BlueChoice® HealthPlan es un licenciatario independiente de Blue Cross and Blue Shield Association. BlueChoice HealthPlan tiene un contrato con Amerigroup Partnership Plan, LLC, una compañía independiente, para servicios de apoyo a la administración de Healthy Connections.
Lista de medicamentos preferidos aprobada por Medicaid En vigencia desde el 1 de noviembre de 2018
Leyenda
En cada categoría, los medicamentos se listan en orden alfabético por marca o nombre genérico.
Medicamento de marca: letra mayúscula en negrita
Medicamento genérico: letra minúscula en texto sin formato
AL: restricción de límite de edad
DO: programa de optimización de dosis
GR: restricción de género
OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la
receta).
PA: requiere autorización previa. La autorización previa es el proceso mediante el cual se obtiene la aprobación
de los beneficios antes de que se puedan abastecer ciertas recetas.
QL: límites de cantidad. Ciertos medicamentos recetados tienen límites de cantidad específicos, por receta o por
mes.
SP: farmacia de medicamentos especiales ST: requiere terapia escalonada. Es posible que necesite utilizar un medicamento antes de que los beneficios para el uso de otro medicamento puedan autorizarse.
Nombre del medicamento Referencia Notas
ADJUVANTES QUÍMICOS O FARMACÉUTICOS
ADJUVANTE FARMACÉUTICO (INHALADORES)
nebusal inhalation solution for nebulization
pulmosal inhalation solution for nebulization
sodium chloride inhalation solution for nebulization
NebuSal
ADJUVANTE FARMACÉUTICO
petrolatum topical ointment OTC
petroleum jelly topical gel OTC
petroleum jelly, white topical gel OTC
white petrolatum topical gel Lip Treatment OTC
white petroleum jelly topical gel OTC
QUÍMICOS O SOLVENTES
alcohol, rubbing solution OTC
isopropyl alcohol solution OTC
AGENTES ANORRECTALES
AGENTES ANORRECTALES
hydrocortisone topical cream with perineal applicator
Anusol-HC QL
proctosol hc topical cream with perineal applicator
QL
proctozone-hc topical cream with perineal applicator
QL
PREPARADOS HEMORROIDALES
anu-med rectal suppository OTC
hemorrhoid rectal ointment OTC
hemorrhoidal (phenyleph-cocoa) rectal suppository
OTC
hemorrhoidal rectal ointment OTC
hemorrhoidal rectal suppository OTC
hemorrhoidal suppository rectal suppository
OTC
2
Nombre del medicamento Referencia Notas
AGENTES ANTI-INFECCIOSOS
AGENTES ANTIBACTERIALES, OTROS
nitrofurantoin macrocrystal oral capsule Macrodantin
nitrofurantoin monohyd/m-cryst oral capsule
Macrobid
AGENTES ANTIBACTERIANOS ANTIPROTOZOARIOS
metronidazole oral capsule Flagyl
metronidazole oral tablet Flagyl
tinidazole oral tablet QL
AGENTES ANTILEPROSOS, DAPSONA
dapsone oral tablet
AGENTES ANTIMICOBACTERIANOS
ethambutol oral tablet Myambutol
isoniazid oral solution
isoniazid oral tablet
PRIFTIN ORAL TABLET
pyrazinamide oral tablet
rifabutin oral capsule Mycobutin
rifampin oral capsule Rifadin
RIFATER ORAL TABLET
AGENTES ANTINFECCIOSOS, OTROS
methenamine hippurate oral tablet Hiprex
AGENTES PARA EL TRATAMIENTO DE HEPATITIS B
adefovir oral tablet Hepsera PA
BARACLUDE ORAL SOLUTION PA
entecavir oral tablet Baraclude PA; QL
EPIVIR HBV ORAL SOLUTION PA; QL
lamivudine oral tablet Epivir HBV PA; QL
AMIBICIDAS
paromomycin oral capsule
AMINOGLICÓSIDOS
neomycin oral tablet
3
Nombre del medicamento Referencia Notas
AMINOPENICILINAS
amoxicillin oral capsule
amoxicillin oral suspension for reconstitution
QL
amoxicillin oral tablet
amoxicillin oral tablet,chewable
amoxicillin-pot clavulanate oral suspension for reconstitution
Augmentin ES-600
amoxicillin-pot clavulanate oral tablet 250-125 mg
amoxicillin-pot clavulanate oral tablet 500-125 mg
Augmentin
amoxicillin-pot clavulanate oral tablet 875-125 mg
Augmentin QL
amoxicillin-pot clavulanate oral tablet extended release 12 hr
Augmentin XR QL
amoxicillin-pot clavulanate oral tablet,chewable
QL
ampicillin oral capsule
ANTHELMINTIC AGENTS - MACROCYCLIC LACTONES
ivermectin oral tablet Stromectol
ANTIBIÓTICO SULFONAMIDA
sulfadiazine oral tablet
ANTIBIÓTICOS ANTIMICÓTICOS
fluconazole oral suspension for reconstitution
Diflucan
fluconazole oral tablet Diflucan
flucytosine oral capsule Ancobon PA
griseofulvin microsize oral suspension
griseofulvin ultramicrosize oral tablet
itraconazole oral capsule Sporanox PA
ketoconazole oral tablet
nystatin oral powder
nystatin oral tablet
terbinafine hcl oral tablet
voriconazole oral suspension for reconstitution
Vfend PA
voriconazole oral tablet Vfend PA
4
Nombre del medicamento Referencia Notas
ANTIHELMÍNTICOS
ALBENZA ORAL TABLET PA; QL
ivermectin oral tablet Stromectol
praziquantel oral tablet Biltricide
reese's pinworm medicine oral suspension OTC
ANTIRETROVIRAL - INTEGRASE INHIBITOR AND NNRTI COMBINATIONS
JULUCA ORAL TABLET
ANTIVIRALES, ESPECÍFICOS DE VIH
abacavir oral solution Ziagen
abacavir oral tablet Ziagen
abacavir-lamivudine oral tablet Epzicom
abacavir-lamivudine-zidovudine oral tablet Trizivir
APTIVUS ORAL CAPSULE
APTIVUS ORAL SOLUTION
atazanavir oral capsule Reyataz
BIKTARVY ORAL TABLET
CIMDUO ORAL TABLET
CRIXIVAN ORAL CAPSULE
DESCOVY ORAL TABLET
didanosine oral capsule,delayed release(dr/ec)
Videx EC
EDURANT ORAL TABLET
EMTRIVA ORAL CAPSULE
EMTRIVA ORAL SOLUTION
EVOTAZ ORAL TABLET
FUZEON SUBCUTANEOUS RECON SOLN
PA
GENVOYA ORAL TABLET
INTELENCE ORAL TABLET
ISENTRESS HD ORAL TABLET
ISENTRESS ORAL POWDER IN PACKET
ISENTRESS ORAL TABLET
ISENTRESS ORAL TABLET,CHEWABLE
5
Nombre del medicamento Referencia Notas
KALETRA ORAL TABLET
lamivudine oral solution Epivir
lamivudine oral tablet Epivir
lamivudine-zidovudine oral tablet Combivir
lopinavir-ritonavir oral solution Kaletra
nevirapine oral suspension Viramune
nevirapine oral tablet Viramune
nevirapine oral tablet extended release 24 hr
Viramune XR
NORVIR ORAL CAPSULE
NORVIR ORAL SOLUTION
PREZCOBIX ORAL TABLET
PREZISTA ORAL SUSPENSION
PREZISTA ORAL TABLET
RESCRIPTOR ORAL TABLET
RESCRIPTOR ORAL TABLET, DISPERSIBLE
REYATAZ ORAL POWDER IN PACKET
ritonavir oral tablet Norvir
SELZENTRY ORAL SOLUTION
SELZENTRY ORAL TABLET
stavudine oral capsule Zerit
STRIBILD ORAL TABLET
tenofovir disoproxil fumarate oral tablet Viread PA; QL
TIVICAY ORAL TABLET
TRIUMEQ ORAL TABLET
TRUVADA ORAL TABLET
VIDEX 2 GRAM PEDIATRIC ORAL RECON SOLN
VIDEX 4 GRAM PEDIATRIC ORAL RECON SOLN
VIRACEPT ORAL TABLET
VIREAD ORAL POWDER PA; QL
VIREAD ORAL TABLET PA; QL
zidovudine oral capsule Retrovir
zidovudine oral syrup Retrovir
zidovudine oral tablet
6
Nombre del medicamento Referencia Notas
ANTIVIRALES, GENERALES
acyclovir oral capsule Zovirax
acyclovir oral suspension Zovirax
acyclovir oral tablet Zovirax
famciclovir oral tablet QL
oseltamivir oral capsule Tamiflu QL
oseltamivir oral suspension for reconstitution
Tamiflu QL
RELENZA DISKHALER INHALATION BLISTER WITH DEVICE
QL
rimantadine oral tablet Flumadine
TAMIFLU ORAL SUSPENSION FOR RECONSTITUTION
QL
valacyclovir oral tablet 1 gram Valtrex
valacyclovir oral tablet 500 mg Valtrex QL
valganciclovir oral recon soln Valcyte
valganciclovir oral tablet Valcyte
CEFALOSPORINA, ANTIBIÓTICOS
cefaclor oral capsule
cefaclor oral suspension for reconstitution
cefaclor oral tablet extended release 12 hr
cefadroxil oral capsule
cefadroxil oral suspension for reconstitution
cefadroxil oral tablet
cefdinir oral capsule QL
cefdinir oral suspension for reconstitution QL
cefpodoxime oral suspension for reconstitution
cefpodoxime oral tablet
cefprozil oral suspension for reconstitution
cefprozil oral tablet
cefuroxime axetil oral tablet 250 mg
cefuroxime axetil oral tablet 500 mg QL
cephalexin oral capsule Keflex
cephalexin oral suspension for reconstitution
cephalexin oral tablet
7
Nombre del medicamento Referencia Notas
COMBINACIONES DE PLASMOCIDAS
atovaquone-proguanil oral tablet Malarone Pediatric
LINCOSAMIDAS
clindamycin hcl oral capsule Cleocin HCl
clindamycin palmitate hcl oral recon soln Cleocin Pediatric
clindamycin pediatric oral recon soln
MACRÓLIDOS
azithromycin oral packet Zithromax QL
azithromycin oral suspension for reconstitution
Zithromax QL
azithromycin oral tablet Zithromax QL
clarithromycin oral suspension for reconstitution
clarithromycin oral tablet
clarithromycin oral tablet extended release 24 hr
e.e.s. 400 oral tablet
ery-tab oral tablet,delayed release (dr/ec)
erythrocin (as stearate) oral tablet
erythromycin ethylsuccinate oral tablet E.E.S. 400
erythromycin oral capsule,delayed release(dr/ec)
erythromycin oral tablet
PENICILINAS
dicloxacillin oral capsule
penicillin v potassium oral recon soln
penicillin v potassium oral tablet
PLASMOCIDAS
chloroquine phosphate oral tablet
hydroxychloroquine oral tablet Plaquenil
mefloquine oral tablet QL
primaquine oral tablet
QUINOLONES
ciprofloxacin (mixture) oral tablet, er multiphase 24 hr
Cipro XR QL
ciprofloxacin hcl oral tablet QL
levofloxacin oral solution QL
8
Nombre del medicamento Referencia Notas
levofloxacin oral tablet QL
ofloxacin oral tablet QL
SULFONAMIDAS ABSORBIBLES
sulfamethoxazole-trimethoprim oral suspension
Sulfatrim
sulfamethoxazole-trimethoprim oral tablet Bactrim
sulfatrim oral suspension
trimethoprim oral tablet
TETRACICLINA
demeclocycline oral tablet
doxycycline monohydrate oral capsule Mondoxyne NL
doxycycline monohydrate oral suspension for reconstitution
Vibramycin
minocycline oral capsule
minocycline oral tablet
tetracycline oral capsule
VANCOMICINA Y DERIVADOS
linezolid oral suspension for reconstitution Zyvox PA; QL
linezolid oral tablet Zyvox PA; QL
vancomycin oral capsule Vancocin PA
AGENTES DE DIAGNÓSTICO
AGENTES DE DIAGNÓSTICO: COMPLEMENTO RADIOLÓGICO GASTROINTESTINAL
GLUCAGEN DIAGNOSTIC KIT INJECTION RECON SOLN
QL
PRUEBAS DIAGNÓSTICAS MÚLTIPLES DE ORINA
AZO TEST STRIPS STRIP OTC
URINARY TRACT INF.TEST (WBCS) STRIP
OTC
AGENTES DE TERAPIA CARDIOVASCULAR
AGENTES BLOQUEADORES ALFA ADRENÉRGICOS
doxazosin oral tablet Cardura QL
prazosin oral capsule Minipress
terazosin oral capsule QL
9
Nombre del medicamento Referencia Notas
AGENTES BLOQUEADORES ALFA/BETA ADRENÉRGICOS
carvedilol oral tablet Coreg QL
labetalol oral tablet
AGENTES BLOQUEADORES BETA ADRENÉRGICOS
acebutolol oral capsule
atenolol oral tablet Tenormin
betaxolol oral tablet
bisoprolol fumarate oral tablet
metoprolol succinate oral tablet extended release 24 hr
Toprol XL
metoprolol tartrate oral tablet 100 mg, 50 mg
Lopressor QL
metoprolol tartrate oral tablet 25 mg, 37.5 mg, 75 mg
nadolol oral tablet Corgard
pindolol oral tablet
propranolol oral capsule,extended release 24 hr
Inderal LA
propranolol oral solution
propranolol oral tablet
sorine oral tablet
sotalol af oral tablet
sotalol oral tablet Betapace
timolol maleate oral tablet
AGENTES BLOQUEADORES DEL CANAL DE CALCIO
afeditab cr oral tablet extended release 30 mg
DO; QL
afeditab cr oral tablet extended release 60 mg
QL
amlodipine oral tablet 10 mg Norvasc QL
amlodipine oral tablet 2.5 mg, 5 mg Norvasc DO; QL
cartia xt oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg
DO; QL
cartia xt oral capsule,extended release 24hr 300 mg
QL
10
Nombre del medicamento Referencia Notas
diltiazem hcl oral capsule,ext.rel 24h degradable 120 mg, 180 mg
DILT-XR DO; QL
diltiazem hcl oral capsule,ext.rel 24h degradable 240 mg
DILT-XR QL
diltiazem hcl oral capsule,extended release 12 hr
QL
diltiazem hcl oral capsule,extended release 24 hr 120 mg, 180 mg
Taztia XT DO; QL
diltiazem hcl oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg
Taztia XT QL
diltiazem hcl oral capsule,extended release 24 hr 420 mg
Tiazac QL
diltiazem hcl oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg
Cardizem CD DO; QL
diltiazem hcl oral capsule,extended release 24hr 300 mg, 360 mg
Cardizem CD QL
diltiazem hcl oral tablet Cardizem QL
diltiazem hcl oral tablet extended release 24 hr 180 mg, 240 mg
Cardizem LA DO; QL
diltiazem hcl oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg
Cardizem LA QL
dilt-xr oral capsule,ext.rel 24h degradable 120 mg, 180 mg
DO; QL
dilt-xr oral capsule,ext.rel 24h degradable 240 mg
QL
