilocarpine)
Pilocarpine / Isopto Carpine, Pilocar                   Travatan/Z (Travoprost)
Timolol / Timoptic/XE                                   Xalatan (Latanoprost)
Timolol/Dorzolamide / Cosopt




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update       35                           BOLD INDICATES BRAND NAME
Ophthalmics (Continued)
            GENERIC DRUGS                                        PREFERRED BRANDS                      NON-PREFERRED BRANDS
Ophthalmic Mydriatics
Atropine / Isopto Atropine                                                                         Cyclomydril (Phenylephrine/Cyclopent)
Cyclopentolate / Cyclogyl                                                                          Isopto Hyoscine (Scopolamine)
Dipivefrin / Propine                                                                               Murocoll-2 (Phenylephrine/Scopolam)
Homatropine / Isopto Homatropine                                                                   Paremyd (Hydroxyamphetam/Tropic)
Phenylephrine / Neofrin
Tropicamide / Mydriacyl

Ophthalmic Vasoconstrictors
Naphazoline / Albalon
Phenylephrine / Mydfrin

Ophthalmic Antibiotic-Steroid
Combinations                                            Blephamide (Prednisolone/Sulfacetamide)    FML-S (Fluorometh/Sulfacetam)
Neomycin Sulfate + Dex NA Ph                            Zylet (Tobramycin / Loteprednol)           Pred-G (Gentamicin/Prednisol)
Neomycin + Polymyxin + HC / Cortisporin                                                            Poly-Pred (Neomyc/Polymyxin/Prednis)
Neomycin + Polymyxin + Dexam / Maxitrol
Tobramycin + Dexamethasone / Tobradex




Otic Agents
            GENERIC DRUGS                                        PREFERRED BRANDS                      NON-PREFERRED BRANDS
Otic Agents
Acetic Acid/Hydrocortisone / Acetasol                   CiproDex (Ciprofloxacin / Dexamethasone)   Alba-3 (Pramoxine/Chloroxylenol)
Acetic acid/Aluminum acet / Domeboro                    Cipro HC (Ciprofloxacin/HC)                Coly-Mycin S (Neomycin/Colist sul)
Antipyrine+Benzocaine+Glycer / Benzotic,                                                           Cresylate (Cresyl ace/Ben Alc/Butanol)
Otogesic                                                                                           Dermotic (Fluocinolone Acetonide)
Benzocaine / Otocain                                                                               Otilam (Antipyrine/Benzocaine/Gly/Urea)
Benzocaine+Antipyrine / Auralgan Otic                                                              Oticin HC (HC/Pramoxine/Chloroxyl)
HC+Pramoxine+Chloroxyl / Cortane-B, Zoto-HC                                                        Pediotic (Neo Sul/Polymyxin B/HC)
Ofloxacin / Floxin OTIC                                                                            Pramotic (Pramoxine/Chloroxylenol)
Polymyxin+Neomycin+Hydrocortisone / Cortisporin
Otic




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update     36                               BOLD INDICATES BRAND NAME
Miscellaneous Products
             GENERIC DRUGS                                       PREFERRED BRANDS                   NON-PREFERRED BRANDS
Alcohol Dependancy Agents
Naltrexone / Revia                                      Antabuse (Disulfiram)                   Campral (Acamprosate)
                                                                                                Vivitrol (Naltrexone Microspheres)
Anorexiants
Phentermine / Ionamin, Adipex-P                         Meridia (Sibutramine)                   Benzphetamine
                                                        Xenical (Orlistat)                      Didrex (Benzphetamine)
Dental Preparations
Chlorhexidine / Peridex                                 Fluorabon Chewable                      Fluorabon Drops(Sodium fluoride)
Doxycycline hyclate / Periostat                         Fluor-a-Day Chewable                    Fluor-a-day Drops (Sodium fluoride)
Sodium Fluoride / Cavarest, Cavirinse, Ethedent,                                                Prevident (Sodium fluoride)
Luride, Fluor-a-Day, Phos-Flur, Prevident                                                       Thera-Flur-N (Sodium fluoride)
Stannous Fluoride / Gel-Kam, Omni Gel
Hyperparathyroid Agents
Calcitriol / Rocaltrol                                  Hectorol (Doxercalciferol)
                                                        Sensipar (Cinacalcet)
                                                        Zemplar (Paricalcitol)
Metallic Poison Treatment Agents                                                                Deferoxamine Mesylate
                                                        Chemet (Succimer)                       Desferal (Deferoxamine Mesylate)
                                                        Exjade (Deferasirox)                    Galzin (Zinc acetate)
                                                                                                Syprine (Trientine)

Nutritional Agents
Levocarnitine / Carnitor


Oxytocics
                                                        Methergine (Methylergonovine)

Parasympathetic Agents
Bethanecol / Urecholine                                 Evoxac (Cevimeline)                     Guanidine (Guanidine)
Pilocarpine / Salagen                                                                           Ilopan (Dexpanthenol)

Rheumatoid Arthritis Agents
                                                        Ridaura (Auranofin)                     Depen (Penicillamine)


Smoking Cessation Products
Bupropion / Zyban                                       Chantix (Varenicline Tartrate)          Nicotrol Nasal Inhaler (Nicotine)
                                                        Nicotrol Cartridge Inhaler (Nicotine)




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update         37                         BOLD INDICATES BRAND NAME
Specialty Products*
            GENERIC DRUGS                                        PREFERRED BRANDS                NON-PREFERRED BRANDS
Hepatitis Treatment Agents
Hepatitis B Agents                                      Hepatitis B Agents                   Hepatitis B Agents
                                                        Baraclude (Adefovir Dipivoxil)       Tyzeka (Telbivudine)
                                                        Hepsera (Entecavir)
                                                        Epivir HBV (Lamivudine)


Hepatitis C Agents                                      Hepatitis C Agents                   Hepatitis C Agents
Ribavirin / Rebetol, Ribasphere, Ribatab                Peg-Intron (Peginterferon Alfa-2B)   Copegus (Ribavirin)
                                                        Pegasys (Peginterferon Alfa-2A)      Infergen (Interferon Alfacon-1)

Human Growth Hormones (HGH)
                                                        Genotropin (Somatropin)              Norditropin (Somatropin)
                                                        Humatrope (Somatropin)               Nutropin/ AQ (Somatropin)
                                                                                             Omnitrope (Somatropin)
                                                                                             Saizen (Somatropin)
                                                                                             Serostim (Somatropin)
                                                                                             Tev-tropin (Somatropin)
                                                                                             Zorbtive (Somatropin)

Pulmonary Agents
                                                        Orals
                                                        Tracleer (Bosentan)
                                                        Revatio (Sildenafil)
                                                        Letairis (Ambrisentan)
                                                                                             Inhalation
                                                        Inhalation                           Curosurf (Poractant alfa)
                                                        Ventavis (Iloprost)                  Infasurf (Calfactant)
                                                                                             Survanta (Beractant)
Injectables                                             Injectables
Alpha-1 proteinase inhibitor / Prolastin                Remodulin (Treprostinil)             Injectables
Epoprostenol / Flolan                                                                        Aralast (Alpha-1 Proteinase inhibitor)
                                                                                             Zemaira (Alpha-1 Proteinase inhibitor)


*Specialty products may have higher copayments, depending on plan benefit design.




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update       38                        BOLD INDICATES BRAND NAME
Specialty Products (Continued)*
            GENERIC DRUGS                                        PREFERRED BRANDS               NON-PREFERRED BRANDS
Multiple Sclerosis Agents
                                                        Avonex (Interferon Beta-1A)
                                                        Betaseron (Interferon Beta 1B)
                                                        Copaxone (Glatiramer Acetate)
                                                        Rebif (Interferon Beta-1A/Albumin)

Rheumatoid Arthritis Agents
Leflunomide / Arava                                     Cimzia (Certolizumab pegol)          Kineret (Anakinra)
                                                        Enbrel (Etanercept)                  Rheumatrex (Methotrexate)
                                                        Humira (Adalimumab)                  Simponi (Golimumab)
                                                        Orencia (Abatacept)
                                                        Remicade (Infliximab)

Somatostatin Analogues
Octreotide / Sandostatin                                Somavert (Pegvisomant)
                                                        Sandostatin LAR (Octreotide)
                                                        Somatuline Depot (Lanreotide)

Miscellaneous
                                                        Arcalyst (Rilonacept)                Amevive (Alefacept)
                                                        Cinryze (C1-esterase inhibitor)
                                                        Kuvan (Sapropterin)
                                                        Mozobil (Plerixafor)
                                                        Nplate (Romiplostim)
                                                        Promacta (Eltrombopag)
                                                        Xenazine (Tetrabenazine)

*Specialty products may have higher copayments, depending on plan benefit design.