felodipine oral tablet extended release 24 hr 10 mg
QL
felodipine oral tablet extended release 24 hr 2.5 mg, 5 mg
DO; QL
isradipine oral capsule QL
matzim la oral tablet extended release 24 hr 180 mg, 240 mg
DO; QL
matzim la oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg
QL
nicardipine oral capsule QL
nifedipine oral capsule QL
nifedipine oral tablet extended release 24hr 30 mg
Procardia XL DO; QL
nifedipine oral tablet extended release 24hr 60 mg, 90 mg
Procardia XL QL
nifedipine oral tablet extended release 30 mg
Adalat CC DO; QL
11
Nombre del medicamento Referencia Notas
nifedipine oral tablet extended release 60 mg, 90 mg
Adalat CC QL
taztia xt oral capsule,extended release 24 hr 120 mg, 180 mg
DO; QL
taztia xt oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg
QL
verapamil oral capsule, 24 hr er pellet ct Verelan PM DO; QL
verapamil oral capsule,ext rel. pellets 24 hr 120 mg, 180 mg
Verelan DO; QL
verapamil oral capsule,ext rel. pellets 24 hr 240 mg, 360 mg
Verelan QL
verapamil oral tablet QL
verapamil oral tablet extended release Calan SR QL
AGENTES DE TERAPIA ANAFILAXIA
epinephrine injection auto-injector Auvi-Q QL
epinephrine injection solution Adrenalin
AGENTES DIURÉTICOS, OTROS
acetazolamide oral capsule, extended release
acetazolamide oral tablet
methazolamide oral tablet
spironolactone oral tablet Aldactone
ANTAGONISTAS DEL RECEPTOR DE LA ALDOSTERONA
spironolactone oral tablet Aldactone
ANTIARRÍTMICOS
amiodarone oral tablet 200 mg Pacerone QL
amiodarone oral tablet 400 mg Pacerone
disopyramide phosphate oral capsule Norpace
flecainide oral tablet QL
mexiletine oral capsule
pacerone oral tablet 200 mg QL
pacerone oral tablet 400 mg
propafenone oral capsule,extended release 12 hr
Rythmol SR
propafenone oral tablet
quinidine gluconate oral tablet extended release
12
Nombre del medicamento Referencia Notas
quinidine sulfate oral tablet
sorine oral tablet
sotalol af oral tablet
sotalol oral tablet Betapace
DIURÉTICOS AHORRADORES DE POTASIO
amiloride oral tablet
amiloride-hydrochlorothiazide oral tablet
spironolacton-hydrochlorothiaz oral tablet Aldactazide
triamterene-hydrochlorothiazid oral capsule
triamterene-hydrochlorothiazid oral tablet Maxzide-25mg
DIURÉTICOS DE ASA
bumetanide oral tablet
furosemide oral solution
furosemide oral tablet Lasix
torsemide oral tablet Demadex
GLUCÓSIDOS DIGITÁLICOS
digitek oral tablet
digox oral tablet
digoxin oral solution
digoxin oral tablet Digitek
HIPERTENSIÓN ARTERIAL PULMONAR
LETAIRIS ORAL TABLET PA; QL
sildenafil (antihypertensive) oral tablet Revatio PA; QL
tadalafil (antihypertensive) oral tablet Adcirca PA; QL
HIPOTENSIVOS, ANTAGONISTA DE LOS RECEPTORES DE LA ANGIOTENSINA
candesartan oral tablet Atacand QL
candesartan-hydrochlorothiazid oral tablet Atacand HCT QL
irbesartan oral tablet 150 mg, 75 mg Avapro DO; QL
irbesartan oral tablet 300 mg Avapro QL
irbesartan-hydrochlorothiazide oral tablet Avalide QL
losartan oral tablet Cozaar QL
losartan-hydrochlorothiazide oral tablet 100-12.5 mg, 100-25 mg
Hyzaar QL
13
Nombre del medicamento Referencia Notas
losartan-hydrochlorothiazide oral tablet 50-12.5 mg
Hyzaar DO; QL
valsartan oral tablet Diovan QL
valsartan-hydrochlorothiazide oral tablet 160-12.5 mg, 80-12.5 mg
Diovan HCT DO; QL
valsartan-hydrochlorothiazide oral tablet 160-25 mg, 320-12.5 mg, 320-25 mg
Diovan HCT QL
HIPOTENSIVOS, INHIBIDORES DE LA ECA, COMBINACIONES
benazepril oral tablet QL
benazepril-hydrochlorothiazide oral tablet QL
captopril oral tablet QL
captopril-hydrochlorothiazide oral tablet QL
enalapril maleate oral tablet Vasotec QL
enalapril-hydrochlorothiazide oral tablet QL
fosinopril oral tablet QL
fosinopril-hydrochlorothiazide oral tablet QL
lisinopril oral tablet 10 mg, 20 mg, 5 mg Prinivil DO; QL
lisinopril oral tablet 2.5 mg Zestril DO; QL
lisinopril oral tablet 30 mg, 40 mg Zestril QL
lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg
Zestoretic DO; QL
lisinopril-hydrochlorothiazide oral tablet 20-12.5 mg, 20-25 mg
Zestoretic QL
moexipril oral tablet
moexipril-hydrochlorothiazide oral tablet
perindopril erbumine oral tablet QL
quinapril oral tablet Accupril QL
quinapril-hydrochlorothiazide oral tablet Accuretic QL
ramipril oral capsule Altace QL
trandolapril oral tablet
HIPOTENSIVOS, SIMPATOLÍTICOS
clonidine hcl oral tablet Catapres DO; QL
guanfacine oral tablet DO; QL
methyldopa oral tablet
HIPOTENSIVOS, VARIOS
atenolol-chlorthalidone oral tablet Tenoretic 100
bisoprolol-hydrochlorothiazide oral tablet Ziac
14
Nombre del medicamento Referencia Notas
methyldopa-hydrochlorothiazide oral tablet
metoprolol ta-hydrochlorothiaz oral tablet Lopressor HCT QL
nadolol-bendroflumethiazide oral tablet Corzide
propranolol-hydrochlorothiazid oral tablet
HIPOTENSIVOS, VASODILATADORES
hydralazine oral tablet
minoxidil oral tablet
INHIBIDOR DE LA ECA/COMBINACIÓN DEL BLOQUEADOR DEL CANAL DE CALCIO
amlodipine-benazepril oral capsule QL
INHIBIDORES DE LA PCSK-9
REPATHA PUSHTRONEX SUBCUTANEOUS WEARABLE INJECTOR
PA; QL
REPATHA SURECLICK SUBCUTANEOUS PEN INJECTOR
PA; QL
REPATHA SYRINGE SUBCUTANEOUS SYRINGE
PA; QL
LIPOTRÓPICOS
atorvastatin oral tablet 10 mg, 20 mg, 40 mg
Lipitor DO; QL
atorvastatin oral tablet 80 mg Lipitor QL
cholestyramine (with sugar) oral powder Questran
cholestyramine (with sugar) oral powder in packet
Questran
cholestyramine light oral powder
cholestyramine light oral powder in packet
colestipol oral granules Colestid
colestipol oral packet Colestid
colestipol oral tablet Colestid
fenofibrate micronized oral capsule QL
fenofibrate nanocrystallized oral tablet Tricor QL
fenofibrate oral tablet QL
fenofibric acid (choline) oral capsule,delayed release(dr/ec)
Trilipix QL
15
Nombre del medicamento Referencia Notas
fenofibric acid oral tablet Fibricor QL
fish oil concentrate oral capsule OTC
fish oil oral capsule,delayed release(dr/ec) OTC
gemfibrozil oral tablet Lopid
GRAM-O-LECI ORAL TABLET,CHEWABLE
OTC
inositol oral tablet OTC
lecithin oral capsule OTC
lecithin, soy oral capsule OTC
lovastatin oral tablet 10 mg, 20 mg DO; QL
lovastatin oral tablet 40 mg QL
maxepa oral capsule OTC
niacin oral tablet Niacor OTC
omega-3 fatty acids oral capsule Fish Oil Concentrate OTC
pravastatin oral tablet 10 mg DO; QL
pravastatin oral tablet 20 mg, 40 mg Pravachol DO; QL
pravastatin oral tablet 80 mg Pravachol QL
prevalite oral powder
prevalite oral powder in packet
simvastatin oral tablet 10 mg, 20 mg, 40 mg
Zocor DO; QL
simvastatin oral tablet 5 mg DO; QL
simvastatin oral tablet 80 mg Zocor PA; QL
super omega-3 oral capsule OTC
SUPER TWIN EPA-DHA ORAL CAPSULE
OTC
vitamin e oral capsule OTC
TIAZIDA Y DIURÉTICOS RELACIONADOS
chlorothiazide oral tablet
chlorthalidone oral tablet
hydrochlorothiazide oral capsule Microzide QL
hydrochlorothiazide oral tablet 12.5 mg QL
hydrochlorothiazide oral tablet 25 mg, 50 mg
indapamide oral tablet
metolazone oral tablet
16
Nombre del medicamento Referencia Notas
VASODILATADORES, CORONARIA
isosorbide dinitrate oral tablet
isosorbide dinitrate oral tablet extended release
ISOCHRON
isosorbide mononitrate oral tablet
isosorbide mononitrate oral tablet extended release 24 hr
nitro-bid transdermal ointment
NITRO-DUR TRANSDERMAL PATCH 24 HOUR
nitroglycerin sublingual tablet Nitrostat
nitroglycerin transdermal patch 24 hour Minitran
VASOPRESOR ADRENÉRGICO
midodrine oral tablet
AGENTES DE TERAPIA GASTROINTESTINAL
AGENTES ANTIEMÉTICOS/ANTIVÉRTIGOS
anti-nausea oral solution OTC
compro rectal suppository
dimenhydrinate oral tablet Dramamine OTC
dramamine less drowsy oral tablet OTC
driminate oral tablet OTC
formula em oral solution OTC
meclizine oral tablet OTC
meclizine oral tablet,chewableMotion Sickness Relief(mecliz)
OTC
medi-meclizine oral tablet OTC
motion relief (meclizine) oral tablet OTC
motion sickness (meclizine) oral tablet OTC
motion sickness ii oral tablet OTC
motion sickness oral tablet OTC
motion sickness relief oral tablet OTC
motion sickness relief(mecliz) oral tablet OTC
motion sickness relief(mecliz) oral tablet,chewable
OTC
nausea control oral solution OTC
nausea relief oral solution OTC
17
Nombre del medicamento Referencia Notas
ondansetron oral tablet,disintegrating QL
phenadoz rectal suppository AL
prochlorperazine maleate oral tablet Compazine
prochlorperazine rectal suppository Compazine
promethazine oral syrup AL
promethazine oral tablet 12.5 mg, 50 mg AL
promethazine oral tablet 25 mg AL; QL
promethazine rectal suppository Phenadoz AL
promethegan rectal suppository AL
travel sickness (meclizine) oral tablet,chewable
OTC
travel sickness oral tablet OTC
trimethobenzamide oral capsule Tigan
wal-dram oral tablet OTC
AGENTES PARA LA ENFERMEDAD INFLAMATORIA INTESTINAL
budesonide oral capsule,delayed,extend.release
Entocort EC QL
colocort rectal enema
HUMIRA PEDIATRIC CROHN'S START SUBCUTANEOUS SYRINGE KIT
PA; QL
HUMIRA PEN CROHN'S-UC-HS START SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA PEN PSORIASIS-UVEITIS SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA SUBCUTANEOUS SYRINGE KIT
PA; QL
hydrocortisone rectal enema Colocort
ANTIÁCIDOS
acid gone antacid e.strength oral tablet,chewable
OTC
acid gone antacid oral suspension OTC
advanced antacid-antigas oral suspension OTC
alcalak oral tablet,chewable OTC
almacone oral suspension OTC
almacone-2 oral suspension OTC
aluminum hydroxide gel oral suspension OTC
18
Nombre del medicamento Referencia Notas
antacid (calcium carb-mag hyd) oral tablet,chewable
OTC
antacid (calcium carbonate) oral tablet,chewable 200 mg calcium (500 mg)
OTC; QL
antacid (calcium carbonate) oral tablet,chewable 215 mg calcium (500 mg)
OTC
antacid anti-gas double str oral suspension
OTC
antacid anti-gas oral suspension OTC
antacid exst (mag carb-al hyd) oral tablet,chewable
OTC
antacid ext str (calcium carb) oral tablet,chewable
OTC
antacid extra-strength oral suspension OTC
antacid extra-strength oral tablet,chewable
OTC
antacid liquid oral suspension OTC
antacid m oral suspension OTC
antacid maximum strength oral suspension
OTC
antacid oral suspension OTC
antacid plus anti-gas oral suspension OTC
antacid regular strength oral suspension OTC
antacid supreme oral suspension OTC
antacid ultra strength oral tablet,chewable OTC
antacid-antigas oral suspension OTC
antacid-simethicone oral suspension OTC
calcium antacid oral tablet,chewable 200 mg calcium (500 mg)
OTC; QL
calcium antacid oral tablet,chewable 300 mg (750 mg), 320 mg calcium (750 mg), 400 mg calcium (1,000 mg), 430 mg calcium (1,000 mg)
OTC
calcium antacid tropical oral tablet,chewable
OTC
calcium antacid ultra max st oral tablet,chewable
OTC
calcium carbonate oral suspension OTC
calcium carbonate oral tablet OTC; QL
calcium carbonate oral tablet,chewable 200 mg calcium (500 mg)
Antacid (calcium carbonate) OTC; QL
19
Nombre del medicamento Referencia Notas
calcium carbonate oral tablet,chewable 300 mg (750 mg)
Antacid Ext Str (calcium carb)
OTC
calcium carbonate oral tablet,chewable 400 mg calcium (1,000 mg)
Antacid Ultra Strength OTC
cal-gest antacid oral tablet,chewable OTC; QL
children's pepto oral tablet,chewable OTC
children's soothe oral tablet,chewable OTC
comfort gel extra strength oral suspension OTC
comfort gel oral suspension OTC
flavor chews antacid oral tablet,chewable OTC
foaming antacid oral suspension OTC
foaming antacid oral tablet,chewable OTC
geri-lanta oral suspension OTC
heartburn antacid oral tablet,chewable OTC
heartburn relief oral tablet,chewable OTC
liquid antacid oral suspension OTC
maalox maximum strength oral suspension
OTC
mag-al plus extra strength oral suspension
OTC
mag-al plus oral suspension OTC
magnesium oxide oral tablet MagOx OTC; QL
masanti double strength oral suspension OTC
mi-acid oral suspension OTC
mi-acid oral tablet,chewable OTC
mintox maximum strength oral suspension OTC
mintox oral suspension OTC
mintox plus oral tablet,chewable OTC
ri-gel ii oral suspension OTC
ri-gel oral suspension OTC
riginic oral suspension OTC
ri-mag oral suspension OTC
ri-mag plus oral suspension OTC
ri-mox oral suspension OTC
ri-mox plus oral suspension OTC
smooth antacid oral tablet,chewable OTC
sodium bicarbonate oral tablet OTC
tums ultra oral tablet,chewable OTC
20
Nombre del medicamento Referencia Notas
ultra strength antacid oral tablet,chewable OTC
ultra strength calcium antacid oral tablet,chewable
OTC
ANTIDIARREICOS
anti-diarrhea oral tablet OTC; QL
anti-diarrheal (loperamide) oral capsule OTC; QL
anti-diarrheal (loperamide) oral liquid OTC; QL
anti-diarrheal (loperamide) oral tablet OTC; QL
bismatrol oral suspension 262 mg/15 ml OTC; QL
bismatrol oral suspension 525 mg/15 ml OTC
bismatrol oral tablet,chewable OTC
bismuth maximum strength oral suspension
OTC
bismuth oral suspension OTC; QL
bismuth oral tablet OTC
bismuth oral tablet,chewable OTC
bismuth subsalicylate oral tablet,chewable Bismatrol OTC
diamode oral tablet OTC; QL
diarrhea relief (bismuth subs) oral suspension
OTC; QL
diotame oral tablet,chewable OTC
diphenoxylate-atropine oral liquid
diphenoxylate-atropine oral tablet Lomotil
kaopectate (bismuth subsalicy) oral suspension
OTC; QL
kaopectate ex str (bismuth ss) oral suspension
OTC
kao-tin (bismuth subsalicylat) oral suspension
OTC; QL
k-pec antidiarrheal (bism sub) oral suspension
OTC; QL
loperamide oral capsule Anti-Diarrheal (loperamide) OTC; QL
loperamide oral liquid Anti-Diarrheal (loperamide) OTC; QL
loperamide oral tablet Anti-Diarrhea OTC; QL
peptic relief oral tablet,chewable OTC
pepto-bismol oral tablet,chewable OTC
pepto-bismol to-go oral tablet,chewable OTC
pink bismuth maximum strength oral suspension
OTC
21
Nombre del medicamento Referencia Notas
pink bismuth oral suspension 262 mg/15 ml
OTC; QL
pink bismuth oral suspension 525 mg/15 ml
OTC
pink bismuth oral tablet OTC
pink bismuth oral tablet,chewable OTC
soothe (bismuth subsalicylate) oral tablet OTC
soothe (bismuth subsalicylate) oral tablet,chewable
OTC
soothe regular strength oral suspension OTC; QL
stomach relief max strength oral suspension
OTC
stomach relief oral suspension 262 mg/15 ml
OTC; QL
stomach relief oral suspension 525 mg/15 ml
OTC
stomach relief oral tablet OTC
stomach relief oral tablet,chewable OTC
stomach relief original oral suspension OTC; QL
ANTIESPASMÓDICOS
dicyclomine oral capsule
dicyclomine oral solution
dicyclomine oral tablet
glycopyrrolate oral tablet
hyoscyamine sulfate oral tablet Levsin
hyoscyamine sulfate oral tablet,disintegrating
Anaspaz
hyoscyamine sulfate sublingual tablet Levsin/SL
hyosyne oral drops
hyosyne oral elixir
propantheline oral tablet
symax fastabs oral tablet,disintegrating
ANTIFLATULENTOS
anti-gas ultra strength oral capsule OTC
bicarsim forte oral tablet OTC
gas relief 80 oral tablet,chewable OTC
gas relief extra strength oral capsule OTC
gas relief extra strength oral tablet,chewable
OTC
22
Nombre del medicamento Referencia Notas
gas relief oral capsule OTC
gas relief oral drops,suspension OTC
gas relief oral tablet,chewable OTC
gas relief ultra strength oral capsule OTC
infants gas relief oral drops,suspension OTC
mi-acid gas relief oral tablet,chewable OTC
simethicone oral capsule Anti-Gas Ultra Strength OTC
simethicone oral drops,suspension Gas Relief OTC
simethicone oral tablet,chewable Gas Relief OTC
ENZIMAS PANCREÁTICAS
CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC)
dairy aid oral tablet,chewable OTC
dairy digestive oral tablet OTC
dairy digestive supplement oral tablet OTC
dairy relief oral tablet OTC
dairy relief oral tablet,chewable OTC
lac-dose oral tablet OTC
lactase fast acting oral tablet OTC
lactase fast acting oral tablet,chewable OTC
lactase oral tablet Dairy Relief OTC
ultra dairy digestive oral tablet OTC
ESTIMULANTES DE MOTILIDAD INTESTINAL
metoclopramide hcl oral solution
metoclopramide hcl oral tablet Reglan
INFLAMACIÓN CRÓNICA, ENFERMEDAD DE COLON, 5 AMINOSALICILATOS
APRISO ORAL CAPSULE,EXTENDED RELEASE 24HR
QL
balsalazide oral capsule Colazal QL
mesalamine rectal enema Rowasa QL
mesalamine with cleansing wipe rectal enema kit
Rowasa QL
sulfasalazine oral tablet Azulfidine QL
sulfasalazine oral tablet,delayed release (dr/ec)
Azulfidine EN-tabs QL
23
Nombre del medicamento Referencia Notas
LAXANTES Y CATÁRTICOS
alophen oral tablet,delayed release (dr/ec) OTC; QL
bisac-evac rectal suppository OTC
bisacodyl oral tablet,delayed release (dr/ec)
Alophen OTC; QL
bisacodyl rectal suppository Bisac-Evac OTC
bisa-lax oral tablet,delayed release (dr/ec) OTC; QL
biscolax rectal suppository OTC
chocolate laxative oral tablet,chewable OTC
citrate of magnesia oral solution OTC
citroma oral solution OTC
citrucel oral tablet OTC
clearlax oral powder OTC
col-rite oral capsule 100 mg OTC; QL
col-rite oral capsule 250 mg OTC
constulose oral solution QL
daily fiber oral capsule OTC
diocto oral liquid OTC
diocto oral syrup OTC
dioctyl oral syrup OTC
docu oral liquid OTC
docuprene oral tablet OTC
docusate calcium oral capsule Kao-Tin (docusate calcium) OTC
docusate sodium oral capsule 100 mg Col-Rite OTC; QL
docusate sodium oral capsule 250 mg Col-Rite OTC
docusate sodium oral liquid Diocto OTC
docusate sodium oral tablet Docuprene OTC
docusil oral capsule OTC; QL
dok oral capsule 100 mg OTC; QL
dok oral capsule 250 mg OTC
dok oral tablet OTC
dok plus oral tablet OTC
dss oral capsule OTC
ducodyl oral tablet,delayed release (dr/ec) OTC; QL
dulcoease oral capsule OTC; QL
dulcolax stool softener (dss) oral capsule OTC; QL
easy fiber oral powder OTC
24
Nombre del medicamento Referencia Notas
enema disposable rectal enema OTC
enema rectal enema OTC
enulose oral solution
epsom salt oral granules OTC
fiber (calcium polycarbophil) oral tablet OTC
fiber (dextrin) oral powder OTC
fiber (psyllium husk) oral capsule OTC
fiber (psyllium husk/sugar) oral powder OTC
fiber (with aspartame) oral powder OTC
fiber laxative (ca polycarbo) oral tablet OTC
fiber laxative (methylcellulo) oral tablet OTC
fiber laxative (psyllium husk) oral capsule OTC
fiber oral powder OTC
fiber smooth (sucrose) oral powder OTC
fiber smooth oral powder OTC
fiber supplement (inulin) oral tablet,chewable
OTC
fiber therapy (ca polycarboph) oral tablet OTC
fiber therapy (m-cell/sugar) oral powder OTC
fiber therapy (m-cellulose) oral tablet OTC
fiber therapy laxative (husk) oral capsule OTC
fiber-caps (psyllium husk) oral capsule OTC
fiber-lax oral tablet OTC
fiber-tabs oral tablet OTC
fleet enema rectal enema OTC
fleet glycerin (adult) rectal suppository OTC
fleet laxative oral tablet,delayed release (dr/ec)
OTC; QL
gavilax oral powder OTC
gavilyte-c oral recon soln QL
gavilyte-g oral recon soln QL
gavilyte-n oral recon soln QL
generlac oral solution
gentle laxative oral tablet,delayed release (dr/ec)
OTC; QL
gentle laxative rectal suppository OTC
gentlelax oral powder OTC
geri-kot oral tablet OTC
25
Nombre del medicamento Referencia Notas
glycerin (adult) rectal suppository Fleet Glycerin (Adult) OTC
glycerin (child) rectal suppository Fleet Glycerin (Child) OTC
glycolax oral powder OTC
healthylax oral powder in packet OTC; QL
kao-tin (docusate calcium) oral capsule OTC
konsyl (sugar) oral powder OTC
lactulose oral solution 10 gram/15 ml Constulose QL
lactulose oral solution 10 gram/15 ml (15 ml)
QL
lactulose oral solution 20 gram/30 ml
laxacin oral tablet OTC
laxaclear oral powder OTC
laxative (bisacodyl) oral tablet OTC
laxative (bisacodyl) oral tablet,delayed release (dr/ec)
OTC; QL
laxative (bisacodyl) rectal suppository OTC
laxative (sennosides) oral tablet OTC
laxative (sennosides) oral tablet,chewable OTC
laxative feminine oral tablet OTC
laxative maximum strength oral tablet OTC
laxative peg 3350 oral powder OTC
laxative pills oral tablet OTC
laxative pills regular oral tablet OTC
laxative plus stool softener oral tablet OTC
magnesium citrate oral solution Citrate of Magnesia OTC
magnesium hydroxide oral suspension Milk of Magnesia OTC
milk of magnesia concentrated oral suspension
OTC
milk of magnesia oral suspension OTC
mineral oil extra heavy oral oil OTC
mineral oil heavy oral oil OTC
mineral oil laxative oral oil OTC
mineral oil oral oil Mineral Oil Extra Heavy OTC
mineral oil rectal enema Fleet Mineral Oil OTC
miralax oral powder in packet OTC; QL
natural fiber laxative (sugar) oral powder OTC
natural fiber laxative oral capsule OTC
natural fiber laxative therapy oral powder OTC
26
Nombre del medicamento Referencia Notas
natural fiber laxative(aspart) oral powder OTC
natural fiber supplement oral powder in packet
OTC
natural laxative oral tablet OTC
natural veg laxative(sennosid) oral tablet OTC
natural vegetable (psyllium) oral powder OTC
natural vegetable oral powder OTC
natural vegetable powder oral powder OTC
oral saline laxative oral liquid OTC
p-col rite oral tablet OTC
peg 3350-electrolytes oral recon soln GaviLyte-G QL
peg-electrolyte soln oral recon soln GaviLyte-N QL
perdiem overnight relief oral tablet OTC
phosphate laxative oral liquid OTC
polyethylene glycol 3350 oral powder ClearLax OTC
polyethylene glycol 3350 oral powder in packet
ClearLax OTC; QL
promolaxin oral tablet OTC
psyllium husk oral capsule Daily Fiber OTC
purelax oral powder OTC
purelax oral powder in packet OTC; QL
ready-to-use enema rectal enema OTC
reguloid oral powder OTC
reguloid, sugar free oral powder OTC
sani-supp (adult) rectal suppository OTC
sani-supp (infant) rectal suppository OTC
senexon oral tablet OTC
senexon-s oral tablet OTC
senna lax oral tablet OTC
senna laxative oral tablet OTC
senna laxative-stool softener oral tablet OTC
senna oral syrup OTC
senna oral tablet OTC
senna plus oral tablet OTC
senna with docusate sodium oral tablet OTC
senna-extra oral tablet OTC
senna-s oral tablet OTC
27
Nombre del medicamento Referencia Notas
senna-time s oral tablet OTC
senno oral tablet OTC
sennosides-docusate sodium oral tablet Colace 2-In-1 OTC
sen-o-tab oral tablet OTC
silace oral liquid OTC
silace oral syrup OTC
smoothlax oral powder OTC
smoothlax oral powder in packet OTC; QL
sof-lax oral capsule OTC; QL
stimulant laxative plus oral tablet OTC
stool softener (docusate cal) oral capsule OTC
stool softener oral capsule 100 mg OTC; QL
stool softener oral capsule 250 mg, 50 mg OTC
stool softener oral liquid OTC
stool softener oral syrup OTC
stool softener oral tablet OTC
stool softener-laxative oral tablet OTC
stool softener-stimulant laxat oral tablet OTC
suppository adult rectal suppository OTC
surfak oral capsule OTC
the magic bullet rectal suppository OTC
trilyte with flavor packets oral recon soln QL
vegetable laxative oral tablet OTC
wal-mucil fiber (aspartame) oral powder OTC
wal-mucil fiber (sugar) oral powder OTC
wal-mucil fiber oral capsule OTC
wal-mucil natural fiber lax oral powder OTC
woman's laxative oral tablet OTC
woman's laxative oral tablet,delayed release (dr/ec)
OTC; QL
women's gentle laxative(bisac) oral tablet,delayed release (dr/ec)
OTC; QL
women's laxative (bisacodyl) oral tablet OTC
women's laxative (bisacodyl) oral tablet,delayed release (dr/ec)
OTC; QL
REDUCTORES DE SECRECIÓN ÁCIDA GÁSTRICA
acid control (ranitidine) oral tablet OTC; QL
28
Nombre del medicamento Referencia Notas
acid controller complete oral tablet,chewable
OTC
acid controller oral tablet OTC
acid reducer (famotidine) oral tablet OTC
acid reducer (omeprazole) oral capsule,delayed release(dr/ec)
OTC; QL
acid reducer (ranitidine) oral tablet 150 mg OTC; QL
acid reducer (ranitidine) oral tablet 75 mg OTC
acid reducer complete (famot) oral tablet,chewable
OTC
CARAFATE ORAL SUSPENSION
complete oral tablet,chewable OTC
dual action complete oral tablet,chewable OTC
esomeprazole magnesium oral capsule,delayed release(dr/ec)
Nexium OTC; QL
famotidine oral suspension Pepcid PA
famotidine oral tablet 10 mg, 20 mg Acid Controller OTC
famotidine oral tablet 40 mg Pepcid
heartburn prevention oral tablet OTC
heartburn relief (famotidine) oral tablet OTC
heartburn relief (ranitidine) oral tablet 150 mg
OTC; QL
heartburn relief (ranitidine) oral tablet 75 mg