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update        39                     BOLD INDICATES BRAND NAME
Index
8-MOP, 33                                                   Adapalene, 32                    Alkeran, 10
A-2 Antagonists (ARBs), 2, 14                               Adapalene/Benzoyl Peroxide, 32   Allegra, 30
A-2 Antagonists (ARBs) with Diuretics, 14                   Adapin, 22                       Allegra D, 30
Abacavir, 8                                                 Adderall, 21                     Allegra ODT, 30
Abacavir / Lamivudine, 8                                    Adderall/XR, 21                  Allopurinol, 18
Abacavir / Lamivudine / Zidovudine, 8                       Adefovir Dipivoxil, 38           Almotriptan, 11
Abatacept, 39                                               Adipex-P, 37                     Alocril, 35
Abilify, 23                                                 Adoxa Pak, 7                     Alomide, 35
Acamprosate, 37                                             Advair Diskus/ HFA, 30           Alora, 25
Acarbose, 28                                                Advicor, 16                      Alosetron, 24
Accolate, 30                                                Aerobid/M, 31                    Alpha Blockers, 2, 13
Accucheck Products, 29                                      Agenerase, 8                     Alpha-1 proteinase inhibitor, 38
Accupril, 14                                                Aggrenox, 12                     Alpha-1 Proteinase inhibitor, 38
Accuretic, 14                                               Agrylin, 12                      Alphagan, 35
Accutane, 32                                                Ahist, 30                        Alphagan P, 35
ACE Inhibitor / CCB Combination, 2, 14                      AK Tracin, 34                    Alprazolam, 21
ACE Inhibitors, 2, 14                                       Ak-Dex, 35                       Alprazolam oral concentrate, 21
ACE Inhibitors with Diuretics, 14                           Akineton, 11                     Alprostadil, 17
Acebutolol, 13                                              Akne-mycin, 32                   Alrex, 35
Aceon, 14                                                   Alamast, 35                      ALS Agents, 11
Acetaminophen w/Codeine, 20                                 Alba-3, 36                       Altabax, 9
Acetaminophen/Butalbital, 11                                Albalon, 36                      Altace, 14
Acetasol, 36                                                Albendazole, 9                   Altoprev, 16
Acetazolamide, 17                                           Albenza, 9                       Alupent, 30
Acetic acid/Aluminum acet, 36                               Albuterol, 30, 31                Alvesco, 31
Acetic Acid/Hydrocortisone, 36                              Albuterol HFA, 30                Amantadine, 8, 11
Acetohexamide, 28                                           Albuterol Sulfate, 30            Amaryl, 28
Acetylcholine chloride, 35                                  Albuterol/Ipratropium, 31        Ambenonium, 11
Aciphex, 24                                                 Alcet, 20                        Ambien/Ambien CR, 21
Acitretin, 33                                               Alclometasone Dipropionate, 33   Ambrisentan, 38
Aclovate, 33                                                Alcohol Dependancy Agents, 37    Amcinonide, 33
Acne / Rosacea Products (Oral & Topical), 3,                Aldactazide, 17                  Amebicides, Trichomonacides, 8
   32                                                       Aldactone, 17                    Amerge, 11
Actigall, 24                                                Aldara, 33                       Americaine, 33
Actiq, 20                                                   Aldomet, 15                      Amevive, 39
Activella, 26                                               Aldoril, 15                      Amiloride/ HCTZ, 17
Actonel, 19                                                 Alefacept, 39                    Amiodarone, 15
Actonel w/Calcium, 19                                       Alendronate, 19                  Amitiza, 24
ActoPlusMet, 28                                             Alendronate-Vitamin D3, 19       Amitriptyline, 22
Actos, 28                                                   Alesse, 25                       Amitriptyline / perphenazine, 22
Acular LS/PF, 35                                            Alfuzosin, 17                    Amlodipine, 13, 16
Acyclovir, 8, 9                                             Alinia, 9                        Amlodipine / Atorvastatin, 16
Aczone, 32                                                  Aliskiren, 14                    Amlodipine/Atorvastatin, 13
Adalat/CC, 13                                               Aliskiren/HCTZ, 14               Ammonium Lactate, 32
Adalimumab, 39                                              Alitretinoin, 10                 Amoxapine, 22
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update    40                 BOLD INDICATES BRAND NAME
Amoxicillin, 7                                               Antipsychotic Agents, Typical, 23   Atenolol/Chlorthalidone, 13
Amoxicillin potassium clavulanate, 7                         Anti-Spasmodic Agents, 3, 24        Ativan, 21
Amoxicillin Potassium Clavulanate, 7                         Anti-Ulcer / GERD Agents, 3, 24     Atomoxetine, 21
Amoxil, 7                                                    Antivert, 10                        Atopiclair, 33
Amphetamine/D-Amphet, 21                                     Antivirals, 2, 8                    Atorvastatin, 16
Amphetamine/D-Amphetamine, 21                                Anzemet (Dolasetron), 10            Atovaquone, 9
Ampicillin, 7                                                APAP/Butalbital/Caff, 11            Atovaquone / Proguanil, 9
Amprenavir, 8                                                Apidra, 28                          Atralin, 32
Amrix, 18                                                    Apidra/SoloStar, 28                 Atripla, 8
Amylase/Lipase/Protease, 16                                  Apokyn, 11                          Atropine, 24, 36
Anacaine, 33                                                 Apomorphine, 11                     Atropine sulfate, 24
Anadrol, 26                                                  Apraclonidine, 35                   Atrovent, 30, 31
Anafranil, 22                                                Aprepitant, 10                      Atrovent HFA, 31
Anagrelide, 12                                               Apresoline, 15                      Atrovent Nasal Spray, 30
Anakinra, 39                                                 Apri, 25                            Attention Deficit Disorder (ADD/ADHD),
Anaprox/DS, 19                                               Apriso, 24                             Narcolepsy & Adrenergic Agents, 21
Anastrozole, 10                                              Aptivus, 8                          Aug Betameth Diprop, 33
Ancobon, 9                                                   Aquachloral, 21                     Augmentin XR, 7
Androderm, 26                                                Aralast, 38                         Augmentin/ES, 7
Androgel, 26                                                 Aralen, 9                           Auralgan Otic, 36
Androgenic Agents, 3, 26                                     Aranelle, 25                        Auranofin, 37
Android, 26                                                  Aranesp, 12                         Avalide, 14
Androxy, 26                                                  Arava, 39                           Avandamet, 28
Angeliq, 26                                                  Arcalyst, 39                        Avandaryl, 28
Anorexiants, 37                                              Aredia, 19                          Avandia, 28
Ansaid, 19                                                   arformoterol, 31                    Avapro, 14
Antabuse, 37                                                 Aricept/ODT, 11                     Avar, 32
Antara, 16                                                   Arimidex, 10                        AVC, 34
Anthralin, 33                                                Aripiprazole, 23                    Avelox, 8
Antianginal / Anti-Ischemic, 2, 15                           Aristocort, 33                      Aventyl, 22
Anti-Anxiety Agents, 2, 21                                   Arixtra, 12                         Aviane, 25
Antiarrhythmics, 2, 15                                       Armour Thyroid, 27                  Avinza, 20
Anticoagulants / Heparins, 12                                Aromasin / Exemastane, 10           Avita, 32
Anticonvulsants, 2, 12                                       Arthrotec, 19                       Aviva Products, 29
Antidpressants, Other, 22                                    Asacol, 24                          Avodart, 17
Antiemetics, 2, 10                                           Asacol / HD, 24                     Avonex, 39
Antifungals, 2, 3, 9, 32                                     Ascensia Products, 29               Axert, 11
Antifungals (Topical), 3, 32                                 Asendin, 22                         Axid, 24
Antihelmintic Agents, 2, 9                                   Asmanex, 31                         Axid Solution, 24
Antihistamines, First Generation, 30                         Aspirin w/Codeine, 20               Axocet, 20
Antihistamines, Non/Low Sedating, 30                         Aspirin/Butalbital/Caff, 11, 20     Aygestin, 26
Anti-Inflammatory Agents (NSAIDs), 19                        Astelin, 30                         Azasan, 10
Antimalarials & Antiprotozoals, 9                            Astepro, 30                         AzaSite, 34
Anti-Migraine Agents, 2, 11                                  Asthma Agents, 3, 30                Azathioprine, 10
Antimycobacterials, 9                                        Atacand, 14                         Azelaic acid, 32
Antineoplastics*, 10                                         Atacand HCT, 14                     Azelastine, 30, 35
Antiparasitics, 2, 9                                         Atarax, 30                          Azelex, 32
Anti-Parkinsons Agents, 2, 11                                Atazanavir, 8                       Azilect, 11
Antipsychotic Agents, Atypical, 23                           Atenolol, 13                        azithromycin, 34
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update           41               BOLD INDICATES BRAND NAME
Azithromycin, 7                                              Betaseron, 39                                  Butabarbital, 21
Azmacort, 31                                                 Betaxolol, 13, 35                              Butenafine, 32
Azopt, 35                                                    Bethanecol, 37                                 Butisol, 21
AZOR, 14                                                     Betimol, 35                                    Butoconazole, 34
Azulfidine, 7                                                Betoptic, 35                                   Butorphanol, 20
Bacitracin, 34                                               Betoptic-S, 35                                 Byetta, 28
Baclofen, 18                                                 Bexarotene, 10                                 Bystolic, 13
Bactrim/DS, 7                                                Biaxin/XL, 7                                   C1-esterase inhibitor, 39
Bactroban/Nasal, 9                                           Bicalutamide, 10                               Cabergoline, 11
Balsalazide Disodium, 24                                     Bicitra, 17                                    Caduet, 13, 16
Balziva, 25                                                  BiDil, 15                                      Cafcit, 31
Banzel, 12                                                   Bile Acid Sequestrants, 2, 16                  Cafergot, 11
Baraclude, 38                                                Biltricide, 9                                  Caffeine citrated, 31
Basiliximab, 10                                              Bimatoprost, 35                                Calan/SR, 13
B-D Logic & Latitude Products, 29                            Biocef, 7                                      Calcipotriene, 33
B-D Syringes, 29                                             Biperiden, 11                                  Calcipotriene/Betameth, 33
Becaplermin, 32                                              Bipolar Disorder (Anti-Mania) Agents, 23       Calcitonin, 19
Beclomethasone, 31                                           Bisac/NaCl/NaHCO3/KCL/PEG 3350, 24             Calcitonin – Nasal / Injectable, 19
Beconase/AQ, 31                                              Biskalcitrate/Metronidazole/Tetracycline, 24   Calcitriol, 33, 37
Belladona w/phenobarb, 24                                    Bisoprolol, 13                                 Calcium acetate, 18
Belladonna alkaloids, 24                                     Bisoprolol/HCTZ, 13                            Calcium Carb/Mag Carb, 18
Benadryl, 30                                                 Bleph-10, 34                                   Calcium Channel Blockers, 2, 13
Benazepril, 14                                               Blephamide, 34, 36                             Calfactant, 38
Benazepril/Amlodipine, 14                                    Blephamide/SOP, 34                             CaloMist, 12
Benazepril/HCTZ, 14                                          Blocadren, 13                                  Camila, 25
Benicar, 14                                                  Boniva, 19                                     Campral, 37
Benicar HCT, 14                                              Bosentan, 38                                   Canasa, 24
Benign Prostatic Hyperplasia Agents, 2, 17                   Bowel & Colon Agents, 3, 24                    Candesartan, 14
Bensal-HP, 32                                                Brethine, 30                                   Candesartan/HCTZ, 14
Bentyl, 24                                                   Brevoxyl, 32                                   Capecitabine, 10
Benzac AC, 32                                                Brimonidine, 35                                Capex Shampoo, 33
Benzaclin, 32                                                Brimonidine/timolol, 35                        Capoten, 14
Benzamycin, 32                                               Brinzolamide, 35                               Capozide, 14
Benzocaine, 33, 36                                           Bromfenac sod, 35                              Captopril, 14