OTC
heartburn treatment 24 hour oral capsule,delayed release(dr/ec)
OTC; QL
lansoprazole oral capsule,delayed release(dr/ec)
Heartburn Treatment 24 Hour
OTC; QL
misoprostol oral tablet Cytotec
NEXIUM 24HR ORAL CAPSULE,DELAYED RELEASE(DR/EC)
OTC; QL
NEXIUM 24HR ORAL TABLET,DELAYED RELEASE (DR/EC)
OTC; QL
nizatidine oral capsule
nizatidine oral solution PA
omeprazole magnesium oral capsule,delayed release(dr/ec)
Acid Reducer (omeprazole) OTC; QL
29
Nombre del medicamento Referencia Notas
omeprazole oral capsule,delayed release(dr/ec)
PA; Preferred for Members less than 6 years of age. PA required for members greater than 6.; QL
omeprazole oral tablet,delayed release (dr/ec)
OTC; QL
omeprazole oral tablet,disintegrat, delay rel
OTC
OMEPRAZOLE-SODIUM BICARBONATE ORAL CAPSULE
OmePPi OTC; QL
pepcid ac oral tablet OTC
PREVACID 24HR ORAL CAPSULE,DELAYED RELEASE(DR/EC)
OTC; QL
PRILOSEC OTC ORAL TABLET,DELAYED RELEASE (DR/EC)
OTC; QL
ranitidine hcl oral capsule
ranitidine hcl oral syrup
ranitidine hcl oral tablet 150 mg Acid Control (ranitidine) OTC; QL
ranitidine hcl oral tablet 300 mg Zantac
ranitidine hcl oral tablet 75 mg Acid Reducer (ranitidine) OTC
sucralfate oral tablet Carafate
wal-zan 150 oral tablet OTC; QL
wal-zan 75 oral tablet OTC
ZANTAC 75 ORAL TABLET OTC
zantac maximum strength oral tablet OTC; QL
zantac oral tablet OTC; QL
ZEGERID OTC ORAL CAPSULE OTC; QL
SALES BILIARES
ursodiol oral capsule Actigall
ursodiol oral tablet URSO 250
AGENTES DE TERAPIA RESPIRATORIA
AGENTES ALFA/BETA ADRENÉRGICOS
epinephrine injection solution Adrenalin
epinephrine injection syringe
30
Nombre del medicamento Referencia Notas
AGENTES BETA ADRENÉRGICOS
albuterol sulfate inhalation solution for nebulization 0.63 mg/3 ml, 1.25 mg/3 ml, 2.5 mg /3 ml (0.083 %)
QL
albuterol sulfate inhalation solution for nebulization 2.5 mg/0.5 ml, 5 mg/ml
albuterol sulfate oral syrup
albuterol sulfate oral tablet
albuterol sulfate oral tablet extended release 12 hr
metaproterenol oral syrup
metaproterenol oral tablet
SEREVENT DISKUS INHALATION BLISTER WITH DEVICE
QL
terbutaline oral tablet
VENTOLIN HFA INHALATION HFA AEROSOL INHALER
QL
AGENTES BRONCODILATADORES GENERALES
ATROVENT HFA INHALATION HFA AEROSOL INHALER
QL
ipratropium bromide inhalation solution QL
SPIRIVA RESPIMAT INHALATION MIST QL
AGENTES PARA EL TRATAMIENTO DE LA FIBROSIS QUÍSTICA
tobramycin in 0.225 % nacl inhalation solution for nebulization
Tobi
AGENTES PARA EL TRATAMIENTO DEL ASMA
ARNUITY ELLIPTA INHALATION BLISTER WITH DEVICE
QL
budesonide inhalation suspension for nebulization
Pulmicort PA; AL; QL
cromolyn inhalation solution for nebulization
FLOVENT DISKUS INHALATION BLISTER WITH DEVICE
QL
FLOVENT HFA INHALATION HFA AEROSOL INHALER
QL
montelukast oral granules in packet Singulair QL
31
Nombre del medicamento Referencia Notas
montelukast oral tablet Singulair QL
montelukast oral tablet,chewable Singulair QL
zafirlukast oral tablet Accolate
ANALGÉSICOS/ANTIPIRÉTICOS, NO SALICILATO
acetadryl oral tablet AL; OTC
aceta-gesic oral tablet AL; OTC
acetaminophen pm extra str oral tablet OTC
acetaminophen pm oral tablet OTC
diphenhydramine-acetaminophen oral tablet
Acetadryl OTC
headache pm oral tablet OTC
headache relief pm oral tablet OTC
mapap pm oral tablet OTC
menstrual relief oral tablet OTC
midol pm oral tablet OTC
non-aspirin nightime oral tablet AL; OTC
non-aspirin pain relief pm oral tablet OTC
non-aspirin pm oral tablet OTC
pain relief pm oral tablet OTC
pain relief pm rapid release oral tablet OTC
pain reliever pm ex-strength oral tablet AL; OTC
pain reliever pm oral tablet AL; OTC
percogesic extra strength oral tablet AL; OTC
percogesic oral tablet AL; OTC
ANTIBIÓTICOS NASALES
BACTROBAN NASAL NASAL OINTMENT
QL
ANTICOLINÉRGICOS NASALES
ipratropium bromide nasal spray,non-aerosol
QL
ANTIHISTAMÍNICOS NASALES
azelastine nasal aerosol,spray QL
azelastine nasal spray,non-aerosol Astepro QL
ANTIHISTAMÍNICOS
alavert oral tablet,disintegrating OTC; QL
aler-cap oral capsule OTC; QL
alka-seltzer plus allergy oral tablet OTC
32
Nombre del medicamento Referencia Notas
aller-chlor oral tablet OTC
allerclear oral tablet OTC; QL
aller-ease oral tablet PA; OTC; QL
aller-fex oral tablet PA; OTC; QL
aller-g-time oral tablet OTC
allergy (chlorpheniramine) oral tablet OTC
allergy (diphenhydramine) oral capsule OTC; QL
allergy (diphenhydramine) oral liquid OTC; QL
allergy (diphenhydramine) oral tablet OTC
allergy 4-hour oral tablet OTC
allergy medication oral capsule OTC; QL
allergy medicine oral capsule OTC; QL
allergy medicine oral liquid OTC; QL
allergy medicine oral tablet OTC
allergy relief (clemastine) oral tablet OTC
allergy relief (fexofenadine) oral tablet PA; OTC; QL
allergy relief (loratadine) oral solution OTC
allergy relief (loratadine) oral tablet OTC; QL
allergy relief (loratadine) oral tablet,disintegrating
OTC; QL
allergy relief(chlorpheniramn) oral tablet OTC
ALLERGY RELIEF(CHLORPHENIRAMN) ORAL TABLET EXTENDED RELEASE
OTC
allergy relief(diphenhydramin) oral capsule
OTC; QL
allergy relief(diphenhydramin) oral liquid OTC; QL
allergy relief(diphenhydramin) oral tablet OTC
allergy-time oral tablet OTC
banophen allergy oral liquid OTC; QL
banophen oral capsule 25 mg OTC; QL
banophen oral capsule 50 mg OTC
banophen oral liquid OTC; QL
banophen oral tablet OTC
carbinoxamine maleate oral liquid AL
carbinoxamine maleate oral tablet AL
child allergy relief (diphen) oral tablet,disintegrating
OTC
33
Nombre del medicamento Referencia Notas
children's allegra allergy oral suspension OTC; QL
children's allegra allergy oral tablet,disintegrating
PA; OTC
children's allergy (diphenhyd) oral elixir OTC; QL
children's allergy (diphenhyd) oral liquid OTC; QL
children's allergy (diphenhyd) oral tablet,disintegrating
OTC
CHILDREN'S ALLERGY RELIEF(FEX) ORAL SUSPENSION
OTC; QL
children's allergy relief(lor) oral solution OTC
children's wal-dryl allergy oral liquid OTC; QL
children's wal-dryl allergy oral prefilled spoon
OTC
children's wal-dryl allergy oral tablet,disintegrating
OTC
CHILDREN'S WAL-FEX ORAL SUSPENSION
OTC; QL
chlorhist oral tablet OTC
chlorpheniramine maleate oral tablet Aller-Chlor OTC
chlorpheniramine maleate oral tablet extended release
Allergy Relief(chlorpheniramn)
OTC
chlortabs oral tablet OTC
clemastine oral tablet
complete allergy medicine oral capsule OTC; QL
complete allergy medicine oral tablet OTC
complete allergy oral capsule OTC; QL
complete allergy oral liquid OTC; QL
complete allergy oral tablet OTC
cyproheptadine oral tablet
dayhist allergy oral tablet OTC
diphedryl allergy oral liquid OTC; QL
diphedryl oral capsule OTC; QL
diphedryl oral liquid OTC; QL
diphedryl oral tablet OTC
diphen oral tablet OTC
diphenhist oral capsule OTC; QL
diphenhist oral liquid OTC; QL
diphenhist oral tablet OTC
diphenhydramine hcl oral capsule 25 mg Aler-Cap OTC; QL
34
Nombre del medicamento Referencia Notas
diphenhydramine hcl oral capsule 50 mg Banophen OTC
diphenhydramine hcl oral elixirChildren's Allergy (diphenhyd)
OTC; QL
diphenhydramine hcl oral liquid Allergy (diphenhydramine) OTC; QL
diphenhydramine hcl oral syrup OTC
diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC
ed chlorped jr oral syrup OTC
ed-chlorped oral drops OTC
fexofenadine oral suspension Children's Allegra Allergy OTC; QL
fexofenadine oral tablet 180 mg Allegra Allergy PA; OTC; QL
fexofenadine oral tablet 60 mg Allegra Allergy OTC; QL
loradamed oral tablet OTC; QL
loratadine oral capsule Claritin Liqui-Gel OTC
loratadine oral solution Allergy Relief (loratadine) OTC
loratadine oral tablet Allerclear OTC; QL
loratadine oral tablet,disintegrating Alavert OTC; QL
nightime sleep oral capsule OTC
nighttime sleep aid (diphen) oral capsule OTC
nighttime sleep aid (diphen) oral tablet OTC
non-drowsy allergy oral tablet OTC; QL
pharbechlor oral tablet OTC
pharbedryl oral capsule 25 mg OTC; QL
pharbedryl oral capsule 50 mg OTC
phenadoz rectal suppository AL
promethazine oral syrup AL
promethazine oral tablet 12.5 mg, 50 mg AL
promethazine oral tablet 25 mg AL; QL
promethazine rectal suppository Phenadoz AL
promethegan rectal suppository AL
rest simply nighttime sleep oral tablet OTC
siladryl sa oral liquid OTC; QL
simply sleep oral tablet OTC
sleep aid (diphenhydramine) oral capsule OTC
sleep aid (diphenhydramine) oral tablet OTC
sleep aid max str (diphenhydr) oral capsule
OTC
sleep ii oral tablet OTC
35
Nombre del medicamento Referencia Notas
sleep oral tablet OTC
sleep tablet (diphenhydramine) oral tablet OTC
sleep-tabs oral tablet OTC
unisom sleepgels oral capsule OTC
valu-dryl allergy oral capsule OTC; QL
wal-dryl allergy oral capsule OTC; QL
wal-dryl allergy oral liquid OTC; QL
wal-dryl allergy oral tablet OTC
wal-fex allergy oral tablet PA; OTC; QL
wal-finate oral tablet OTC
wal-itin oral solution OTC
wal-itin oral tablet OTC; QL
wal-som (diphenhydramine) oral capsule OTC
ANTITUSIVOS, NO NARCÓTICOS
cough drops mucous membrane lozenge OTC
COMBINACIÓN DE AGENTES BETA ADRENÉRGICOS
ANORO ELLIPTA INHALATION BLISTER WITH DEVICE
QL
COMBIVENT RESPIMAT INHALATION MIST
ipratropium-albuterol inhalation solution for nebulization
STIOLTO RESPIMAT INHALATION MIST
QL
COMBINACIONES ANTITUSIVAS NO NARCÓTICAS
adult robitussin peak cold dm oral liquid AL; OTC
adult tussin cough congest dm oral liquid AL; OTC
adult tussin dm oral syrup AL; OTC
antitussive dm oral syrup AL; OTC
benzonatate oral capsule
biocotron oral liquid AL; OTC
biogil oral liquid AL; OTC
brotapp dm oral elixir AL; OTC
child chest congestion-cough oral liquid AL; OTC
child mucus relief cough oral liquid AL; OTC
children's cough oral liquid AL; OTC
36
Nombre del medicamento Referencia Notas
CHILDREN'S MUCINEX COUGH ORAL LIQUID
AL; OTC
cough dm er oral suspension,extended rel 12 hr
OTC
cough relief oral liquid OTC
cough suppressant-expectorant oral syrup AL; OTC
cough syrup dm oral syrup AL; OTC
day-time cough oral syrup OTC
despec eda cough-cold drops oral drops AL; OTC
dextromethorphan polistirex oral suspension,extended rel 12 hr
12-Hour Cough Relief OTC
dextromethorphan-guaifenesin oral syrup Adult Tussin DM AL; OTC
diabetic siltussin-dm oral liquid AL; OTC
diabetic tussin dm oral liquid AL; OTC
g-tron oral liquid AL; OTC
kidkare cough/cold oral liquid AL; OTC
MUCINEX DM ORAL TABLET EXTENDED RELEASE 12 HR
AL; OTC
MUCINEX FAST-MAX DM MAX ORAL LIQUID
AL; OTC
mucus relief cough oral liquid AL; OTC
mucus relief dm max oral liquid AL; OTC
neo-tuss oral liquid AL; OTC
non-aspirin flu oral tablet OTC
pedia relief cough-cold oral liquid AL; OTC
pediatric cough and cold oral liquid AL; OTC
promethazine-dm oral syrup AL
ri-tussin dm oral syrup AL; OTC
robafen dm cough oral liquid AL; OTC
robafen dm cough-chest congest oral syrup
AL; OTC
robafen dm oral syrup AL; OTC
siltussin dm das oral liquid AL; OTC
siltussin-dm oral syrup AL; OTC
supress dx oral drops AL; OTC
tusnel diabetic oral liquid AL; OTC
tussin cough (dm only) oral liquid OTC
tussin cough-chest congestion oral liquid AL; OTC
37
Nombre del medicamento Referencia Notas
tussin dm clear oral syrup AL; OTC
tussin dm cough oral syrup AL; OTC
tussin dm oral liquid AL; OTC
tussin dm oral syrup AL; OTC
tussin maximum strength cough oral syrup OTC
VICKS DAYQUIL COUGH ORAL SYRUP OTC
wal-tussin cough oral liquid OTC
wal-tussin dm oral syrup AL; OTC
wal-tussin max strength cough oral syrup OTC
COMBINACIONES DE ANTIHISTAMÍNICOS Y DESCONGESTIVOS
alavert d-12 allergy-sinus oral tablet extended release 12 hr
AL; OTC
allerclear d-12hr oral tablet extended release 12 hr
AL; OTC
allerclear d-24hr oral tablet extended release 24 hr
AL; OTC
allergy and congestion relief oral tablet extended release 12 hr
AL; OTC
allergy and congestion relief oral tablet extended release 24 hr
AL; OTC
allergy relief d12 oral tablet extended release 12 hr
AL; OTC
allergy relief d-24hr oral tablet extended release 24 hr
AL; OTC
allergy relief,nasal decongest oral tablet extended release 24 hr
AL; OTC
allergy relief-d (loratadine) oral tablet extended release 12 hr
AL; OTC
allergy relief-d(fexofenadine) oral tablet extended release 12 hr
AL; OTC; QL
allergy-congestion relief-d oral tablet extended release 24 hr
AL; OTC
aprodine oral tablet AL; OTC
ed a-hist pse oral tablet AL; OTC
fexofenadine-pseudoephedrine oral tablet extended release 12 hr
Allegra-D 12 Hour AL; OTC; QL
lohist - d oral liquid AL; OTC
lorata-d oral tablet extended release 24 hr AL; OTC
38
Nombre del medicamento Referencia Notas
lorata-dine d oral tablet extended release 24 hr
AL; OTC
loratadine-d oral tablet extended release 12 hr
AL; OTC
loratadine-d oral tablet extended release 24 hr
AL; OTC
promethazine vc oral syrup AL
promethazine-phenylephrine oral syrup Promethazine VC AL
ritifed oral syrup AL; OTC
r-tanna oral tablet AL
rynex pse oral liquid AL; OTC
wal-act d cold and allergy oral tablet AL; OTC
wal-fex d 12 hour oral tablet extended release 12 hr
AL; OTC; QL
wal-fex d 24 hour oral tablet extended release 24 hr
AL; OTC; QL
wal-itin d 12 hour oral tablet extended release 12 hr
AL; OTC
wal-itin d oral tablet extended release 24 hr
AL; OTC
COMBINACIONES DE ANTITUSIVOS NARCÓTICOS
cheratussin ac oral liquid AL; OTC
guaiatussin ac oral liquid AL; OTC
guaifenesin ac oral liquid AL; OTC
guaifenesin dac oral syrup AL; OTC
hydrocodone-homatropine oral syrup Hydrocodone Compound AL
hydrocodone-homatropine oral tablet AL
hydromet oral syrup AL
m-clear wc oral liquid AL; OTC
promethazine vc-codeine oral syrup AL
promethazine-codeine oral syrup AL
promethazine-phenyleph-codeine oral syrup
Promethazine VC-Codeine AL
tusnel c oral syrup AL; OTC
virtussin ac oral liquid AL; OTC
39
Nombre del medicamento Referencia Notas
COMBINACIONES DE GLUCOCORTICOIDES Y BETA-ADRENÉRGICOS
BREO ELLIPTA INHALATION BLISTER WITH DEVICE
PA; QL
fluticasone-salmeterol inhalation aerosol powdr breath activated
AirDuo RespiClick PA
CORTICOESTEROIDES NASALES
24 hour allergy relief nasal spray,suspension
OTC; QL
24 HOUR NASAL ALLERGY NASAL AEROSOL,SPRAY
OTC; QL
aller-flo nasal spray,suspension OTC; QL
allergy relief (fluticasone) nasal spray,suspension
OTC; QL
CHILDREN'S FLONASE ALLERGY RLF NASAL SPRAY,SUSPENSION
OTC; QL
CHILDREN'S NASACORT NASAL AEROSOL,SPRAY
OTC; QL
CLARISPRAY NASAL SPRAY,SUSPENSION
OTC; QL
FLONASE ALLERGY RELIEF NASAL SPRAY,SUSPENSION
OTC; QL
fluticasone nasal spray,suspension 24 Hour Allergy Relief OTC; QL
NASACORT NASAL AEROSOL,SPRAY OTC; QL
nasal allergy nasal aerosol,spray OTC; QL
triamcinolone acetonide nasal aerosol,spray
24 Hour Nasal Allergy OTC; QL
DESCONGESTIVOS SIMPATICOMIMÉTICOS SISTÉMICOS
12 hour decongestant oral tablet extended release
OTC
12 hour nasal decongest (pse) oral tablet extended release
OTC
children's silfedrine oral liquid OTC
nasal decongestant (pseudoeph) oral liquid
OTC
nasal decongestant (pseudoeph) oral tablet
OTC
40
Nombre del medicamento Referencia Notas
nasal decongestant (pseudoeph) oral tablet extended release
OTC
pedia relief infant nasal oral drops OTC
pseudoephedrine hcl oral liquidNasal Decongestant (pseudoeph)
OTC
pseudoephedrine hcl oral tabletNasal Decongestant (pseudoeph)
OTC
pseudoephedrine hcl oral tablet extended release
12 Hour Decongestant AL; OTC
sinus 12 hour oral tablet extended release OTC
sudogest 12-hour oral tablet extended release
OTC
sudogest oral tablet OTC
suphedrin 12 hour oral tablet extended release
OTC
suphedrin oral liquid OTC
suphedrin oral tablet OTC
suphedrine 12 hour oral tablet extended release
OTC
suphedrine oral tablet OTC
wal-phed 12 hour oral tablet extended release
OTC
wal-phed d oral tablet extended release AL; OTC
wal-phed oral tablet OTC
ESTABILIZADORES DE MASTOCITOS
cromolyn nasal spray,non-aerosolNasal Allergy Symptom Control
OTC
nasal allergy symptom control nasal spray,non-aerosol
OTC
EXPECTORANTES
adult tussin chest congestion oral liquid AL; OTC
adult wal-tussin oral liquid OTC
chest congestion relief oral tablet OTC
child mucus relief expectorant oral liquid OTC
children's chest congestion oral liquid OTC
cough syrup oral liquid OTC
coughtab oral tablet OTC
diabetic siltussin das-na oral liquid OTC
41
Nombre del medicamento Referencia Notas
diabetic tussin ex oral liquid OTC
expectorant cough syrup oral liquid OTC
expectorant oral liquid OTC
fenesin ir oral tablet OTC
geri-tussin oral liquid OTC
guaifenesin oral liquidAdult Tussin Chest Congestion
OTC
guaifenesin oral tablet Coughtab OTC
mucosa oral tablet OTC
mucus relief chest oral tablet OTC
mucus relief oral tablet OTC
ri-tussin oral liquid OTC
robafen oral liquid OTC
scot-tussin expectorant oral liquid OTC
siltussin sa oral liquid OTC
tussin chest congestion oral liquid OTC
tussin expectorant oral liquid OTC
tussin honey oral liquid OTC
tussin mucus-chest congestion oral liquid AL; OTC
tussin oral liquid OTC
tussin oral tablet OTC
MUCOLÍTICOS
acetylcysteine solution
PULMOZYME INHALATION SOLUTION PA; QL
NASAL, OTROS
altamist nasal aerosol,spray OTC
ayr saline nasal aerosol,spray OTC
ayr saline nasal drops OTC
baby ayr saline nasal drops OTC
children's saline nasal spray nasal aerosol,spray
OTC
deep sea nasal nasal aerosol,spray OTC
little remedies nasal aerosol,spray OTC
nasal mist nasal aerosol,spray OTC
nasal moisturizing nasal aerosol,spray OTC
nasal spray (sodium chloride) nasal aerosol,spray
OTC
ocean nasal nasal aerosol,spray OTC
42
Nombre del medicamento Referencia Notas
saline mist nasal aerosol,spray OTC
saline nasal mist nasal aerosol,spray OTC
saline nasal nasal aerosol,spray OTC
saline nose nasal aerosol,spray OTC
sterile saline nasal aerosol,spray OTC
XANTINAS
theochron oral tablet extended release 12 hr
theophylline oral elixir Elixophyllin
theophylline oral solution
theophylline oral tablet extended release 12 hr
Theochron
theophylline oral tablet extended release 24 hr
AGENTES DEL SISTEMA NERVIOSO CENTRAL
ANSIOLÍTICOS
alprazolam intensol oral concentrate DO; QL
alprazolam oral tablet Xanax QL
alprazolam oral tablet,disintegrating DO; QL
buspirone oral tablet DO; QL
chlordiazepoxide hcl oral capsule DO; QL
clonazepam oral tablet Klonopin QL
clonazepam oral tablet,disintegrating QL
clorazepate dipotassium oral tablet DO; QL
diazepam intensol oral concentrate DO; QL
diazepam oral concentrate Diazepam Intensol DO; QL
diazepam oral solution QL
diazepam oral tablet Valium DO; QL
hydroxyzine hcl oral tablet DO; QL
hydroxyzine pamoate oral capsule DO; QL
lorazepam oral tablet Ativan QL
oxazepam oral capsule QL
ANTICONVULSIVOS
carbamazepine oral capsule, er multiphase 12 hr
Carbatrol QL
carbamazepine oral suspension Tegretol DO; QL
carbamazepine oral tablet Epitol DO; QL
43
Nombre del medicamento Referencia Notas
carbamazepine oral tablet extended release 12 hr
Tegretol XR DO; QL
carbamazepine oral tablet,chewable DO; QL
clonazepam oral tablet Klonopin QL
clonazepam oral tablet,disintegrating QL
diazepam rectal kit Diastat QL
divalproex oral capsule, delayed rel sprinkle
Depakote Sprinkles DO; QL
divalproex oral tablet extended release 24 hr
Depakote ER DO; QL
divalproex oral tablet,delayed release (dr/ec) 125 mg, 250 mg
Depakote DO; QL
divalproex oral tablet,delayed release (dr/ec) 500 mg
Depakote
epitol oral tablet DO; QL
ethosuximide oral capsule Zarontin
ethosuximide oral solution Zarontin
felbamate oral suspension Felbatol
felbamate oral tablet Felbatol
gabapentin oral capsule 100 mg Neurontin DO; QL
gabapentin oral capsule 300 mg, 400 mg Neurontin QL
gabapentin oral solution Neurontin QL
gabapentin oral tablet Neurontin QL
lamotrigine oral tablet Lamictal QL
lamotrigine oral tablet disintegrating, dose pk
Lamictal ODT Starter (Orange)
lamotrigine oral tablet extended release 24hr
Lamictal XR QL
lamotrigine oral tablet, chewable dispersible
Lamictal QL
lamotrigine oral tablet,disintegrating Lamictal ODT QL
lamotrigine oral tablets,dose pack Lamictal Starter (Blue) Kit
levetiracetam oral solution Keppra
levetiracetam oral tablet Keppra
levetiracetam oral tablet extended release 24 hr
Keppra XR QL
oxcarbazepine oral suspension Trileptal DO; QL
oxcarbazepine oral tablet 150 mg, 300 mg Trileptal QL
oxcarbazepine oral tablet 600 mg Trileptal DO; QL
44
Nombre del medicamento Referencia Notas
phenobarbital oral elixir QL
phenobarbital oral tablet 100 mg, 15 mg, 60 mg
phenobarbital oral tablet 16.2 mg, 30 mg, 32.4 mg, 64.8 mg, 97.2 mg
QL
phenytoin oral suspension Dilantin-125
phenytoin oral tablet,chewable Dilantin Infatabs
phenytoin sodium extended oral capsule Phenytek
primidone oral tablet Mysoline
ROWEEPRA ORAL TABLET
roweepra xr oral tablet extended release 24 hr
QL
tiagabine oral tablet Gabitril
topiramate oral capsule, sprinkle Topamax QL
topiramate oral tablet Topamax QL
valproic acid (as sodium salt) oral solution Depakene
valproic acid oral capsule Depakene DO; QL
zonisamide oral capsule 100 mg Zonegran QL
zonisamide oral capsule 25 mg Zonegran
zonisamide oral capsule 50 mg
ANTIDEPRESIVOS ANTAGONISTAS DE RECEPTORES ALFA-2
mirtazapine oral tablet Remeron DO; QL
mirtazapine oral tablet,disintegrating Remeron SolTab DO; QL
ANTIDEPRESIVOS TRICÍCLICOS E INHIBIDORES DE RECAPTACIÓN NO SELECCIONADOS RELACIONADOS
amitriptyline oral tablet DO; QL
amoxapine oral tablet
clomipramine oral capsule Anafranil DO; QL
desipramine oral tablet Norpramin DO; QL
doxepin oral capsule DO; QL
doxepin oral concentrate DO; QL
imipramine hcl oral tablet Tofranil DO; QL
imipramine pamoate oral capsule DO; QL
maprotiline oral tablet DO; QL
nortriptyline oral capsule Pamelor DO; QL
45
Nombre del medicamento Referencia Notas
nortriptyline oral solution DO; QL
protriptyline oral tablet DO; QL
trimipramine oral capsule Surmontil DO; QL
ANTIDEPRESIVOS, OTROS
perphenazine-amitriptyline oral tablet
ANTIPSICÓTICOS, DOPAMINA ATÍPICA Y ANTAGONISTAS DE SEROTONINA
ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL RECON
PA; AL
ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING
PA; AL
aripiprazole oral tablet 10 mg, 2 mg, 5 mg Abilify DO; AL; QL
aripiprazole oral tablet 15 mg, 20 mg, 30 mg
Abilify AL; QL
ARISTADA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING
PA; AL
clozapine oral tablet 100 mg, 25 mg Clozaril DO; AL; QL
clozapine oral tablet 200 mg AL; QL
clozapine oral tablet 50 mg DO; AL; QL
INVEGA SUSTENNA INTRAMUSCULAR SYRINGE
PA; AL; QL
INVEGA TRINZA INTRAMUSCULAR SYRINGE
PA; AL; QL
olanzapine intramuscular recon soln Zyprexa
olanzapine oral tablet 10 mg, 15 mg, 20 mg
Zyprexa AL; QL
olanzapine oral tablet 2.5 mg, 5 mg, 7.5 mg
Zyprexa DO; AL; QL
paliperidone oral tablet extended release 24hr 1.5 mg
Invega AL
paliperidone oral tablet extended release 24hr 3 mg
Invega DO; AL; QL
paliperidone oral tablet extended release 24hr 6 mg, 9 mg
Invega AL; QL
quetiapine oral tablet 100 mg, 25 mg, 50 mg
Seroquel DO; AL; QL
quetiapine oral tablet 200 mg, 300 mg, 400 mg
Seroquel AL; QL
RISPERDAL CONSTA INTRAMUSCULAR SYRINGE
PA; AL; QL
46
Nombre del medicamento Referencia Notas
risperidone oral solution Risperdal AL
risperidone oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg
Risperdal DO; AL; QL
risperidone oral tablet 3 mg, 4 mg Risperdal AL; QL
ziprasidone hcl oral capsule 20 mg, 40 mg Geodon DO; AL; QL
ziprasidone hcl oral capsule 60 mg, 80 mg Geodon AL; QL
ZYPREXA RELPREVV INTRAMUSCULAR SUSPENSION FOR RECONSTITUTION
PA; AL
ANTIPSICÓTICOS, TÍPICOS
chlorpromazine oral tablet 10 mg, 25 mg, 50 mg
DO; AL; QL
chlorpromazine oral tablet 100 mg, 200 mg
AL; QL
fluphenazine decanoate injection solution AL
fluphenazine hcl injection solution AL
fluphenazine hcl oral concentrate AL
fluphenazine hcl oral elixir AL
fluphenazine hcl oral tablet 1 mg, 2.5 mg DO; AL; QL
fluphenazine hcl oral tablet 10 mg, 5 mg AL; QL
haloperidol decanoate intramuscular solution 100 mg/ml
Haldol Decanoate AL; QL
haloperidol decanoate intramuscular solution 50 mg/ml
Haldol Decanoate AL
haloperidol lactate injection solution Haldol AL
haloperidol lactate oral concentrate AL
haloperidol oral tablet 0.5 mg, 1 mg, 2 mg DO; AL; QL