Benzocaine+Antipyrine, 36                                    Bromocriptine, 11                              Captopril /HCTZ, 14
Benzotic, 36                                                 Brompheniramine, 30                            Carac, 10
Benzoyl Peroxide, 32                                         Brompheniramine Maleate, 30                    Carafate, 24
Benzoyl Peroxide / Clindamycin, 32                           Brompheniramine Tannate, 30                    Carbachol, 35
Benzoyl Peroxide w/ E-mycin, 32                              Brovana, 31                                    Carbamazepine, 12
Benzoyl Peroxide/Urea, 32                                    Brovex, 30                                     Carbastat, 35
Benzphetamine, 37                                            Budesonide, 24, 27, 31                         Carbatrol, 12
Benztropine, 11                                              budesonide/Formoterol, 30                      Carbetapentane/Pseud, 31
Beractant, 38                                                Bumetanide, 17                                 Carbex, 11
Beta Blockers, 2, 13                                         Bumex, 17                                      Carbidopa, 11
Betagan, 35                                                  Buprenorphine, 20                              Carbidopa/Levodopa, 11
Betameth Diprop, Valerate, 33                                Bupropion, 22, 37                              Carbidopa/Levodopa/Entacapone, 11
Betamethasone, 27, 33                                        Buspar, 21                                     Carbinoxamine, 30
Betamethasone valerate, 33                                   Buspirone, 21                                  Carbonoxamine, 30
Betapace/AF, 13                                              Busulfan, 10                                   Cardene, 13
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update         42                             BOLD INDICATES BRAND NAME
Cardene / SR, 13                                             Chemet, 37                            Cleocin-T Solution, 32
Cardene SR, 13                                               ChemStrips, 29                        Climara, 25, 26
Cardiac Glycosides, 2, 15                                    Chloral hydrate, 21                   Climara PRO, 26
Cardizem LA, 13                                              Chloral Hydrate solution, 21          Clindamicin/Tretinoin, 32
Cardizem/CD, 13                                              Chlorambucil, 10                      Clindamycin, 7, 32, 34
Cardura, 13, 17                                              Chlordiazepoxide, 21                  Clindamycin phosphate, 34
Cardura XL, 17                                               Chlorhexidine, 37                     Clindamycin/benzoyl peroxide, 32
Carisoprodol, 18                                             Chloroquine, 9                        Clindareach, 32
Carmol, 32                                                   Chloroquine Phosphate, 9              Clindesse, 34
Carnitor, 37                                                 Chlorothiazide, 17                    Clinoril, 19
Carteolol, 35                                                Chlorphenir/pseud, 30                 Clobetasol propionate, 33
Carvedilol, 13                                               Chlorpheniramine, 30                  Clobetasol Propionate, 33
Casodex, 10                                                  Chlorpheniramine Maleate, 30          Clobex, 33
Cataflam, 19                                                 Chlorpheniramine Tannate, 30          Cloderm, 33
Catapres, 15                                                 Chlorpromazine, 23                    Clomipramine, 22
Catapres TTS, 15                                             Chlorpropamide, 28                    Clonazepam, 12, 21
Cavarest, 37                                                 Chlorthalidone, 17                    Clonidine, 15
Caverject, 17                                                Chlorzoxazone, 18                     Clonidine/Chlorthalidone, 15
Cavirinse, 37                                                Chol Sal w/ Mag Salicylate, 20        Clopidogrel, 12
Ceclor CD, 7                                                 Cholestyramine, 16                    Clorazepate, 21
Ceclor, Ceclor CD, 7                                         Chromagen Fa/Forte, 12                Clorpres, 15
Cedax, 7                                                     Cialis, 17                            Clotrimazole, 9, 32
CEENU, 10                                                    Ciclesonide, 31                       Clotrimazole+Betamethisone, 32
Cefaclor, 7                                                  Ciclopirox, 32                        Clozapine, 23
Cefaclor ER, 7                                               Cilostazol, 12                        Clozaril, 23
Cefadroxil, 7                                                Ciloxan, 34                           Codeine/ Acetaminophen, 20
Cefdinir, 7                                                  Cimetidine, 24                        Codeine/Acetam/Butalbital/Caffeine, 20
Cefditoren pivoxil, 7                                        Cimzia, 39                            Codeine/Aspirin/Butalbital/Caff, 20
Cefixime, 7                                                  Cinacalcet, 37                        Codeine/Carisoprodol/Aspirin, 20
Cefprozil, 7                                                 Cinryze, 39                           Cogentin, 11
Ceftibuten, 7                                                Cipro, 8, 36                          Cognex, 11
Ceftin, 7                                                    Cipro HC, 36                          Colazal, 24
Cefuroxime Axetil, 7                                         Cipro Susp, 8                         Colchicine, 18
Cefzil, 7                                                    CiproDex, 36                          Colchicine/Probenecid, 18
Celebrex, 19                                                 Ciprofloxacin, 8, 34, 36              Colesevelam, 16
Celecoxib, 19                                                Ciprofloxacin / Dexamethasone, 36     Colestid, 16
Celestone, 27                                                Ciprofloxacin/HC, 36                  Colestipol, 16
Cellcept, 10                                                 Citalopram, 22                        Colestipol granules, 16
Celontin, 12                                                 Citracal Prenatal PX, 27              Collagenase, 32
Cenestin, 25                                                 Citric Acid + Potassium Citrate, 17   Coly-Mycin S, 36
Cenogen OB/Ultra, 27                                         Citric Acid + Sodium Citrate, 17      Colytrol, 24
Cephalexin, 7                                                Claravis, 32                          Combigan, 35
Certolizumab pegol, 39                                       Clarinex/D, 30                        Combipatch, 26
Cesamet, 10                                                  Clarithromcyin, 7                     Combivent, 31
Cesia, 25                                                    Claritin, 30                          Combivir, 8
Cetacaine, 33                                                Clemastine, 30                        Combunox, 20
Cetirizine, 30                                               Cleocin, 7, 32, 34                    Compazine, 10
Cevimeline, 37                                               Cleocin cream, 34                     Comtan, 11
Chantix, 37                                                  Cleocin supp, 34                      Concerta, 21
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update          43                  BOLD INDICATES BRAND NAME
Condylox Gel, 32                                             Cyclopentolate, 36           Depo-Testosterone, 26
Condylox solution, 32                                        Cyclophosphamide, 10         Derma-Smoothe/FS, 33
Conex, 30                                                    Cycloserine, 9               Dermatop, 33
Conison, 12                                                  Cyclosporine, 10, 35         Dermotic, 36
Conj. Estrogen/Medroxyprogest, 26                            Cymbalta, 22                 Desferal, 37
Conjugated Estrogen, 25                                      Cyproheptadine, 30           Desipramine, 22
Contraceptives, 3, 25, 26                                    Cystagon, 17                 Desloratadine, 30
Copaxone, 39                                                 Cysteamine, 17               Desogen, 25
COPD Agents, 3, 31                                           Cytomel, 27                  Desonate, 33
Copegus, 38                                                  Cytotec, 24                  Desonide, 33
Cordarone, 15                                                Cytovene, 8                  Desowen, 33
Cordran, 33                                                  Cytoxan, 10                  Desoximetasone, 33
Coreg/CR, 13                                                 Daclizumab, 10               Desoxyn, 21
Corgard, 13                                                  Dalmane, 21                  Desquam/X, 32
Cortane-B, 36                                                Dalteparin, 12               Desvenlafaxine, 22
Cortef, 27                                                   D-Amphetamine, 21            Desyrel, 22
Corticosteroid Inhalers, 3, 31                               Dantrium, 18                 Detrol/ LA, 17
Cortifoam, 27                                                Dantrolene, 18               Dexamethasone, 27, 35
Cortisone Acetate, 27                                        Dapsone, 8                   Dexbrompheniramine/PSE, 30
Cortisporin, 36                                              dapsone gel, 32              Dexchlorpheniramine, 30
Cortisporin Otic, 36                                         Daraprim, 9                  Dexedrine, 21
Cortizone, 33                                                Darifenacin, 17              Dexlansoprazole, 24
Cortone, 27                                                  Darunavir ethanolate, 8      Dexmethylphenidate, 21
Corzide, 13                                                  Darvocet-N, 20               Dexpak, 27
Cosopt, 35                                                   Darvon, 20                   Dexpanthenol, 37
Coumadin, 12                                                 Darvon-N 100, 20             Dextroamphetamine, 21
Covera HS, 13                                                Dasatinib, 10                Dextrostat, 21
COX-II Agents, 2, 19                                         Daypro, 19                   DHE 45, 11
Cozaar, 14                                                   Dayto-Sulf, 34               DHEA, 26
Creon, 16                                                    Daytrana Patches, 21         Diabeta, 28
Crestor, 16                                                  Decadron, 27, 35             Diabetes Supplies, 3, 29
Cresyl ace/Ben Alc/Butanol, 36                               Declomycin, 7                Diabinese, 28
Cresylate, 36                                                Deconamine Syr, 30           Diamox, 17
Crinone, 26                                                  Deferasirox, 37              Diamox Sequels, 17
Crixivan, 8                                                  Deferoxamine Mesylate, 37    Diastat, 12
Crolom, 35                                                   Delatestryl, 26              Diazepam, 12, 21
Cromolyn sodium, 30                                          Delavirdine, 8               Diazoxide, 29
Cromolyn Sodium, 30, 35                                      Deltasone, 27                Dibenzyline, 13
Cromolyn Sodium solution, 30                                 Demadex, 17                  Diclofenac, 19, 35
Crotamiton, 33                                               Demeclocycline, 7            Diclofenac epolamine, 19
Cryselle, 25                                                 Demerol, 20                  Diclofenac Potassium, 19
Curosurf, 38                                                 Demser, 13                   Diclofenac/Misoprostol, 19
Cutivate, 33                                                 Demulen, 25                  Dicloxacillin, 7
cyanocobalamin, 12                                           Denavir, 9                   Dicyclomine, 24
Cyclessa, 25                                                 Dental Preparations, 3, 37   Didanosine, 8
Cyclobenzaprine, 18                                          Depakene, 12                 Didrex, 37
Cyclocort, 33                                                Depakote ER, 12              Didronel, 19
Cyclogyl, 36                                                 Depen, 37                    Difenoxin/Atropine sulfate, 24
Cyclomydril, 36                                              Depo-Provera, 26             Differin, 32
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update         44           BOLD INDICATES BRAND NAME
Diflorasone Diacetate, 33                                    Doxycycline monohydrate, 7              Emcyt, 10
Diflucan, 9                                                  Dritho-Scalp, 33                        Emedastine, 35
Diflunisal, 20                                               Dronabinol, 10                          Emend, 10
Difluprednate, 35                                            Droxia, 10                              Emgel, 32
Digitek, 15                                                  Duac, 32                                EMLA, 33
Digoxin, 15                                                  Duet DHA, 27                            Empirin #2/3/4, 20
Dihydroergotamine, 11                                        Duetact, 28                             Emsam, 22
Dilacor XR, 13                                               Duloxetine, 22                          Emtricitabine, 8
Dilantin, 12                                                 Duofilm, 32                             Emtricitabine / Tenofovir, 8
Dilatrate-SR, 15                                             DuoNeb, 31                              Emtriva, 8
Dilaudid, 20                                                 Duragesic Patches, 20                   E-Mycin, 7
Dilor, 31                                                    Durezol, 35                             Enablex, 17
Diltiazem, 13                                                Duricef, 7                              Enalapril, 14
Diovan, 14                                                   Dutasteride, 17                         Enalapril/HCTZ, 14
Diovan HCT, 14                                               Dyazide, 17                             Enbrel, 39
Dipentum, 24                                                 Dymelor, 28                             Endep, 22