haloperidol oral tablet 10 mg, 20 mg, 5 mg AL; QL
loxapine succinate oral capsule 10 mg, 25 mg, 5 mg
DO; AL; QL
loxapine succinate oral capsule 50 mg AL; QL
perphenazine oral tablet 16 mg, 4 mg, 8 mg
AL; QL
perphenazine oral tablet 2 mg DO; AL; QL
pimozide oral tablet Orap PA; DO; QL
prochlorperazine maleate oral tablet Compazine
thioridazine oral tablet 10 mg, 25 mg DO; QL
thioridazine oral tablet 100 mg, 50 mg QL
thiothixene oral capsule 1 mg, 2 mg, 5 mg DO; AL; QL
47
Nombre del medicamento Referencia Notas
thiothixene oral capsule 10 mg AL; QL
trifluoperazine oral tablet 1 mg, 2 mg DO; AL; QL
trifluoperazine oral tablet 10 mg, 5 mg AL; QL
BENZODIACEPINAS
alprazolam intensol oral concentrate DO; QL
alprazolam oral tablet Xanax QL
alprazolam oral tablet,disintegrating DO; QL
amitriptyline-chlordiazepoxide oral tablet
chlordiazepoxide hcl oral capsule DO; QL
clonazepam oral tablet Klonopin QL
clonazepam oral tablet,disintegrating QL
clorazepate dipotassium oral tablet DO; QL
diazepam intensol oral concentrate DO; QL
diazepam oral concentrate Diazepam Intensol DO; QL
diazepam oral solution QL
diazepam oral tablet Valium DO; QL
diazepam rectal kit Diastat QL
estazolam oral tablet DO; QL
flurazepam oral capsule DO; QL
lorazepam oral tablet Ativan QL
oxazepam oral capsule QL
temazepam oral capsule Restoril DO; QL
triazolam oral tablet Halcion DO; QL
COMBINACIONES DE BENZODIACEPINA/ANTIDEPRESIVOS TRICÍCLICOS
amitriptyline-chlordiazepoxide oral tablet
DÉFICIT DE ATENCIÓN, HIPERACTIVIDAD (TDAH)/NARCOLEPSIA
atomoxetine oral capsule Strattera DO; AL; QL
caffeine citrate oral solution
clonidine hcl oral tablet extended release 12 hr
Kapvay AL
dexmethylphenidate oral capsule,er biphasic 50-50 10 mg, 15 mg, 20 mg, 5 mg
Focalin XR DO; AL; QL
48
Nombre del medicamento Referencia Notas
dexmethylphenidate oral capsule,er biphasic 50-50 25 mg, 30 mg, 35 mg, 40 mg
Focalin XR AL; QL
dexmethylphenidate oral tablet 10 mg Focalin AL; QL
dexmethylphenidate oral tablet 2.5 mg Focalin DO; AL; QL
dexmethylphenidate oral tablet 5 mg Focalin PA; DO; AL; QL
dextroamphetamine oral capsule, extended release 10 mg, 15 mg
Dexedrine Spansule AL; QL
dextroamphetamine oral capsule, extended release 5 mg
Dexedrine Spansule DO; AL; QL
dextroamphetamine oral tablet 10 mg Zenzedi AL; QL
dextroamphetamine oral tablet 5 mg Zenzedi DO; AL; QL
dextroamphetamine-amphetamine oral capsule,extended release 24hr 10 mg, 15 mg, 5 mg
Adderall XR DO; AL; QL
dextroamphetamine-amphetamine oral capsule,extended release 24hr 20 mg, 25 mg, 30 mg
Adderall XR AL; QL
dextroamphetamine-amphetamine oral tablet 10 mg, 12.5 mg, 15 mg, 5 mg, 7.5 mg
Adderall DO; AL; QL
dextroamphetamine-amphetamine oral tablet 20 mg, 30 mg
Adderall AL; QL
metadate er oral tablet extended release AL; QL
methylphenidate hcl oral capsule, er biphasic 30-70 10 mg, 20 mg, 30 mg
DO; AL; QL
methylphenidate hcl oral capsule, er biphasic 30-70 40 mg, 50 mg, 60 mg
AL; QL
methylphenidate hcl oral capsule,er biphasic 50-50 10 mg, 30 mg, 40 mg
Ritalin LA AL; QL
methylphenidate hcl oral capsule,er biphasic 50-50 20 mg
Ritalin LA DO; AL; QL
methylphenidate hcl oral capsule,er biphasic 50-50 60 mg
AL; QL
methylphenidate hcl oral solution Methylin AL; QL
methylphenidate hcl oral tablet Ritalin DO; AL; QL
methylphenidate hcl oral tablet extended release 10 mg
DO; AL; QL
methylphenidate hcl oral tablet extended release 20 mg
Metadate ER AL; QL
methylphenidate hcl oral tablet extended release 24hr 18 mg, 27 mg
Concerta DO; AL; QL
49
Nombre del medicamento Referencia Notas
methylphenidate hcl oral tablet extended release 24hr 36 mg, 54 mg
Concerta AL; QL
ESTIMULANTES DEL SNC
dextroamphetamine oral capsule, extended release 10 mg, 15 mg
Dexedrine Spansule AL; QL
dextroamphetamine oral capsule, extended release 5 mg
Dexedrine Spansule DO; AL; QL
dextroamphetamine oral tablet 10 mg Zenzedi AL; QL
dextroamphetamine oral tablet 5 mg Zenzedi DO; AL; QL
dextroamphetamine-amphetamine oral capsule,extended release 24hr 10 mg, 15 mg, 5 mg
Adderall XR DO; AL; QL
dextroamphetamine-amphetamine oral capsule,extended release 24hr 20 mg, 25 mg, 30 mg
Adderall XR AL; QL
dextroamphetamine-amphetamine oral tablet 10 mg, 12.5 mg, 15 mg, 5 mg, 7.5 mg
Adderall DO; AL; QL
dextroamphetamine-amphetamine oral tablet 20 mg, 30 mg
Adderall AL; QL
INHIBIDOR SELECTIVO DE RECAPTACIÓN DE SEROTONINA (ISRS)
citalopram oral solution QL
citalopram oral tablet 10 mg, 20 mg Celexa DO; QL
citalopram oral tablet 40 mg Celexa QL
escitalopram oxalate oral solution QL
escitalopram oxalate oral tablet 10 mg, 5 mg
Lexapro DO; QL
escitalopram oxalate oral tablet 20 mg Lexapro QL
fluoxetine oral capsule 10 mg, 20 mg Prozac DO; QL
fluoxetine oral capsule 40 mg Prozac QL
fluoxetine oral capsule,delayed release(dr/ec)
QL
fluoxetine oral solution QL
fluoxetine oral tablet Sarafem DO; QL
fluvoxamine oral tablet 100 mg QL
fluvoxamine oral tablet 25 mg, 50 mg DO; QL
paroxetine hcl oral tablet 10 mg, 20 mg Paxil DO; QL
paroxetine hcl oral tablet 30 mg, 40 mg Paxil QL
50
Nombre del medicamento Referencia Notas
paroxetine hcl oral tablet extended release 24 hr 12.5 mg
Paxil CR DO; QL
paroxetine hcl oral tablet extended release 24 hr 25 mg, 37.5 mg
Paxil CR QL
sertraline oral concentrate Zoloft QL
sertraline oral tablet 100 mg Zoloft QL
sertraline oral tablet 25 mg, 50 mg Zoloft DO; QL
INHIBIDORES DE RECAPTACIÓN DE ANTAGONISTAS DE SEROTONINA-2 (SARIS)
nefazodone oral tablet DO; QL
trazodone oral tablet DO; QL
INHIBIDORES DE RECAPTACIÓN DE DOPAMINA Y NOREPINEFRINA (IRND)
bupropion hcl oral tablet 100 mg QL
bupropion hcl oral tablet 75 mg DO; QL
bupropion hcl oral tablet extended release 24 hr 150 mg
Wellbutrin XL DO; QL
bupropion hcl oral tablet extended release 24 hr 300 mg
Wellbutrin XL QL
bupropion hcl oral tablet sustained-release 12 hr 100 mg
Wellbutrin SR DO; QL
bupropion hcl oral tablet sustained-release 12 hr 150 mg, 200 mg
Wellbutrin SR QL
INHIBIDORES DE RECAPTACIÓN DE SEROTONINA-NOREPINEFRINA (IRSN)
venlafaxine oral capsule,extended release 24hr 150 mg
Effexor XR QL
venlafaxine oral capsule,extended release 24hr 37.5 mg, 75 mg
Effexor XR DO; QL
venlafaxine oral tablet 100 mg, 25 mg, 50 mg
QL
venlafaxine oral tablet 37.5 mg, 75 mg DO; QL
venlafaxine oral tablet extended release 24hr 150 mg, 225 mg
QL
venlafaxine oral tablet extended release 24hr 37.5 mg, 75 mg
DO; QL
51
Nombre del medicamento Referencia Notas
INHIBIDORES MAO
phenelzine oral tablet Nardil DO; QL
tranylcypromine oral tablet Parnate DO; QL
MEDICAMENTOS ANTIMANÍACOS
lithium carbonate oral capsule DO; QL
lithium carbonate oral tablet DO; QL
lithium carbonate oral tablet extended release
Lithobid DO; QL
lithium citrate oral solution
MEDICAMENTOS PARA EL PARKINSON, ANTICOLINÉRGICO
benztropine oral tablet
trihexyphenidyl oral elixir
trihexyphenidyl oral tablet
MEDICAMENTOS PARA EL PARKINSON, OTROS
amantadine hcl oral capsule
amantadine hcl oral solution
amantadine hcl oral tablet
bromocriptine oral capsule Parlodel
bromocriptine oral tablet Parlodel
carbidopa-levodopa oral tablet Sinemet
carbidopa-levodopa oral tablet extended release
Sinemet CR
carbidopa-levodopa oral tablet,disintegrating
carbidopa-levodopa-entacapone oral tablet
Stalevo 50
entacapone oral tablet Comtan
pramipexole oral tablet Mirapex
ropinirole oral tablet Requip
selegiline hcl oral capsule
selegiline hcl oral tablet
PREPARADOS PARA LA MIGRAÑA
divalproex oral tablet extended release 24 hr
Depakote ER DO; QL
ergotamine-caffeine oral tablet Cafergot
52
Nombre del medicamento Referencia Notas
isometh-dichloral-acetaminophn oral capsule
migergot rectal suppository
naratriptan oral tablet Amerge QL
sumatriptan nasal spray,non-aerosol Imitrex PA; QL
sumatriptan succinate oral tablet Imitrex QL
sumatriptan succinate subcutaneous cartridge
Imitrex STATdose Refill PA; QL
sumatriptan succinate subcutaneous pen injector
Imitrex STATdose Pen PA; QL
sumatriptan succinate subcutaneous solution
Imitrex PA; QL
SEDANTE HIPNÓTICO, BARBITÚRICOS
phenobarbital oral elixir QL
phenobarbital oral tablet 100 mg, 15 mg, 60 mg
phenobarbital oral tablet 16.2 mg, 30 mg, 32.4 mg, 64.8 mg, 97.2 mg
QL
SEDANTE HIPNÓTICO, NO BARBITÚRICOS
alka-seltzer plus allergy oral tablet OTC
diphenhydramine hcl oral capsule 25 mg Aler-Cap OTC; QL
diphenhydramine hcl oral capsule 50 mg Banophen OTC
diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC
estazolam oral tablet DO; QL
flurazepam oral capsule DO; QL
nightime sleep oral capsule OTC
nighttime sleep aid (diphen) oral capsule OTC
nighttime sleep aid (diphen) oral tablet OTC
rest simply nighttime sleep oral tablet OTC
simply sleep oral tablet OTC
sleep aid (diphenhydramine) oral capsule OTC
sleep aid (diphenhydramine) oral tablet OTC
sleep aid (doxylamine) oral tablet OTC
sleep aid max str (diphenhydr) oral capsule
OTC
sleep ii oral tablet OTC
sleep oral tablet OTC
53
Nombre del medicamento Referencia Notas
sleep tablet (diphenhydramine) oral tablet OTC
sleep-tabs oral tablet OTC
temazepam oral capsule Restoril DO; QL
triazolam oral tablet Halcion DO; QL
unisom sleepgels oral capsule OTC
wal-som (diphenhydramine) oral capsule OTC
zaleplon oral capsule DO; QL
zolpidem oral tablet Ambien DO; QL
AGENTES HEMATOLÓGICOS
AGENTES ANTIFIBRINOLÍTICOS
tranexamic acid oral tablet Lysteda QL
AGENTES HEMORREOLÓGICOS
pentoxifylline oral tablet extended release
AGENTES PARA LA ANEMIA FALCIFORME
DROXIA ORAL CAPSULE
ANTICOAGULANTES ORALES
ELIQUIS ORAL TABLET
ELIQUIS ORAL TABLETS,DOSE PACK QL
jantoven oral tablet
warfarin oral tablet Coumadin
HEMATÍNICOS, OTRO
ARANESP (IN POLYSORBATE) INJECTION SOLUTION
PA
ARANESP (IN POLYSORBATE) INJECTION SYRINGE
PA
EPOGEN INJECTION SOLUTION PA
PROCRIT INJECTION SOLUTION PA
HEPARINA Y PREPARADOS RELACIONADOS
enoxaparin subcutaneous solution Lovenox QL
enoxaparin subcutaneous syringe Lovenox QL
heparin (porcine) injection cartridge
heparin (porcine) injection solution
heparin, porcine (pf) injection solution
heparin, porcine (pf) injection syringe
54
Nombre del medicamento Referencia Notas
INHIBIDORES DE AGREGACIÓN PLAQUETARIA
anagrelide oral capsule Agrylin
aspir-81 oral tablet,delayed release (dr/ec) OTC
aspirin childrens oral tablet,chewable OTC
aspirin low dose oral tablet,delayed release (dr/ec)
OTC
aspirin oral tablet Bayer Aspirin OTC
aspirin oral tablet,chewable Aspirin Childrens OTC
aspirin oral tablet,delayed release (dr/ec) Adult Aspirin Regimen OTC
aspir-low oral tablet,delayed release (dr/ec)
OTC
aspir-trin oral tablet,delayed release (dr/ec)
OTC
bayer advanced oral tablet OTC
bayer aspirin oral tablet OTC
children's aspirin oral tablet,chewable OTC
cilostazol oral tablet
clopidogrel oral tablet 300 mg Plavix
clopidogrel oral tablet 75 mg Plavix QL
dipyridamole oral tablet
e.c. prin oral tablet,delayed release (dr/ec) OTC
lite coat aspirin oral tablet OTC
AGENTES INMUNOSUPRESORES
INMUNOSUPRESORES
azathioprine oral tablet Imuran
cyclosporine modified oral capsule Gengraf
cyclosporine modified oral solution Gengraf
cyclosporine oral capsule Sandimmune
gengraf oral capsule
gengraf oral solution
mycophenolate mofetil oral capsule CellCept
mycophenolate mofetil oral suspension for reconstitution
CellCept
mycophenolate mofetil oral tablet CellCept
mycophenolate sodium oral tablet,delayed release (dr/ec)
Myfortic
RAPAMUNE ORAL SOLUTION
55
Nombre del medicamento Referencia Notas
SANDIMMUNE ORAL SOLUTION
sirolimus oral tablet Rapamune
tacrolimus oral capsule Prograf
AGENTES OFTÁLMICOS
AGENTES ANTINFLAMATORIOS OFTÁLMICOS
dexamethasone sodium phosphate ophthalmic (eye) drops
diclofenac sodium ophthalmic (eye) drops
fluorometholone ophthalmic (eye) drops,suspension
FML Liquifilm
flurbiprofen sodium ophthalmic (eye) drops
prednisolone acetate ophthalmic (eye) drops,suspension
Omnipred
prednisolone sodium phosphate ophthalmic (eye) drops
XIIDRA OPHTHALMIC (EYE) DROPPERETTE
PA; QL
ANTIBIÓTICO OFTÁLMICO, COMBINACIONES DE CORTICOESTEROIDES
neomycin-bacitracin-poly-hc ophthalmic (eye) ointment