Diphenhydramine, 30                                          Dynacin, 7                              Endometrin, 26
Diphenoxylate/Atropine, 24                                   Dynacirc/CR, 13                         Enduron, 17
Dipivefrin, 36                                               Dynapen, 7                              Enfuvirtide, 8
Diprolene, 33                                                Dyphylline, 31                          Enjuvia, 25
Diprosone, 33                                                Dyrenium, 17                            Enoxaparin, 12
Dipyridamole, 12                                             Dytan, 30                               Enpresse, 25
Dipyridamole / Aspirin, 12                                   Echothiopate iod, 35                    Entacapone, 11
Diruetics, 17                                                Econazole nitrate, 32                   Entecavir, 38
Disalcid, 20                                                 Econopred Plus, 35                      Entocort EC, 24, 27
Disopyramide, 15                                             Edecrin, 17                             Enzymax, 16
Dispermox, 7                                                 Edex, 17                                Epiduo, 32
Disulfiram, 37                                               EEMT/HS, 26                             Epifoam, 33
Ditropan/XL, 17                                              EES, 7                                  Epinastine, 35
Diuril, 17                                                   Efavirenz, 8                            Epinephrine, 31
Divigel, 25                                                  Efavirenz / Emtricitab / Tenofovir, 8   Epipen/Jr, 31
Dofetilide, 15                                               Effexor, 22                             Epivir, 8, 38
Dolobid, 20                                                  Effexor XR, 22                          Epivir HBV, 38
Dolophine, 20                                                Efudex, 10                              Eplerenone, 17
Domeboro, 36                                                 Elavil, 22                              Epogen, 12
Donepezil, 11                                                Eldepryl, 11                            Epoprostenol, 38
Donnamar, 24                                                 Electrolyte Depleters, 2, 18            Eprosartan, 14
Donnatal, 24                                                 Elestat, 35                             Eprosartan/HCTZ, 14
Doral, 21                                                    Elestrin, 25                            Epzicom, 8
Dornase alfa, 31                                             Eletriptan, 11                          Equagesic, 20
Doryx, 7                                                     Elidel, 33                              Equetro, 12
Dorzolamide, 35                                              Eligard, 10                             Ergomar, 11
Dostinex, 11                                                 Elimite, 33                             Ergotamine, 11
Dovonex, 33                                                  Elixophyllin, 31                        Ergotamine/Caffeine, 11
Doxazosin, 13, 17                                            Elmiron, 17                             Errin, 25
Doxepin, 22                                                  Elocon, 33                              Ertaczo, 32
Doxercalciferol, 37                                          Eltrombopag, 39                         Eryped, 7
Doxycycline, 7, 37                                           Emadine, 35                             Ery-Tab, 7
Doxycycline hyclate, 7, 37                                   Embrex-600, 27                          Erythro & Sulfa, 7
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update          45                     BOLD INDICATES BRAND NAME
Erythro-Base, 7                                              Evista, 19                         Fiorinal #3, 20
Erythrocin, 7                                                Evoxac, 37                         First-Hydrocortisone, 33
Erythro-Estolate, 7                                          Exelderm, 32                       First-Progesterone MC, 26
Erythro-Ethylsuccinate, 7                                    Exelon, 11                         First-Testosterone, 26
Erythromycin, 32, 34                                         Exenatide, 28                      Flagyl, 8
Erythromycin base, 32                                        Exforge, 14                        Flagyl ER, 8
Erythro-Stearate, 7                                          Exjade, 37                         Flarex, 35
Escitalopram, 22                                             Extina, 32                         Flavoxate, 17
Esclim, 25                                                   Exubera, 28                        Flecainide, 15
Esgic, 20                                                    Ezetimibe, 16                      Flector Patch, 19
Esidrix, 17                                                  Ezetimibe/Simvastatin, 16          Flexeril, 18
Eskalith, 23                                                 FA/ B12 / B 6, 12                  Flextra, 20
Esomeprazole, 24                                             Factive, 8                         Flolan, 38
Estazolam, 21                                                Famotidine, 24                     Flomax, 17
Esterified Estrogen, 25                                      Fansidar, 9                        Flonase, 31
Estrace, 25                                                  Fareston, 10                       Florinef, 27
Estraderm, 25                                                Faslodex, 10                       Flovent HFA, 31
Estradiol, 25, 26                                            Fazaclo, 23                        Floxin, 8
Estradiol / Norethindrone, 26                                Febuxostat, 18                     Fluconazole, 9
Estradiol / Norethrin, 26                                    Felbamate, 12                      Flucytosine, 9
Estradiol / Norethrin AC, 26                                 Felbatol, 12                       Fludarabine, oral, 10
Estradiol Patch, 25                                          Feldene, 19                        Fludrocortisone, 27
Estradiol/ Levonorgestrel, 26                                Felodipine, 13, 14                 Flumadine, 8
Estradiol/Norgestimate, 26                                   Felodipine/Enalapril, 14           Flunisolide, 31
Estramustine, 10                                             Femara, 10                         Flunisolide/Menthol, 31
Estratest/HS, 26                                             Femcon Fe, 25                      Fluocinolone acet, 33, 35
Estring, 25                                                  FemHRT, 26                         Fluocinolone acetonide, 35
Estrogel, 25                                                 Femring, 25                        Fluocinolone Acetonide, 33, 36
Estrogen, 3, 25, 26                                          Femtrace, 25                       Fluocinonide, 33
Estrogen Combinations, 3, 26                                 Fenofibrate, 16                    Fluorabon, 37
Estrogens, Oral, 25                                          Fenofibrate nanocrystallized, 16   Fluor-a-day drops, 37
Estrogens, Patches & Gels, 25                                Fenofibrate, micronized, 16        Fluorometh/Sulfacetam, 36
Estrogens, Vaginal, 25                                       Fenofibric acid, 16                Fluorometholone, 35
Estropipate, 25                                              Fenoprofen, 19                     Fluoroplex, 10
Estrostep/Fe, 25                                             Fentanyl Citrate, 20               Fluorouracil, 10
Eszopiclone, 21                                              Fentora, 20                        Fluoxetine, 22
Etanercept, 39                                               Ferrogels Forte, 12                Fluoxetine / Olanzapine, 22
Ethacrynic acid, 17                                          Ferrogen, 12                       Fluoxymesterone, 26
Ethedent, 37                                                 Ferrous Fumarate, 12               Fluphenazine, 23
Ethmozine, 15                                                Ferrous Gluconate, 12              Flurandrenolide, 33
Ethosuximide, 12                                             Ferrous Sulfate, 12                Flurazepam, 21
Ethotoin, 12                                                 Fesoterodine, 17                   Flurbiprofen, 19, 35
Etidronate, 19                                               Fexofenadine, 30                   Flutamide, 10
Etodolac, 19                                                 Fexofenadine w/ Decongestant, 30   Fluticasone, 30, 31, 33
Etoposide, 10                                                Fibrates, 2, 16                    Fluticasone propionate, 33
Etravirine, 8                                                Finacea, 32                        Fluticasone/Salmeterol, 30
Eulexin, 10                                                  Finasteride, 17                    Fluvastatin, 16
Eurax, 33                                                    Fioricet, 11, 20                   Fluvoxamine, 22
Evamist, 25                                                  Fiorinal, 11, 20                   FML, 35, 36
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update          46                BOLD INDICATES BRAND NAME
FML Forte/SOP, 35                                            Gleevec, 10                                       Humatin, 8
FML-S, 36                                                    Glimepiride, 28                                   Humatrope, 38
Focalin/ XR, 21                                              Glipizide, 28                                     Humira, 39
Folgard RX, 12                                               Glipizide/Metformin, 28                           Humulin & Humalog Insulins & Pens, 28
Folic Acid, 12                                               Glucocorticoids (Rectal), 27                      Hycamtin, 10
Foltx, 12                                                    Glucocorticoids / Mineralocorticoids (Oral), 27   Hydralazine, 15
Fomivirsen sodium, 34                                        Glucophage/XR, 28                                 Hydralazine/HCTZ, 15
Fondaparinux, 12                                             Glucovance, 28                                    Hydramine, 30
Foradil, 30                                                  Glumetza, 28                                      Hydra-zide, 15
formoterol, 31                                               Glyburide, 28                                     Hydrea, 10
Formoterol, 30                                               Glyburide, micronized, 28                         Hydrocodone/Acetaminophen, 20
Fortamet, 28                                                 Glyburide/Metformin, 28                           Hydrocodone/Ibuprofen, 20
Forteo, 19                                                   Glycron, 28                                       Hydrocortisone, 27, 33
Fortical, 19                                                 Glynase, 28                                       Hydrocortisone acetate, 27
Fosamax, 19                                                  Glyset, 28                                        Hydrocortisone probutate, 33
Fosamax Plus D, 19                                           Golimumab, 39                                     Hydrocortisone/Pramoxine, 27
Fosamprenavir, 8                                             Golytely, 24                                      Hydrodiuril, 17
Fosfomycin, 17                                               Golytely pack, 24                                 Hydromorphone, 20
Fosinopril, 14                                               Goserelin, 10                                     Hydroxyamphetam/Tropic, 36
Fosinopril/HCTZ, 14                                          Gout & Hyperuricemia, 18                          Hydroxychloroquine, 9
Fosrenol, 18                                                 Granisetron, 10                                   Hydroxyurea, 10
Fragmin, 12                                                  Granulex, 32                                      Hydroxyzine, 30
Freestyle Products, 29                                       Grifulvin V, 9                                    Hydroxyzine Pamoate, 30
Frova, 11                                                    Guanfacine, 15                                    Hygroton, 17
Frovatriptan, 11                                             Guanidine, 37                                     Hyoscamine, 24
Fulvestrant, 10                                              Gynazole, 34                                      Hyoscyamine, 24
Furadantin, 7                                                Gynodiol, 25                                      Hyperglycemics, 3, 29
Furosemide, 17                                               Halcinonide, 33                                   Hyperparathyroid Agents, 3, 37
Fuzeon, 8                                                    Halcion, 21                                       Hypotensives, Miscellaneous, 2, 13
Gabapentin, 12                                               Haldol, 23                                        Hytone, 33
Gabarone, 12                                                 Halflytely, 24                                    Hytrin, 13, 17
Gabitril, 12                                                 Halobetasol Propionate, 33                        Hyzaar, 14
Galantamine, 11                                              Halog, 33                                         Ibandronate, 19
Gallium Nitrate, 19                                          Haloperidol, 23                                   IB-STAT, 24
Galzin, 37                                                   HC acetate/Pramoxine, 33                          Ibuprofen, 19
Ganciclovir, 8, 34                                           HC acetate/pramoxine HCl, 33                      Ilopan, 37
Ganite, 19                                                   Hectorol, 37                                      Iloprost, 38
Gantrisin Ped, 7                                             Helidac, 24                                       Ilosone, 7
Garamycin, 34                                                Hematopoietic Agents, 2, 12                       Ilotycin, 34
Gatifloxacin, 34                                             Heparin sodium, 12                                Imatinib, 10
Gel-Kam, 37                                                  Hepatitis Treatment Agents, 38                    Imdur, 15
Gelnique, 17                                                 Hepsera, 38                                       Imipramine, 22
Gemfibrozil, 16                                              Hexalen, 10                                       Imipramine Pamoate, 22
Gemifloxacin, 8                                              Hiprex, 17                                        Imiquimod, 33
Genotropin, 38                                               Histex, 30                                        Imitrex, 11
Gentak, 34                                                   Histex Liquid/SR, 30                              Immunosuppressant Agents, 2, 10
Gentamycin, 34                                               HIV Antivirals/Related Agents, 8                  Imodium, 24
Geodon, 23                                                   Homatropine, 36                                   Imuran, 10
Glatiramer Acetate, 39                                       Human Growth Hormones (HGH), 38                   Indapamide, 17
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update         47                                BOLD INDICATES BRAND NAME
Inderal/SR/LA, 13                                            Isopto Homatropine, 36              K-Lyte, 18
Inderide, 13                                                 Isopto Hyoscine, 36                 K-Lyte DS, 18
Indinavir, 8                                                 IsoptoCarbachol, 35                 K-Phos MF, 17
Indocin, 19                                                  Isordil, 15                         K-Phos N° 2, 17
Indocin/SR, 19                                               Isosorb Dinitrate/Hydralazine, 15   K-Phos Original, 17
Indomethacin, 19                                             Isosorbide Dinitrate, 15            Kristalose, 24
Infasurf, 38                                                 Isosorbide Mononitrate, 15          Ktab, 18
InFed, 12                                                    Isotretinoin, 32                    Kutrase, 16
Infergen, 38                                                 Isradipine, 13                      Kuvan, 39
Inflamase Mild, 35                                           Istalol, 35                         Ku-zyme HP, 16
Inflammase Forte, 35                                         Itraconazole, 9                     Kytril, 10
Infliximab, 39                                               Ivermectin, 9                       Labetolol, 13
Injectable Hypoglycemics, Other, 3, 28                       Janumet, 28                         Lac-Hydrin, 32
Innohep, 12                                                  Januvia, 28                         Lacosamide, 12
Innopran XL, 13                                              Jolessa, 25                         Lacrisert, 35
Inspra, 17                                                   Jolivette, 25                       Lactic Acid, 32
Insulin Detemir, 28                                          J-Tan, 30                           Lactinol, 32
Insulin Glargine, 28                                         Junel/Fe, 25                        Lactulose, 24
Insulin Glulisine, 28                                        Kadian, 20                          Lamictal, 12
Insulin Regular Human Rec, 28                                Kaletra, 8                          Lamisil, 9
Insulins, 3, 28                                              Kaochlor, 18                        Lamivudine, 8, 38
Intal, 30                                                    Kaochlor-EFF, 18                    Lamivudine / Zidovudine, 8
Intelence, 8                                                 Kaon, 18                            Lamotrigine, 12
Interferon Alfacon-1, 38                                     Kaon elixir, 18                     Lanoxicaps, 15
Interferon Beta 1B, 39                                       Kapidex, 24                         Lanoxin, 15
Interferon Beta-1A, 39                                       Kariva, 25                          lanreotide, 39
Interferon Beta-1A/Albumin, 39                               Kay-Ciel, 18                        Lansoprazole, 24
Intranasal Corticosteroids, 31                               Kayexalate, 18                      Lansoprazole/Amox/Clarithrom, 24
Invega, 23                                                   K-Dur, 18                           Lansoprazole/Naproxen, 24
Invirase, 8                                                  Keflex, 7                           Lanthanum Carbonate, 18
Iodoquinol, 8                                                Kelnor, 25                          Lantus, 28
Ionamin, 37                                                  Kemadrin, 11                        Lapatinib, 10
Iopidine, 35                                                 Kenalog, 33                         Lariam, 9
Ipratropium, 30, 31                                          Keppra, 12                          Lasix, 17
Iquix, 34                                                    Keppra XR, 12                       Latanoprost, 35
Irbesartan, 14                                               Keralac, 32                         Lavoclen-4, 8, 32
Irbesartan/HCTZ, 14                                          Keratolytics / Wound Care, 3, 32    Laxatives & Cathartics, 3, 24
Iressa, 10                                                   Kerlone, 13                         Leena, 25
Iron dextran, 12                                             Ketek, 7                            Leflunomide, 39
Irritable Bowel Syndrome Agents, 24                          Ketoconazole, 9, 32                 Lenalidomide, 10
Isentress, 8                                                 Ketoprofen, 19                      Leprostatic Agents, 2, 9
ISMO, 15                                                     Ketorolac, 19, 35                   Lescol/XL, 16
Isocarboxazid, 22                                            Ketotifen, 35                       Lessina, 25
Isochron, 15                                                 Kineret, 39                         Letairis, 38
Isometheptene / APAP/ Dichlorlphenazone, 11                  Kionex, 18                          Letrozole, 10
Isometheptene/APAP/Caffeine, 11                              Klaron, 32                          Leucovorin, 10
Isoptin/SR, 13                                               Klonopin, 12, 21                    Leukeran, 10
Isopto Atropine, 36                                          K-Lor, 18                           Leuprolide, 10
Isopto Carpine, 35                                           Klor-Con, 18                        Levacet, 20
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update          48                 BOLD INDICATES BRAND NAME
Levalbuterol, 30                                             Lodrane, 30               Lyrica, 12
Levaquin, 8                                                  Lodrane 24, 30            Lysodren, 10
Levatol, 13                                                  Loestrin 24 Fe, 25        Macrodantin, 7
Levemir, 28                                                  Loestrin/Fe, 25           Macrolides, Clindamycins & Ketolides, 2, 7
Levetiracetam, 12                                            Lofibra, 16               Mafenide, 32
Levitra, 17                                                  Lomotil, 24               Mag carb/citric acid/lact, 17
Levlen, 25                                                   Lomustine, 10             Magnacet, 20
Levlite, 25                                                  Loniten, 15               Magnebind, 18
Levobunolol, 35                                              Loperamide, 24            Malarone, 9
Levocarnitine, 37                                            Lopid, 16                 Malathion, 33
Levocetirizine, 30                                           Lopressor, 13             Maprotiline, 22
Levo-Dromoran, 20                                            Lopressor HCT, 13         Maraviroc, 8
Levofloxacin, 8, 34                                          Loprox, 32                Marinol, 10
Levora, 25                                                   Lorabid, 7                Marplan, 22
Levorphanol, 20                                              Loracarbef, 7             Materna, 27
Levothyroxine, 27                                            Loratadine, 30            Maternity, 27
Levoxy, 27                                                   Lorazepam, 21             Matulane, 10
Levsin, 24                                                   Lorcet, 20                Mavik, 14
Levsinex, 24                                                 Lortab, 20                Maxair, 30
Lexapro, 22                                                  Losartan, 14              Maxalt/MLT, 11
Lexiva, 8                                                    Losartan/HCTZ, 14         Maxidex, 35
Lexxel, 14                                                   LoSeasonique, 25          Maxitrol, 36
Lialda, 24                                                   Lotemax, 35               Maxzide, 17
Librium, 21                                                  Lotensin, 14              MD Turbo, 31
Lidamantle, 33                                               Lotensin HCT, 14          Mebaral, 12, 21
Lidex, 33                                                    Loteprednol, 35           Mebendazole, 9
Lidocaine, 33                                                Lotrel, 14                Meclizine, 10
Lidocaine-prilocaine, 33                                     Lotrimin, 32              Meclofenamate, 19
Lidoderm, 33                                                 Lotrisone, 32             Meclomen, 19
Lifescan Products, 29                                        Lotronex, 24              Medrol, 27
Lindane, 33                                                  Lovastatin, 16            Medroxyprogesterone, 26
Linezolid, 8                                                 Lovaza, 16                Mefenamic acid, 19
Lioresal, 18                                                 Lovenox, 12               Mefloquine, 9
Liothyronine, 27                                             Low-Ogestrel, 25          Megace, 26
Liotrix, 27                                                  Loxapine, 23              Megace ES, 26
Lipitor, 16                                                  Loxitane, 23              Megestrol acetate suspension, 26
Lipram, 16                                                   Lozol, 17                 Mellaril, 23
Liquadd, 21                                                  Lubiprostone, 24          Meloxicam, 19
Lisdexamfetamine, 21                                         Ludiomil, 22              Melphalan, 10
Lisinopril, 14                                               Lufyllin, 31              Memantine, 11
Lisinopril/HCTZ, 14                                          Lugol’s, 27               Menest, 25
Lithium Carbonate, 23                                        Lumigan, 35               Menostar, 25
Lithobid, 23                                                 Lunesta, 21               Mentax, 32
Lo/Ovral, 25                                                 Luride, 37                Meperidine, 20
Locoid, 33                                                   Lutera, 25                Mephobarbital, 12, 21
Locoid Lipocream, 33                                         Luvox, 22                 Meprobamate, 20, 21
Lodine/XL, 19                                                Luvox CR, 22              Mepron, 9
Lodosyn, 11                                                  Luxiq, 33                 Mercaptopurine, 10
Lodoxamide, 35                                               Lybrel, 25                Meridia, 37
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update      49          BOLD INDICATES BRAND NAME
Mesalamine, 24                                               Micardis HCT, 14                              Monurol, 17
Mesna, 10                                                    Miconazole, 32, 34                            Moricizine, 15
Mesnex, 10                                                   Microgestin/Fe, 25                            Morphine Sulfate, 20
Mestinon, 11                                                 Micro-K, 18                                   Morphine Sulfate Extend Release, 20
Metadate CD, 21                                              Micronase, 28                                 Morphine Sulfate Sust Release, 20
Metadate/ER, 21                                              Microsize Griseofulvin, 9                     Motofen, 24
Metaglip, 28                                                 Midamor, 17                                   Motrin, 19
Metallic Poison Treatment Agents, 3, 37                      Midrin, 11                                    Moviprep, 24
Metaproterenol, 30                                           Mifeprex, 26                                  Moxatag, 7
Metaxalone, 18                                               Mifepristone, 26                              Moxifloxacin, 8, 34
ME-Testosterone/Estrogen/Ester, 26                           Miglitol, 28                                  Mozobil, 39
Metformin, 28                                                Migralam, 11                                  MS Contin, 20
Metformin Extended Release, 28                               Migranal Nasal, 11                            MSIR, 20
Methadone, 20                                                Milnacipran, 22                               Multiple Sclerosis Agents, 3, 39
Methamphetamine, 21                                          Miltown, 21                                   Mupirocin, 9
Methazolamide, 17                                            Mimyx, 33                                     Murocoll-2, 36
Methenamine, 17                                              Minipress, 13, 17                             Muromonab-CD3, 10
Methergine, 37                                               Minitran, 15                                  MUSE, 17
Methimazole, 27                                              Minocin, 7                                    Mycelex, 9, 32
Methitest, 26                                                Minocycline, 7                                Mycelex Troches, 9
Methocarbamol, 18                                            Minoxidil, 15                                 Mycobutin, 9
Methotrexate, 10, 39                                         Mintezol, 9                                   Mycolog, 32
Methoxsalen, 33                                              Miochol-E, 35                                 Mycophenolate mofetil, 10
Methscopalamine, 24                                          Miralax, 24                                   Mycophenolate sodium, 10
Methsuximide, 12                                             Mirapex, 11                                   Mycostatin, 9, 32
Methyclothiazide, 17                                         Mircette, 25                                  Mydfrin, 36