Neo-Polycin HC
neomycin-polymyxin b-dexameth ophthalmic (eye) drops,suspension
Maxitrol
neomycin-polymyxin b-dexameth ophthalmic (eye) ointment
Maxitrol
neomycin-polymyxin-hc ophthalmic (eye) drops,suspension
neo-polycin hc ophthalmic (eye) ointment
sulfacetamide-prednisolone ophthalmic (eye) drops
QL
tobramycin-dexamethasone ophthalmic (eye) drops,suspension
TobraDex QL
ANTIBIÓTICOS OFTÁLMICOS
ak-poly-bac ophthalmic (eye) ointment
bacitracin ophthalmic (eye) ointment QL
bacitracin-polymyxin b ophthalmic (eye) ointment
AK-Poly-Bac
56
Nombre del medicamento Referencia Notas
ciprofloxacin hcl ophthalmic (eye) drops Ciloxan
erythromycin ophthalmic (eye) ointment
gatifloxacin ophthalmic (eye) drops Zymaxid
gentak ophthalmic (eye) ointment QL
gentamicin ophthalmic (eye) drops QL
levofloxacin ophthalmic (eye) drops
moxifloxacin ophthalmic (eye) drops Vigamox
neomycin-bacitracin-polymyxin ophthalmic (eye) ointment
Neo-Polycin QL
neomycin-polymyxin-gramicidin ophthalmic (eye) drops
QL
neo-polycin ophthalmic (eye) ointment QL
ofloxacin ophthalmic (eye) drops Ocuflox QL
polycin ophthalmic (eye) ointment
polymyxin b sulf-trimethoprim ophthalmic (eye) drops
Polytrim QL
sulfacetamide sodium ophthalmic (eye) drops
Bleph-10 QL
sulfacetamide sodium ophthalmic (eye) ointment
QL
tobramycin ophthalmic (eye) drops Tobrex QL
ANTIHISTAMÍNICOS OFTÁLMICOS
alaway ophthalmic (eye) drops OTC; QL
allergy eye (ketotifen) ophthalmic (eye) drops
OTC; QL
azelastine ophthalmic (eye) drops QL
children's alaway ophthalmic (eye) drops OTC; QL
epinastine ophthalmic (eye) drops Elestat QL
eye allergy relief ophthalmic (eye) drops 0.025-0.3 %
OTC; QL
eye allergy relief ophthalmic (eye) drops 0.02675-0.315 %
OTC
eye itch relief ophthalmic (eye) drops OTC; QL
itchy eye drops ophthalmic (eye) drops OTC; QL
ketotifen fumarate ophthalmic (eye) drops Alaway OTC; QL
redness reliever lubricant ophthalmic (eye) drops
OTC
wal-zyr (ketotifen) ophthalmic (eye) drops OTC; QL
57
Nombre del medicamento Referencia Notas
ANTIVIRALES OFTÁLMICOS
trifluridine ophthalmic (eye) drops Viroptic QL
DESCONGESTIVOS OFTÁLMICOS
altazine ophthalmic (eye) drops OTC; QL
eye drops (tetrahydrozoline) ophthalmic (eye) drops
OTC; QL
eye drops (with povidone) ophthalmic (eye) drops
OTC
eye drops advanced relief ophthalmic (eye) drops
OTC
eye drops allergy relief ophthalmic (eye) drops
OTC; QL
opti-clear ophthalmic (eye) drops OTC; QL
phenylephrine hcl ophthalmic (eye) drops
redness reliever eye drops ophthalmic (eye) drops
OTC; QL
redness reliever lubricant ophthalmic (eye) drops
OTC
sterile eye drops ophthalmic (eye) drops OTC; QL
ESTABILIZADORES DE MASTOCITOS OFTÁLMICOS
cromolyn ophthalmic (eye) drops QL
LÁGRIMAS ARTIFICIALES
advanced eye relief ophthalmic (eye) drops
OTC
artificial tears (petro/min) ophthalmic (eye) ointment
OTC
artificial tears (pf) ophthalmic (eye) dropperette
OTC
artificial tears (polyvin alc) ophthalmic (eye) drops
OTC
artificial tears(dext70-hypro) ophthalmic (eye) drops
OTC
artificial tears(glycerin-peg) ophthalmic (eye) drops
OTC
artificial tears(pg-hypm-glyc) ophthalmic (eye) drops
OTC
dry eye relief ophthalmic (eye) drops OTC
eye drop tears ophthalmic (eye) drops OTC
for sty relief ophthalmic (eye) ointment OTC
58
Nombre del medicamento Referencia Notas
liquitears ophthalmic (eye) drops OTC
lubricant (p-glycol-glycerin) ophthalmic (eye) drops
OTC
lubricant eye drops ophthalmic (eye) drops
OTC
lubricant eye ophthalmic (eye) ointment OTC
moisture drops ophthalmic (eye) drops OTC
polyvinyl alcohol ophthalmic (eye) drops Artificial Tears (polyvin alc) OTC
puralube ophthalmic (eye) ointment OTC
tears again (pva) ophthalmic (eye) drops OTC
ultra fresh ophthalmic (eye) drops OTC
MIDRIÁTRICOS
atropine ophthalmic (eye) drops Isopto Atropine QL
MIÓTICOS/OTROS REDUCTORES DE PRESIÓN INTRAOCULAR
apraclonidine ophthalmic (eye) drops Iopidine
betaxolol ophthalmic (eye) drops
brimonidine ophthalmic (eye) drops QL
carteolol ophthalmic (eye) drops
dorzolamide ophthalmic (eye) drops Trusopt QL
dorzolamide-timolol ophthalmic (eye) drops
Cosopt QL
latanoprost ophthalmic (eye) drops Xalatan
levobunolol ophthalmic (eye) drops
metipranolol ophthalmic (eye) drops
pilocarpine hcl ophthalmic (eye) drops Isopto Carpine
timolol maleate ophthalmic (eye) drops Timoptic QL
timolol maleate ophthalmic (eye) gel forming solution
Timoptic-XE QL
OFTÁLMICOS, OTROS
artificial tears(dext70-hypro) ophthalmic (eye) drops
OTC
ANALGÉSICO, ANTINFLAMATORIO O ANTIPIRÉTICO
ANALGÉSICO/ANTIPIRÉTICOS, SALICILATOS
added strength headache relief oral tablet OTC
antacid and pain relief oral tablet, effervescent
OTC
59
Nombre del medicamento Referencia Notas
aspir-81 oral tablet,delayed release (dr/ec) OTC
aspirin childrens oral tablet,chewable OTC
aspirin low dose oral tablet,delayed release (dr/ec)
OTC
aspirin oral tablet Bayer Aspirin OTC
aspirin oral tablet,chewable Aspirin Childrens OTC
aspirin oral tablet,delayed release (dr/ec) OTC
aspirin rectal suppository OTC
aspir-low oral tablet,delayed release (dr/ec)
OTC
aspir-trin oral tablet,delayed release (dr/ec)
OTC
back and body pain reliever oral tablet OTC
bayer advanced oral tablet OTC
bayer aspirin oral tablet OTC
bufferin oral tablet OTC
butalbital-aspirin-caffeine oral capsule Fiorinal QL
children's aspirin oral tablet,chewable OTC
choline,magnesium salicylate oral liquid
diflunisal oral tablet
e.c. prin oral tablet,delayed release (dr/ec) OTC
efferves pain relief antacid oral tablet, effervescent
OTC
headache relief (asa-acet-caf) oral tablet OTC
lite coat aspirin oral tablet OTC
migraine formula oral tablet OTC
migraine relief oral tablet OTC
pain relief (acetamin-asp-caf) oral tablet OTC
pain reliever (acetam-aspirin) oral tablet OTC
pain reliever plus oral tablet OTC
pain-off oral tablet OTC
salsalate oral tablet Disalcid
tri-buffered aspirin oral tablet OTC
ANALGÉSICOS, NARCÓTICOS
acetaminophen-codeine oral solution PA; AL; QL
acetaminophen-codeine oral tablet 300-15 mg
AL; QL
60
Nombre del medicamento Referencia Notas
acetaminophen-codeine oral tablet 300-30 mg
Tylenol-Codeine #3 PA; AL; QL
acetaminophen-codeine oral tablet 300-60 mg
Tylenol-Codeine #4 PA; AL; QL
ascomp with codeine oral capsule PA; AL; QL
butalbital compound w/codeine oral capsule
PA; AL; QL
butalbital-acetaminop-caf-cod oral capsule PA; AL; QL
butorphanol tartrate nasal spray,non-aerosol
PA; QL
codeine sulfate oral tablet PA; AL; QL
diskets oral tablet,soluble QL
endocet oral tablet PA; QL
fentanyl citrate buccal lozenge on a handle
Actiq PA; QL
fentanyl transdermal patch 72 hour Duragesic PA; QL
hydrocodone-acetaminophen oral solution Hycet PA; QL
hydrocodone-acetaminophen oral tablet Lorcet (hydrocodone) PA; QL
hydrocodone-ibuprofen oral tablet PA; QL
hydromorphone oral liquid Dilaudid PA; QL
hydromorphone oral tablet Dilaudid PA; QL
meperidine oral solution PA; QL
meperidine oral tablet PA; QL
methadone intensol oral concentrate PA; QL
methadone oral concentrate Methadone Intensol PA; QL
methadone oral solution PA; QL
methadone oral tablet Dolophine PA; QL
methadone oral tablet,soluble Diskets PA; QL
methadose oral concentrate PA; QL
methadose oral tablet,soluble PA; QL
morphine concentrate oral solution PA; QL
morphine oral solution PA; QL
morphine oral tablet QL
morphine oral tablet extended release MS Contin PA; QL
oxycodone oral capsule PA; QL
oxycodone oral concentrate PA; QL
oxycodone oral solution PA; QL
oxycodone oral tablet Roxicodone PA; QL
61
Nombre del medicamento Referencia Notas
oxycodone-acetaminophen oral tablet Endocet PA; QL
oxycodone-aspirin oral tablet PA; QL
pentazocine-naloxone oral tablet PA; QL
tramadol oral tablet Ultram PA; AL; QL
tramadol-acetaminophen oral tablet Ultracet PA; AL; QL
vicodin es oral tablet PA; QL
vicodin hp oral tablet PA; QL
vicodin oral tablet PA; QL
ANALGÉSICOS, NO NARCÓTICOS
8 hour pain reliever oral tablet extended release
OTC
acephen rectal suppository OTC
acetaminophen extra strength oral tablet OTC
acetaminophen oral drops,suspension Infant's Pain Relief OTC
acetaminophen oral liquid Children's Pain-Fever Relief OTC
acetaminophen oral solution Mapap (acetaminophen) OTC
acetaminophen oral suspension BetaTemp OTC
acetaminophen oral tablet Athenol OTC
acetaminophen oral tablet extended release
8 Hour Pain Reliever OTC
acetaminophen oral tablet,disintegrating Children's Acetaminophen OTC
acetaminophen pain relief oral tablet OTC
acetaminophen rectal suppository Acephen OTC
arthritis pain relief (acetam) oral tablet extended release
OTC
arthritis pain reliever oral tablet extended release
OTC
athenol oral tablet OTC
betatemp oral suspension OTC
BUTALBITAL-ACETAMINOPHEN ORAL CAPSULE
QL
butalbital-acetaminophen oral tablet Tencon QL
butalbital-acetaminophen-caff oral capsule Capacet QL
butalbital-acetaminophen-caff oral tablet Esgic QL
capacet oral capsule QL
child pain rel-fever reducer rectal suppository
OTC
children's acetaminophen oral suspension OTC
62
Nombre del medicamento Referencia Notas
children's acetaminophen oral tablet,chewable
OTC
children's acetaminophen oral tablet,disintegrating
OTC
children's easy-melts oral tablet,disintegrating
OTC
children's fever reducing rectal suppository
OTC
children's mapap oral tablet,disintegrating OTC
children's non-aspirin oral suspension OTC
children's non-aspirin oral tablet,chewable OTC
children's pain relief oral suspension OTC
children's pain reliever oral suspension OTC
children's pain reliever oral tablet,disintegrating
OTC
children's pain-fever relief oral liquid OTC
children's pain-fever relief oral suspension OTC
children's pain-fever relief oral tablet,chewable
OTC
children's pain-fever relief oral tablet,disintegrating
OTC
children's silapap oral liquid OTC
children's tactinal oral tablet,chewable OTC
ed-apap oral liquid OTC
fever reducer an pain reliever oral suspension
OTC
fever reducer rectal suppository OTC
feverall rectal suppository OTC
infant fever reducer-pain relf oral suspension
OTC
infant pain reliever oral suspension OTC
infants' pain and fever oral suspension OTC
infant's pain relief oral drops,suspension OTC
infants' pain relief oral suspension OTC
infant's pain relief oral suspension OTC
infant's pain reliever oral drops,suspension
OTC
jr. acetaminophen oral tablet,disintegrating
OTC
63
Nombre del medicamento Referencia Notas
jr. str non-aspirin pain oral tablet,disintegrating
OTC
jr. strength pain reliever oral tablet,disintegrating
OTC
little remedies fever and pain oral liquid OTC
mapap (acetaminophen) oral capsule OTC
mapap (acetaminophen) oral liquid OTC
mapap (acetaminophen) oral suspension OTC
mapap (acetaminophen) oral tablet OTC
mapap arthritis pain oral tablet extended release
OTC
mapap extra strength oral tablet OTC
masophen oral tablet OTC
non-aspirin childrens oral drops OTC
non-aspirin extra strength oral liquid OTC
non-aspirin extra strength oral tablet OTC
non-aspirin jr strength oral tablet,chewable
OTC
non-aspirin oral elixir OTC
non-aspirin oral suspension OTC
non-aspirin oral tablet OTC
non-aspirin oral tablet,chewable OTC
non-aspirin pain relief oral tablet OTC
nortemp oral drops OTC
nortemp oral suspension OTC
pain and fever oral tablet OTC
pain relief 8hr oral tablet extended release OTC
pain relief adult oral liquid OTC
pain relief extra strength oral tablet OTC
pain relief oral liquid OTC
pain relief oral tablet OTC
pain relief oral tablet extended release OTC
pain relief regular strength oral tablet OTC
pain reliever extra strength oral tablet OTC
pain reliever jr strength oral tablet,chewable
OTC
pain reliever oral tablet OTC
pediacare fever reducer oral suspension OTC
64
Nombre del medicamento Referencia Notas
pharbetol oral tablet OTC
pre-menstrual relief oral tablet OTC
premsyn pms oral tablet OTC
tactinal extra strength oral tablet OTC
tactinal oral tablet OTC
tencon oral tablet QL
tylophen oral capsule OTC
ANTINFLAMATORIO, INHIBIDOR DE LA SÍNTESIS DE PIRIMIDINA
leflunomide oral tablet Arava