Methyldopa, 15                                               Mirena, 25                                    Mydriacyl, 36
Methyldopa/HCTZ, 15                                          Mirtazapine, 22                               Myfortic, 10
Methylergonovine, 37                                         Misoprostol, 24                               Myleran, 10
Methylin, 21                                                 Mitotane, 10                                  Mynate 90 Plus, 27
Methylnaltrexone, 24                                         Moban, 23                                     Mysoline, 12
Methylphenidate, 21                                          Mobic, 19                                     Mytelase, 11
Methylprednisolone, 27                                       Modafinil, 21                                 Na PHOS mono&dibasic/cellulose, 24
Methyltestosterone, 26                                       Modicon, 25                                   Na sulfacet/Prednisln, 34
Metipranolol, 35                                             Moduretic, 17                                 Nabilone, 10
Metoclopramide, 24                                           Moexipril, 14                                 Nabumetone, 19
Metolazone, 17                                               Moexipril/HCTZ, 14                            Nadolol, 13
Metoprolol, 13                                               Molindone, 23                                 Naferellin, 26
Metoprolol/HCTZ, 13                                          Mometasone, 31, 33                            Naftifine, 32
Metrogel, 32, 34                                             Mometasone Furoate, 31, 33                    Naftin, 32
Metrogel-vaginal, 34                                         Monistat-7, 34                                Nalfon, 19
Metrolotion, 32                                              Monistat-Derm, 32                             Naltrexone, 37
Metronidazole, 8, 24, 32, 34                                 Monoamine Oxidase Inhibitors (MAOIs), 3, 22   Naltrexone Microspheres, 37
Metyrosine, 13                                               Monodox, 7                                    Namenda, 11
Mevacor, 16                                                  Monoket, 15                                   Nandrolone DE, 26
Mexiletine, 15                                               Mononessa, 25                                 Nandrolone dec, 26
Mexitil, 15                                                  Monopril, 14                                  Naphazoline, 36
Miacalcin, 19                                                Monopril HCT, 14                              NaPhos MB m-h/na Phos,Di-Ba, 24
Micardis, 14                                                 Montelukast, 30                               Naprelan, 19
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update         50                            BOLD INDICATES BRAND NAME
Naprosyn/EC, 19                                              Niacor, 16                       Novacet, 32
Naproxen, 19                                                 Niaspan, 16                      Novanatal, 27
Naproxen sodium, 19                                          Nicardipine, 13                  Noxafil, 9
Naproxen Sodium, 19                                          Nicotine, 37                     Nplate, 39
Naratriptan, 11                                              Nicotrol Cartridge Inhaler, 37   NuLev, 24
Narcotic Analgesics, 20                                      Nicotrol Nasal Inhaler, 37       Nulytely, 24
Nardil, 22                                                   Niferex Forte / 150, 12          Numorphan, 20
Nasacort AQ, 31                                              Niferex-PN/Forte, 27             Nutrinate, 27
Nasarel, 31                                                  Nilandron, 10                    Nutritional Agents, 37
Nasonex, 31                                                  Nilotinib, 10                    Nutropin/ AQ, 38
Natacaps, 27                                                 Nimodipine, 13                   Nuvaring, 25
Natachew, 27                                                 Nimotop, 13                      Nydamax, 32
Natacyn, 34                                                  Niravam, 21                      Nystatin, 9, 32, 34
Natafort, 27                                                 Nisoldipine, 13                  Nystatin Vaginal tabs, 34
Natalcare CFE, 27                                            Nitazoxanide, 9                  Nystatin w/Triamcinolone, 32
Natamycin, 34                                                Nitro-BID, 15                    Ocella, 25
Nateglinide, 28                                              Nitrodisc, 15                    OCL soln, 24
Nature-Throid, 27                                            Nitro-Dur, 15                    Octreotide, 39
Navane, 23                                                   Nitrofurantoin, 7                Ocufen, 35
Nebivolol, 13                                                Nitrofurantoin Macro, 7          Ocuflox, 34
Nebupent, 9                                                  Nitroglycerin, 15                Ocupress, 35
Necon, 25                                                    Nitroglycerin (Discs), 15        Ofloxacin, 8, 34
Necon 10/11, 25                                              Nitroglycerin (Orals), 15        Ogen, 25
Necon 7/7/7, 25                                              Nitroglycerin Spray, 15          Ogestrel, 25
Nedocromil, 30, 35                                           Nitrolingual, 15                 Olanzapine, 23
Neevo, 27                                                    Nitroquick, 15                   Olmesartan, 14
Neevo/DHA, 27                                                Nitrostat, 15                    Olmesartan/Amlodpine, 14
Nefazodone, 22                                               Nizatidine, 24                   Olmesartan/HCTZ, 14
Nelfinavir, 8                                                Nizoral, 9, 32                   Olopatadine, 30, 35
Neo Sul/Polymyxin B/HC, 36                                   Nolvadex, 10                     Olsalazine, 24
Neofrin, 36                                                  Non-Salicylate Analgesics, 20    Olux, 33
Neomycin + Polymyxin + HC, 36                                Nora-Be, 25                      Omacor, 16
Neomycin/Polymyxin/Bacitracin, 34                            Norco, 20                        Omalizumab, 30
Neomycin/Polymyxin/Gramicidin, 34                            Nordette, 25                     Omega-3 Acid Ethyl Esters, 16
Neoral, 10                                                   Norditropin, 38                  Omeprazole, 24
Neosporin, 34                                                Norethindone acetate, 26         Omeprazole Powder, 24
Neostigmine, 11                                              Norflex, 18                      Omnaris, 31
Nepafenac, 35                                                Norfloxacin, 8                   Omni Gel, 37
Neptazane, 17                                                Norgesic/Forte, 18               Omnicef, 7
Nestabs CBF/FA, 27                                           Norinyl, 25                      Omnipen, 7
Neupro, 11                                                   Noritate, 32                     Omnitrope, 38
Neurontin, 12                                                Noroxin, 8                       Opana/ER, 20
Neurontin suspension, 12                                     Norpace, 15                      Ophthalmic Antibiotics, 3, 34
Nevanac, 35                                                  Norpace CR, 15                   Ophthalmic Antibiotic-Steroid Combinations,
Nevirapine, 8                                                Norpramin, 22                       36
Nexium, 24                                                   Nor-QD, 25                       Ophthalmic Antihistamines, 3, 35
Niacin, 16                                                   Nortrel, 25                      Ophthalmic Anti-Inflammatory Agents, 35
Niacin Extend Release, 16                                    Nortriptyline, 22                Ophthalmic Antivirals, 3, 34
Niacin/Lovastatin, 16                                        Norvir, 8
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update          51            BOLD INDICATES BRAND NAME
Ophthalmic Immunomodulators /Lubricants,                     Oxcarbazepine, 12                   Peginterferon Alfa-2A, 38
   35                                                        Oxiconazole, 32                     Peginterferon Alfa-2B, 38
Ophthalmic Mast Cell Stabilizers, 3, 35                      Oxistat, 32                         Peg-Intron, 38
Ophthalmic Miotics, 3, 35                                    Oxsoralen, 33                       Pegvisomant, 39
Ophthalmic Mycriatics, 36                                    Oxybutynin, 17                      Pemirolast, 35
Ophthalmic Vasoconstrictors, 3, 36                           Oxycodone, 20                       Penbutolol, 13
Optipranolol, 35                                             Oxycodone w/Acetaminophen, 20       Penciclovir, 9
Optivar, 35                                                  Oxycodone w/Aspirin, 20             Penicillamine, 37
Oracea, 7                                                    Oxycodone/Ibuprofen, 20             Penicillin VK, 7
Oral Hypoglycemics, 3, 28                                    Oxymetholone, 26                    Penicillins & Cephalosporins, 2, 7
Orap, 23                                                     Oxymorphone, 20                     Pentamidine, 9
Orapred, 27                                                  Oxytocics, 37                       Pentasa, 24
Orapred ODT, 27                                              Oxytrol, 17                         Pentazocine/Acetaminophen, 20
Orencia, 39                                                  Pacerone, 15                        Pentazocine/Naloxone, 20
Orinase, 28                                                  Palgic, 30                          Pentosan polysulfate, 17
Orlistat, 37                                                 Palgic Liquid, 30                   Pentoxifylline, 12
Orphenadrine, 18                                             Paliperidone, 23                    Pepcid/AC/RPD, 24
Orphenadrine/ASA/Caff, 18                                    Palivizumab, 8                      Percocet, 20
Ortho Cyclen, 25                                             Pamelor, 22                         Percodan, 20
Ortho Tricyclen/ Lo, 25                                      Pamidronate, 19                     Perforomist, 31
Ortho-Cept, 25                                               Pamine/Forte, 24                    Periactin, 30
Orthoclone OKT-3, 10                                         Pancreatin, 16                      Peridex, 37
Ortho-Est, 25                                                Pancrecarb, 16                      Perindopril Erbumine, 14
Ortho-Evra, 25                                               Pandel, 33                          Periostat, 37
Ortho-Micronor, 25                                           Panretin, 10                        Permethrin 5%, 33
Ortho-Novum, 25                                              Pantoprazole, 24                    Perphenazine, 23
Ortho-Novum 10/11, 25                                        Parafon Forte, 18                   Perry Prenatal, 27
Ortho-Novum 7/7/7, 25                                        Parasympathetic Agents, 3, 37       Persantine, 12
Orudis, 19                                                   Parcopa, 11                         Pexeva, 22
Oruvail, 19                                                  Paremyd, 36                         Phenazopyridine, 17
Oseltamivir, 8                                               Paricalcitol, 37                    Phenergan, 10
Osmoprep Tab, 24                                             Parlodel, 11                        Phenobarbital, 12, 21
Osteoporosis / Paget’s Disease Agents, 19                    Parnate, 22                         Phenoxybenzamine, 13
Other Allergy Agents, 30                                     Paromomycin Sulfate, 8              Phentermine, 37
Other Antihyperlipidemic Agents, 2, 16                       Paroxetine, 22                      Phenylephrine, 36
Other Contraception Agents, 3, 26                            Paroxetine Mesylate, 22             Phenylzine, 22
Otic Agents, 36                                              Pataday, 35                         Phenytek, 12
Oticin HC, 36                                                Patanase, 30                        Phenytoin, 12
Otilam, 36                                                   Patanol, 35                         Phos-Flur, 37
Otocain, 36                                                  Paxil, Paxil Suspension, 22         PhosLo, 18
Otogesic, 36                                                 Pediapred, 27                       Phospholine Iodide, 35
Ovcon/Fe, 25                                                 Pediatan, 30                        Phrenilin/Forte, 11
Ovide, 33                                                    Pediazole, 7                        Pilocar, 35
Ovral, 25                                                    Pediotic, 36                        Pilocarpine, 35, 37
Ovrette, 25                                                  PEG 3350, 24                        Pilopine HS, 35
Oxandrin, 26                                                 PEG 3350/electrolyte soln, 24       Pimecrolimus, 33
Oxandrolone, 26                                              PEG 3350/Sod Sul/NaCl/ASB/KCL, 24   Pimozide, 23
Oxaprozin, 19                                                Peganone, 12                        Pindolol, 13
Oxazepam, 21                                                 Pegasys, 38                         Pioglitazone, 28
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update        52                   BOLD INDICATES BRAND NAME
Pioglitazone/Glimepiride, 28                                 Precare Conceive/Prenata, 27        Procainamide, 15
Pioglitazone/Metformin, 28                                   Precision Products, 29              Procanbid, 15
Pirbuterol, 30                                               Precose, 28                         Procarbazine, 10
Piroxicam, 19                                                Pred Forte, 35                      Procardia/XL, 13
Plan B, 25                                                   Pred Mild, 35                       Prochieve, 26
Plaquenil, 9                                                 Pred-G, 36                          Prochlorperazine, 10
Platelet Aggregation Inhibitors, 2, 12                       Prednicarbate, 33                   Procrit, 12
Plavix, 12                                                   Prednisolone, 27, 35, 36            ProctoFoamHC, 27
Plendil, 13                                                  Prednisolone acetate, 35            Procyclidine, 11
Plerixafor, 39                                               Prednisolone sod, 27, 35            Progestational Agents, 3, 26
Pletal, 12                                                   Prednisolone sod phos, 27           Progesterone, 26
Plexion, 32                                                  Prednisone, 27                      Progesterone oil, 26
Podofilox, 32                                                Prefest, 26                         Progesterone, Micron., 26
Polycillin, 7                                                Pregabalin, 12                      Progesterone, micronized, 26
Poly-Citra/K, 17                                             Prelone, 27                         Proglycem, 29
Polymyxin w/Bacitracin, 34                                   Premarin, 25                        Prograf, 10
Polymyxin/Trimethoprim, 34                                   Premarin Cream, 25                  Prolastin, 38
Polymyxin+Neomycin+Hydrocortisone, 36                        Premesis RX, 27                     Prolixin, 23
Poly-Pred, 36                                                Premphase, 26                       Promacta, 39
Polysporin, 34                                               Prempro, 26                         Promethazine HCL, 10
Polytrim, 34                                                 Prena-Cap, 27                       Prometrium, 26
Ponstel, 19                                                  Prenatabs CBF, 27                   Pronestyl/SR, 15
Poractant alfa, 38                                           Prenatal, 3, 27                     Propafenone, 15
Portia, 25                                                   Prenatal Advantage, 27              Propantheline, 24
Posaconazole, 9                                              Prenatal MR 90 FE, 27               Propine, 36
Potass bicarb/Potass cit/Ca, 18                              Prenatal Plus, 27                   Propoxyphene, 20
Potass chloride/pot bicar, 18                                Prenatal Start, 27                  Propoxyphene Napsylate, 20
Potassium & Electrolytes, 2, 18                              Prenatal Vitamins, 3, 27            Propranolol, 13
Potassium Acetate/Bicarb/Citrate, 18                         Prenate Advance, 27                 Propranolol/HCTZ, 13
Potassium Acid Phosphate, 17                                 Prenate Elite, 27                   Propylthiouracil, 27
Potassium Bicarb+Potassium Cit, 18                           Prenate GT, 27                      Proquin XR, 8
Potassium chloride, 18                                       Prestige / TrueTrack Products, 29   Proscar, 17
Potassium Chloride, 18                                       Prevacid, 24                        Prosom, 21
Potassium Citrate, 17                                        Prevacid NapraPac, 24               Prostigmin, 11
Potassium Gluconate, 18                                      Prevident, 37                       Protonix, 24
Potassium Iodide, 27                                         Previfem, 25                        Protopic, 33
Pramipexole, 11                                              PrevPac, 24                         Protriptyline, 22
Pramlintide Acetate, 28                                      Prezista, 8                         Proventil / HFA, 30
Pramosone, 33                                                Prilosec, 24                        Provera, 26
Pramotic, 36                                                 PrimaCare 1, 27                     Provigil, 21
Pramoxine/Chloroxylenol, 36                                  Primaquine, 9                       Prozac, 22
Prandimet, 28                                                Primaquine Phosphate, 9             Prozac Weekly, 22
Prandin, 28                                                  Primidone, 12                       Pseudoephedrine/Acrivastine, 30
Prasterone, 26                                               Prinivil, 14                        Psorcon, 33
Pravachol, 16                                                Prinzide, 14                        Psoriasis Agents (Oral & Topical), 33
Pravastatin, 16                                              Pristiq, 22                         Psoriatec, 33
Praziquantel, 9                                              ProAir, 30                          P-Tex, 30
Prazosin, 13, 17                                             Pro-Banthine, 24                    Pulmicort, 31
Precare, 27                                                  Probenecid, 18                      Pulmonary Agents, 3, 38
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update         53                  BOLD INDICATES BRAND NAME
Pulmozyme, 31                                                Renacidin, 17                            Romiplostim, 39
Purinethol, 10                                               Renagel, 18                              Ropinirole, 11
Pylera, 24                                                   Renvela, 18                              Rosiglitazone, 28
Pyridium, 17                                                 Repaglinide, 28                          Rosiglitazone/ Glimepiride, 28
Pyridostigmine, 11                                           Repaglinide / Metformin, 28              Rosiglitazone/ Metformin, 28
Pyrimethamine, 9                                             Repliva, 12                              Rosula, 32
Pyrimethamine/Sulfadoxamine, 9                               Requip, 11                               Rosula Clarifying Wash/CLK, 32
Qdall AR, 30                                                 Requip XL, 11                            Rosuvastatin, 16
Qualaquin, 9                                                 Rescriptor, 8                            Rotigotine, 11
Quasense, 25                                                 Respi-Tann PD, 31                        Rowasa, 24
Quazepam, 21                                                 Restasis, 35                             Roxanol, 20
Questran, 16                                                 Restoril, 21                             Rozerem, 21
Quetiapine, 23                                               Retapamulin, 9                           Rufinamide, 12
Quinaglute, 15                                               Retin-A, 32                              Rum-K, 18
Quinapril, 14                                                Retin-A Micro, 32                        Rythmol, 15
Quinapril/HCTZ, 14                                           Retisert, 35                             Rythmol SR, 15
Quineprox, 9                                                 Retrovir, 8                              Saizen, 38
Quinidine Gluconate, 15                                      Revatio, 38                              Salagen, 37
Quinine sulfate, 9                                           Revia, 37                                Salex, 32
Quinolones, 2, 8                                             Revlimid, 10                             Salex Shampoo, 32
Quixin, 34                                                   Reyataz, 8                               Salicylate Analgesics, 20
Qvar, 31                                                     Rheumatoid Arthritis Agents, 3, 37, 39   Salicylic Acid, 32
Rabeprazole, 24                                              Rheumatrex, 39                           Salmeterol, 30
Raloxifene, 19                                               Rhinocort Aqua, 31                       Salsalate, 20
raltegravir, 8                                               Ribasphere, 38                           Sal-Tropine, 24
Ramelteon, 21                                                Ribatab, 38                              Sanctura, 17
Ramipril, 14                                                 Ribavirin, 8, 38                         Sanctura XR, 17
Ranexa, 15                                                   Ricobid-H, 30                            Sancuso Patch, 10
Ranitidine, 24                                               Ridaura, 37                              Sandimmune, 10
Ranolazine, 15                                               Rifabutin, 9                             Sandostatin, 39
Rapaflo, 17                                                  Rifamixin, 8                             Sandostatin LAR, 39
Rapamune, 10                                                 Rilonacept, 39                           Santyl, 32
Rapiflux, 22                                                 Rilutek, 11                              Sapropterin, 39
Rasagiline, 11                                               Riluzole, 11                             Saquinavir, 8
Razadyne/ER, 11                                              Rimantadine, 8                           Sarafem, 22
Rebetol, 38                                                  Rimexolone, 35                           Savella, 22
Rebif, 39                                                    Riomet, 28                               Scabies & Pediculosis Agents, 33
Reclast, 19                                                  Risedronate, 19                          Scopalamine, 10
Reclipsen, 25                                                Risedronate/Calcium, 19                  Scopolamine, 36
Reglan, 24                                                   Risperdal, 23                            Seasonale, 25
Regranex, 32                                                 Risperidone, 23                          Secobarbital, 21
Relafen, 19                                                  Ritalin LA, 21                           Seconal, 21
Relenza, 8                                                   Ritalin/SR, 21                           Sectral, 13
Relion, 28                                                   Ritonavir, 8                             Sedative-Hypnotics, Barbiturate, 21
Relistor, 24                                                 Ritonavir / Lopinavir, 8                 Sedative-Hypnotics, Non-Barbiturate, 21
Relpax, 11                                                   Rivastigmine, 11                         Selegiline, 11, 22
Remeron, Remeron Soltab, 22                                  Rizatriptan, 11                          Selzentry, 8
Remicade, 39                                                 Robaxin, 18                              Semprex-D, 30
Remodulin, 38                                                Rocaltrol, 37                            Sensipar, 37
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update          54                      BOLD INDICATES BRAND NAME
Septra, 7                                                    Solia, 25                               Sulfacetam w/prednisolone, 34
Serax, 21                                                    Solifenacin, 17                         Sulfacetamide 10%, 32, 34
Serevent Diskus, 30                                          Solodyn, 7                              Sulfacetamide w/ Sulfur, 32
Seromycin, 9                                                 Soma, 18, 20                            Sulfacetamide/sulfur, 32
Seroquel, 23                                                 Soma Compound, 20                       Sulfacetamide/Sulfur/Urea/Meth
Serostim, 38                                                 Somatropin, 38                             Anthranilate/Titanium dioxide, 32
Serotonin Non-Specific Reuptake Inhibitors                   Somatuline, 39                          Sulfamylon, 32
   (SNRIs), 3, 22                                            Somavert, 39                            Sulfanilamide, 34
Serotonin Specific Reuptake Inhibitors                       Somnote, 21                             Sulfasalazine, 7
   (SSRIs), 3, 22                                            Sonata, 21                              Sulfathiaz/Sulfacetam/S-Benz, 34
Sertaconazole, 32                                            Sorbitrate, 15                          Sulfa-Trimethoprim, 7
Sertraline, 22                                               Soriatane, 33                           Sulfisoxazole, 7
Serzone, 22                                                  Sotalol, 13                             Sulfonamides, Sulfones & Nitrofurantoins, 2, 7
Sevelamer, 18                                                Sotret, 32                              Sulfoxyl, 32
Sevelamer Carbonate, 18                                      Spacol, 24                              Sulindac, 19
Sibutramine, 37                                              Spacol T/S, 24                          Sultrin, 34
Sildenafil, 17, 38                                           Spectazole, 32                          Sumatriptan, 11
Silodosin, 17                                                Spectracef, 7                           Sumatriptan / Naproxen, 11
Silvadene, 32                                                Spiriva, 31                             Sumycin, 7
Silver Sulfadiazine, 32                                      Spironolactone/HCTZ, 17                 Sunitinib Malate, 10
Simcor, 16                                                   Sporanox, 9                             Suprax, 7
Simetyl, 24                                                  Sporanox Oral Solution, 9               Surmontil, 22
Simponi, 39                                                  Sprintec, 25                            Survanta, 38
Simulect, 10                                                 Sprycel, 10                             Sustiva, 8
Simvastatin, 16                                              SPS, 18                                 Sutent, 10
Simvastatin / Niaspan, 16                                    Sronyx, 25                              Sux-Cert, 18
Sinecatechins, 32                                            SSRI / Antipsychotic Combinations, 22   Symax Duotab, 24
Sinemet/CR, 11                                               Stadol, 20                              Symbicort, 30
Sinequan, 22                                                 Stalevo, 11                             Symbyax, 22
Singulair, 30                                                Stannous Fluoride, 37                   Symlin, 28
Sirolimus, 10                                                Starlix, 28                             Symmetrel, 8, 11
Sitagliptin / Metformin, 28                                  Statin – CCB Combination, 16            Sympatholytic Agents, 2, 15
Sitagliptin Phosphate, 28                                    Statins, 2, 16                          Synagis, 8
Skelaxin, 18                                                 Stavudine, 8                            Synalar, 33
Skeletal Muscle Relaxants, 2, 18                             Stavzor, 12                             Synarel, 26
Skelid, 19                                                   Stelazine, 23                           Synthroid, 27
Slo-Bid, 31                                                  Sterapred, 27                           Syprine, 37
Smoking Cessation Products, 3, 37                            Strattera, 21                           Taclonex, 33
Sod chloride/NAHCO3/KCl/PEG's, 24                            Striant, 26                             Tacrine, 11
Sod sulf/sod/NaHCO3/KCL/PEG's, 24                            Stromectol, 9                           Tacrolimus, 10, 33
Sod sulf/sod/NAHCO3/KCL/PEG's, 24                            Strongstart, 27                         Tacrolimus anhydrous, 10
Sodium fluoride, 37                                          Stuartnatal Plus, 27                    Tadalafil, 17
Sodium Fluoride, 37                                          Suboxone, 20                            Tagamet, 24
Sodium Oxybate, 21                                           Subutex, 20                             Talacen, 20
Sodium Phos/Potassium Phos, 17                               Succimer, 37                            Taladine, 24
Sodium Polystyrene Sulfonate, 18                             Succinylcholine, 18                     Talwin NX, 20
Sodium Thiosulfate/SA, 32                                    Sucralfate, 24                          Tambocor, 15
Soft Clix Lancet Device & Lancets, 29                        Sular, 13                               Tamiflu, 8
Soft Touch Lancet Device & Lancets, 29                       Sulconazole, 32                         Tamoxifen, 10
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update       55                        BOLD INDICATES BRAND NAME
Tamsulosin, 17                                               Teveten HCT, 14                  Tolmetin, 19
Tapazole, 27                                                 Tev-tropin, 38                   Tolterodine, 17
Tarceva, 10                                                  Thalidomide, 9                   Topamax, 12
Targretin, 10                                                Thalomid, 9                      Topical Corticosteroids, 3, 33
Tarka, 14                                                    Theo-24, 31                      Topical immunosuppressives &
Tasigna, 10                                                  Theocap, 31                          Miscellaneous, 33
Tasmar, 11                                                   Theochron, 31                    Topical Local Anesthetics, 3, 33
Tazarotene, 33                                               Theophylline, 31                 Topicort, 33
Tazorac, 33                                                  Theophylline anhydrous, 31       Topiramate, 12
Tegretol, 12                                                 Thera-Flur-N, 37                 Topotecan, 10
Tegretol XR, 12                                              Therasense Products, 29          Toprol XL, 13
Tekturna, 14                                                 Thiabendazole, 9                 Toradol, 19
Tekturna HCT, 14                                             Thioguanine, 10                  Torsemide, 17
Telbivudine, 38                                              Thioridazine, 23                 Toviaz, 17
Telithromycin, 7                                             Thiothixene, 23                  Tracleer, 38
Telmisartan, 14                                              Thorazine, 23                    Tramadol, 20
Telmisartan/HCTZ, 14                                         Thyroid, 3, 27                   Tramadol w/Acetaminophen, 20
Temazepam, 21                                                Thyroid, pork, 27                Trandate, 13
Temodar, 10                                                  Thyrolar, 27                     Trandolapril, 14
Temovate, 33                                                 Tiagabine, 12                    Trandolapril/Verapamil, 14
Temozolomide, 10                                             Tiazac, 13                       Transderm-Scop Patch, 10
Tenex, 15                                                    Ticlid, 12                       Tranxene, 21
Tenofovir, 8                                                 Ticlopidine, 12                  Tranxene SD, 21
Tenoretic, 13                                                Tigan, 10                        Tranylcypromine, 22
Tenormin, 13                                                 Tikosyn, 15                      Travatan/Z, 35
Terazol 3, 7, 34                                             Tilade, 30                       Travoprost, 35
Terazosin, 13, 17                                            Tiludronate, 19                  Trazodone, 22
Terbinafine, 9                                               Timolol, 13, 35                  Trental, 12
Terbutaline, 30                                              Timolol maleate, 35              Treprostinil, 38
Terconazole, 34                                              Timolol/Dorzolamide, 35          Tretinoin, 10, 32
Teriparatide, 19                                             Timoptic/XE, 35                  Tretinoin 0.05% Gel, 32
Terramycin Polymixyn B, 34                                   Tindamax, 8                      Tretinoin microspheres, 32
Teslac, 10                                                   Tinidazole, 8                    Tretin-X, 32
Testim, 26                                                   Tinzaparin, 12                   Trexall, 10
Testolactone, 10                                             Tiotropium, 31                   Treximet, 11
Testopel, 26                                                 Tipranavir, 8                    Triamcinolone, 31, 33
Testosterone, 26                                             Tizanidine, 18                   Triamterene, 17
Testosterone cypionate, 26                                   Tobi, 31                         Triamterene / HCTZ, 17
Testosterone enanthate, 26                                   Tobradex, 36                     Triaz, 32
Testosterone Gel, 26                                         Tobramycin, 31, 34, 36           Triazolam, 21
Testosterone Patch, 26                                       Tobramycin / Loteprednol, 36     Tricor, 16
Testosterone prop, 26                                        Tobramycin + Dexamethasone, 36   Tricosal, 20
Testosterone propionate, 26                                  Tobrex, 34                       Trientine, 37
Testred, 26                                                  Tofranil-PM, 22                  Trifluoperazine, 23
Tetrabenazine, 39                                            Tolazamide, 28                   Trifluridine, 34
Tetracaine/Benzocaine, 33                                    Tolbutamide, 28                  Triglide, 16
Tetracycline, 7                                              Tolcapone, 11                    Trihexyphenidyl, 11
Tetracyclines, 2, 7                                          Tolectin/DS, 19                  Tri-K, 18
Teveten, 14                                                  Tolinase, 28                     Trilafon, 23
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update        56                 BOLD INDICATES BRAND NAME
Tri-Legest Fe, 25                                            UroQid-acid, 17                    Vfend, 9
Trileptal, 12                                                Uroxatral, 17                      Viagra, 17
Tri-Levlen, 25                                               Urso/Forte, 24                     Vibramycin, 7
Trilipix, 16                                                 Ursodiol, 24                       Vibra-Tabs, 7
Trilisate, 20                                                Vagifem, 25                        Vicodin, 20
Trilyte, 24                                                  Vaginal Antibiotics, 3, 34         Vicoprofen, 20
Trimethobenzamide, 10                                        Vaginal Antifungals, 3, 34         Videx pediatric soln/chewable, 8
Trimipramine, 22                                             Valacyclovir, 8                    Videx/EC, 8
Trinessa, 25                                                 Valcyte, 8                         Vigamox, 34
Tri-Norinyl, 25                                              Valganciclovir, 8                  Vimpat, 12
Triphasil, 25                                                Valisone, 33                       Vinatal Forte, 27
Triple Dye, 32                                               Valium, 21                         Vinate GT, 27
Triple Sulfa, 34                                             Valproic Acid, 12                  Viokase, 16
Tripolidine, 30                                              Valsartan, 14                      Viracept, 8
Tri-Previfem, 25                                             Valsartan/Amlodipine, 14           Viramune, 8
Tri-Sprintec, 25                                             Valsartan/HCTZ, 14                 Virazole, 8
Trivora, 25                                                  Valtrex, 8                         Viread, 8
Trizivir, 8                                                  Vanadom, 18                        Viritab, 17
Tropicamide, 36                                              Vancocin, 8                        Viroptic, 34
Trospium, 17                                                 Vancomycin, 8                      Visicol, 24
Trusopt, 35                                                  Vanos, 33                          Visken, 13
Truvada, 8                                                   Vardenafil, 17                     Vistaril, 30
Trypsin-Balsam Peru-Castor, 32                               Varenicline Tartrate, 37           Vitrasert, 34
T-Stat, 32                                                   Vaseretic, 14                      Vitravene, 34
Tussionex, 30                                                Vasocidin, 34                      Vivactil, 22
Twinject, 31                                                 Vasodilators, Coronary, 2, 15      Vivelle DOT, 25
Tykerb, 10                                                   Vasodilators, Hypotensive, 2, 15   Vivitrol, 37
Tylenol #2/3/4, 20                                           Vasotec, 14                        Voltaren, 19
Tylox, 20                                                    Vazol, 30                          Voltaren Gel, 19
Tyzeka, 38                                                   V-Cillin K, 7                      Voltaren/XR, 19
Uloric, 18                                                   Vectical, 33                       Vopac, 20
Ultracef, 7                                                  Veetids, 7                         Voriconazole, 9
Ultracet, 20                                                 Velivet, 25                        Vorinostat, 10
Ultram, 20                                                   Venlafaxine, 22                    Vospire ER, 30
Ultram ER, 20                                                Ventavis, 38                       Vusion, 32
Ultrase, 16                                                  Ventolin, 30                       Vytorin, 16
Ultravate, 33                                                Ventolin HFA, 30                   Vyvanse, 21
Umecta, 32                                                   Vepesid, 10                        Warfarin sodium, 12
Uniphyl, 31                                                  Veramyst, 31                       Welchol, 16
Uniretic, 14                                                 Verapamil, 13                      Wellbutrin/SR/ XL, 22
Unithroid, 27                                                Verdeso, 33                        Westcort, 33
Univasc, 14                                                  Veregen, 32                        Westhroid, 27
Urea, 32, 36                                                 Verelan, 13                        Xalatan, 35
Urecholine, 37                                               Vermox, 9                          Xanax/XR, 21
Urinary pH Modifiers, 2, 17                                  Versiclear, 32                     Xanthine Derivatives, 3, 31
Urine Glucose / Ketone Strips, 3, 29                         Vertin, 10                         Xeloda, 10
Urispas, 17                                                  Vesanoid, 10                       Xenaderm, 32
Urocit-K, 17                                                 VESICare, 17                       Xenazine, 39
Urologic Agents, 2, 17, 18                                   Vexol, 35                          Xenical, 37
Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update          57                BOLD INDICATES BRAND NAME
Xibrom, 35                                                  Zegerid, 24             Zolmitriptan, 11
Xifaxan, 8                                                  Zelapar, 11             Zoloft, 22
Xodol, 20                                                   Zemaira, 38             Zolpidem, 21
Xolair, 30                                                  Zemplar, 37             Zomig/ZMT, 11
Xolegel, 32                                                 Zenapax, 10             Zonegran, 12
Xopenex/HFA, 30                                             Zerit, 8                Zonisamide, 12
Xyrem, 21                                                   Zestoretic, 14          Zorbtive, 38
Xyzal, 30                                                   Zestril, 14             Zoto-HC, 36
Yasmin, 25                                                  Zetacet, 32             Zovia, 25
Yaz, 25                                                     Zetia, 16               Zovirax, 8, 9
Yocon, 17                                                   Ziac, 13                Zyban, 37
Yodoxin, 8                                                  Ziagen, 8               Zydone, 20
Yohimbine, 17                                               Ziana Gel, 32           Zyflo, 30
Zaditor, 35                                                 Zidovudine, 8           Zyflo/CR, 30
Zafirlukast, 30                                             Zileuton, 30            Zyflo/CR (, 30
Zaleplon, 21                                                Zinc acetate, 37        Zylet, 36
Zanaflex, 18                                                Ziprasidone, 23         Zyloprim, 18
Zanamivir, 8                                                Zithromax, 7            Zymar, 34
Zantac, 24                                                  Z-Max, 7                Zymine, 30
Zarontin, 12                                                Zocor, 16               Zyprexa/ZYDIS, 23
Zaroxolyn, 17                                               Zoderm, 32              Zyrtec/D, 30
Z-clinz, 32                                                 Zoladex, 10             Zyvox, 8
Zebeta, 13                                                  Zolinza, 10




Rite Aid Health Solutions Clinically Preferred Drug List – Subject to update   58         BOLD INDICATES BRAND NAME

				
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