RIDAURA ORAL CAPSULE
FÁRMACOS ANTIRREUMÁTICOS MODIFICADORES DE LA ENFERMEDAD (FARME)
DEPEN TITRATABS ORAL TABLET PA
hydroxychloroquine oral tablet Plaquenil
minocycline oral capsule
minocycline oral tablet
sulfasalazine oral tablet Azulfidine QL
sulfasalazine oral tablet,delayed release (dr/ec)
Azulfidine EN-tabs QL
INHIBIDOR DEL FACTOR DE LA NECROSIS TUMORAL ANTINFLAMATORIA
ENBREL MINI SUBCUTANEOUS CARTRIDGE
PA; QL
ENBREL SUBCUTANEOUS RECON SOLN
PA; QL
ENBREL SUBCUTANEOUS SYRINGE PA; QL
ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR
PA; QL
HUMIRA PEDIATRIC CROHN'S START SUBCUTANEOUS SYRINGE KIT
PA; QL
HUMIRA PEN CROHN'S-UC-HS START SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA PEN PSORIASIS-UVEITIS SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
65
Nombre del medicamento Referencia Notas
HUMIRA SUBCUTANEOUS SYRINGE KIT
PA; QL
INHIBIDOR DEL FACTOR DE NECROSIS TUMORAL ANTINFLAMATORIO
ENBREL MINI SUBCUTANEOUS CARTRIDGE
PA; QL
ENBREL SUBCUTANEOUS RECON SOLN
PA; QL
ENBREL SUBCUTANEOUS SYRINGE PA; QL
ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR
PA; QL
HUMIRA PEDIATRIC CROHN'S START SUBCUTANEOUS SYRINGE KIT
PA; QL
HUMIRA PEN CROHN'S-UC-HS START SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA PEN PSORIASIS-UVEITIS SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA SUBCUTANEOUS SYRINGE KIT
PA; QL
INMUNOSUPRESORES
azathioprine oral tablet Imuran
cyclosporine modified oral capsule Gengraf
cyclosporine modified oral solution Gengraf
cyclosporine oral capsule Sandimmune
gengraf oral capsule
gengraf oral solution
mycophenolate mofetil oral capsule CellCept
mycophenolate mofetil oral suspension for reconstitution
CellCept
mycophenolate mofetil oral tablet CellCept
SANDIMMUNE ORAL SOLUTION
NSAIDS
advil oral tablet OTC
advil oral tablet,chewable OTC
all day pain relief oral tablet OTC
all day relief oral tablet OTC
child ibuprofen oral suspension OTC
66
Nombre del medicamento Referencia Notas
children's advil oral suspension OTC
children's ibuprofen oral suspension OTC
children's profen ib oral suspension OTC
diclofenac potassium oral tablet
diclofenac sodium oral tablet extended release 24 hr
Voltaren-XR
diclofenac sodium oral tablet,delayed release (dr/ec)
etodolac oral capsule
etodolac oral tablet Lodine
etodolac oral tablet extended release 24 hr
fenoprofen oral tablet Nalfon
flanax (naproxen) oral tablet OTC
flurbiprofen oral tablet
ibu oral tablet
ibu-drops oral drops,suspension OTC
ibuprofen ib oral tablet OTC
ibuprofen ib oral tablet,chewable OTC
ibuprofen jr strength oral tablet,chewable OTC
ibuprofen oral capsule Advil Liqui-Gel OTC
ibuprofen oral drops,suspension Ibu-Drops OTC
ibuprofen oral suspension Child Ibuprofen OTC
ibuprofen oral tablet 100 mg, 200 mg Advil OTC
ibuprofen oral tablet 400 mg, 600 mg, 800 mg
IBU
ibuprofen pm oral tablet OTC
indomethacin oral capsule
indomethacin oral capsule, extended release
infants ibu-drops oral drops,suspension OTC
infant's ibuprofen oral drops,suspension OTC
infants profenib oral drops,suspension OTC
i-prin oral tablet OTC
ketoprofen oral capsule
ketoprofen oral capsule,ext rel. pellets 24 hr
ketorolac oral tablet QL
67
Nombre del medicamento Referencia Notas
meclofenamate oral capsule
mediproxen oral tablet OTC
meloxicam oral suspension QL
meloxicam oral tablet Mobic QL
motrin pm oral tablet OTC
nabumetone oral tablet
naproxen oral suspension Naprosyn
naproxen oral tablet
naproxen oral tablet,delayed release (dr/ec)
EC-Naprosyn
naproxen sodium oral capsule Aleve OTC
naproxen sodium oral tablet 220 mg Aleve OTC
naproxen sodium oral tablet 275 mg
naproxen sodium oral tablet 550 mg Anaprox DS
oxaprozin oral tablet Daypro QL
piroxicam oral capsule Feldene
provil oral tablet OTC
sulindac oral tablet
tolmetin oral capsule
tolmetin oral tablet
wal-profen oral capsule OTC
wal-profen oral tablet OTC
wal-proxen oral tablet OTC
ANESTÉSICOS
ANESTÉSICOS LOCALES
lidocaine hcl laryngotracheal solution LTA Pre-Attached QL
lidocaine topical ointment QL
ANTICONCEPTIVOS
ANTICONCEPTIVOS DE EMERGENCIA
econtra ez oral tablet OTC; QL
econtra one-step oral tablet OTC; QL
ELLA ORAL TABLET QL
my choice oral tablet OTC; QL
my way oral tablet OTC; QL
new day oral tablet OTC; QL
next choice one dose oral tablet OTC; QL
68
Nombre del medicamento Referencia Notas
opcicon one-step oral tablet OTC; QL
option-2 oral tablet OTC; QL
ANTICONCEPTIVOS
altavera (28) oral tablet AL; QL
alyacen 1/35 (28) oral tablet AL
alyacen 7/7/7 (28) oral tablet AL
amethia lo oral tablets,dose pack,3 month AL; QL
amethia oral tablets,dose pack,3 month AL; QL
amethyst oral tablet AL
apri oral tablet AL
aranelle (28) oral tablet AL
ashlyna oral tablets,dose pack,3 month AL; QL
aubra oral tablet AL
aviane oral tablet AL
azurette (28) oral tablet AL
balziva (28) oral tablet AL
bekyree (28) oral tablet AL
blisovi 24 fe oral tablet AL
blisovi fe 1.5/30 (28) oral tablet AL
blisovi fe 1/20 (28) oral tablet AL
briellyn oral tablet AL
camila oral tablet AL
camrese lo oral tablets,dose pack,3 month AL; QL
camrese oral tablets,dose pack,3 month AL; QL
caziant (28) oral tablet AL
chateal oral tablet AL; QL
cryselle (28) oral tablet AL
cyclafem 1/35 (28) oral tablet AL
cyclafem 7/7/7 (28) oral tablet AL
cyred oral tablet AL
dasetta 1/35 (28) oral tablet AL
dasetta 7/7/7 (28) oral tablet AL
daysee oral tablets,dose pack,3 month AL; QL
deblitane oral tablet AL
delyla (28) oral tablet AL
desog-e.estradiol/e.estradiol oral tablet Azurette (28) AL
desogestrel-ethinyl estradiol oral tablet Apri AL
69
Nombre del medicamento Referencia Notas
drospirenone-e.estradiol-lm.fa oral tablet Beyaz AL
drospirenone-ethinyl estradiol oral tablet Ocella AL
elinest oral tablet AL
emoquette oral tablet AL
enpresse oral tablet AL
enskyce oral tablet AL
errin oral tablet AL
estarylla oral tablet AL
ethynodiol diac-eth estradiol oral tablet Kelnor 1-50 AL
falmina (28) oral tablet AL
fayosim oral tablets,dose pack,3 month AL; QL
femynor oral tablet AL
gianvi (28) oral tablet AL
heather oral tablet AL
introvale oral tablets,dose pack,3 month AL; QL
isibloom oral tablet AL
jencycla oral tablet AL
jolessa oral tablets,dose pack,3 month AL; QL
jolivette oral tablet AL
juleber oral tablet AL
junel 1.5/30 (21) oral tablet AL
junel 1/20 (21) oral tablet AL
junel fe 1.5/30 (28) oral tablet AL
junel fe 1/20 (28) oral tablet AL
junel fe 24 oral tablet AL
kaitlib fe oral tablet,chewable AL
kariva (28) oral tablet AL
kelnor 1/35 (28) oral tablet AL
kelnor 1-50 oral tablet
kurvelo oral tablet AL; QL
l norgest/e.estradiol-e.estrad oral tablets,dose pack,3 month
Amethia AL; QL
larin 1.5/30 (21) oral tablet AL
larin 1/20 (21) oral tablet AL
larin 24 fe oral tablet AL
larin fe 1.5/30 (28) oral tablet AL
larin fe 1/20 (28) oral tablet AL
70
Nombre del medicamento Referencia Notas
larissia oral tablet AL
layolis fe oral tablet,chewable AL
leena 28 oral tablet AL
lessina oral tablet AL
levonest (28) oral tablet AL
levonorgestrel-ethinyl estrad oral tablet 0.1-20 mg-mcg
Aubra AL
levonorgestrel-ethinyl estrad oral tablet 0.15-0.03 mg
Altavera (28) AL; QL
levonorgestrel-ethinyl estrad oral tablet 90-20 mcg
Amethyst AL
levonorgestrel-ethinyl estrad oral tablets,dose pack,3 month
Introvale AL; QL
levonorg-eth estrad triphasic oral tablet Enpresse AL
levora-28 oral tablet AL; QL
lillow oral tablet AL; QL
loryna (28) oral tablet AL
low-ogestrel (28) oral tablet AL
lutera (28) oral tablet AL
lyza oral tablet AL
marlissa oral tablet AL; QL
medroxyprogesterone intramuscular suspension
Depo-Provera AL
medroxyprogesterone intramuscular syringe
Depo-Provera AL
melodetta 24 fe oral tablet,chewable AL
mibelas 24 fe oral tablet,chewable AL
microgestin 1.5/30 (21) oral tablet AL
microgestin 1/20 (21) oral tablet AL
microgestin fe 1.5/30 (28) oral tablet AL
microgestin fe 1/20 (28) oral tablet AL
mono-linyah oral tablet AL
mononessa (28) oral tablet AL
myzilra oral tablet AL
necon 0.5/35 (28) oral tablet AL
nikki (28) oral tablet AL
nora-be oral tablet AL
noreth-ethinyl estradiol-iron oral tablet,chewable
Generess Fe AL
71
Nombre del medicamento Referencia Notas
norethindrone (contraceptive) oral tablet Camila AL
norethindrone ac-eth estradiol oral tablet Junel 1/20 (21) AL
norethindrone-e.estradiol-iron oral tablet Blisovi Fe 1/20 (28) AL
norethindrone-e.estradiol-iron oral tablet,chewable
Melodetta 24 Fe AL
norgestimate-ethinyl estradiol oral tablet Estarylla AL
norlyda oral tablet AL
norlyroc oral tablet AL
nortrel 0.5/35 (28) oral tablet AL
nortrel 1/35 (21) oral tablet AL
nortrel 1/35 (28) oral tablet AL
nortrel 7/7/7 (28) oral tablet AL
NUVARING VAGINAL RING AL
ocella oral tablet AL
ogestrel (28) oral tablet AL
orsythia oral tablet AL
philith oral tablet AL
pimtrea (28) oral tablet AL
pirmella oral tablet AL
portia oral tablet AL; QL
previfem oral tablet AL
quasense oral tablets,dose pack,3 month AL; QL
rajani oral tablet AL
reclipsen (28) oral tablet AL
RIVELSA ORAL TABLETS,DOSE PACK,3 MONTH
AL; QL
setlakin oral tablets,dose pack,3 month AL; QL
sharobel oral tablet AL
sprintec (28) oral tablet AL
sronyx oral tablet AL
syeda oral tablet AL
tarina fe 1/20 (28) oral tablet AL
tilia fe oral tablet AL; QL
TODAY CONTRACEPTIVE SPONGE VAGINAL CONTRACEPTIVE SPONGE
OTC
tri femynor oral tablet AL
tri-estarylla oral tablet AL
tri-legest fe oral tablet AL; QL
72
Nombre del medicamento Referencia Notas
tri-linyah oral tablet AL
tri-lo-estarylla oral tablet AL
tri-lo-marzia oral tablet AL
tri-lo-sprintec oral tablet AL
trinessa (28) oral tablet AL
trinessa lo oral tablet AL
tri-previfem (28) oral tablet AL
tri-sprintec (28) oral tablet AL
trivora (28) oral tablet AL
tri-vylibra oral tablet AL
tydemy oral tablet AL
VAGINAL CONTRACEPTIVE FILM VAGINAL FILM
OTC
vaginal contraceptive foam vaginal foam OTC
VCF CONTRACEPTIVE FILM VAGINAL FILM
OTC
velivet triphasic regimen (28) oral tablet AL
vienva oral tablet AL
viorele (28) oral tablet AL
vyfemla (28) oral tablet AL
vylibra oral tablet AL
wera (28) oral tablet AL
wymzya fe oral tablet,chewable AL
xulane transdermal patch weekly AL; QL
zarah oral tablet AL
zenchent (28) oral tablet AL
zovia 1/35e (28) oral tablet AL
ANTÍDOTOS Y OTROS AGENTES DE REVERSIÓN
AGENTES QUELANTES
DEPEN TITRATABS ORAL TABLET PA
trientine oral capsule Syprine PA; QL
ANTAGONISTAS DE NARCÓTICOS
naloxone injection solution QL
naloxone injection syringe QL
naltrexone oral tablet
NARCAN NASAL SPRAY,NON-AEROSOL
QL
73
Nombre del medicamento Referencia Notas
ANTÍDOTOS
acetylcysteine solution
ANTINEOPLÁSICOS
MEDICAMENTOS ANTINEOPLÁSICOS/INMUNOSUPRESORES
anastrozole oral tablet Arimidex QL
bicalutamide oral tablet Casodex
EMCYT ORAL CAPSULE PA
exemestane oral tablet Aromasin QL
flutamide oral capsule
hydroxyurea oral capsule Hydrea
imatinib oral tablet Gleevec PA; QL
IRESSA ORAL TABLET PA; QL
letrozole oral tablet Femara QL
leucovorin calcium oral tablet
megestrol oral tablet PA
melphalan oral tablet Alkeran
MESNEX ORAL TABLET PA
MYLERAN ORAL TABLET
tamoxifen oral tablet
tretinoin (chemotherapy) oral capsule
ANTISÉPTICOS Y DESINFECTANTES
ANTISÉPTICOS, OTROS
alcohol pads topical pads, medicated OTC
alcohol prep pads topical pads, medicated OTC
alcohol swabs topical pads, medicated Alcohol Pads OTC
alcohol wipes topical pads, medicated OTC
antiseptic skin clnsr(chlorhe) topical liquid OTC
betasept surgical scrub topical liquid OTC
chlorhexidine gluconate topical liquid Dyna-Hex OTC
curity alcohol swabs topical pads, medicated
OTC
easy touch alcohol prep pads topical pads, medicated
OTC
hibiclens topical liquid OTC
hydrogen peroxide solution OTC
74
Nombre del medicamento Referencia Notas
sure comfort alcohol prep pads topical pads, medicated
OTC
webcol topical pads, medicated OTC
DESINFECTANTES, OTROS
alcoh-wipe towelette OTC
BIOLÓGICOS
INMUNOGLOBULINAS
GAMUNEX-C INJECTION SOLUTION PA
OCTAGAM INTRAVENOUS SOLUTION PA
VACUNAS INMUNOLÓGICAS
ADACEL(TDAP ADOLESN/ADULT)(PF) INTRAMUSCULAR SUSPENSION
ADACEL(TDAP ADOLESN/ADULT)(PF) INTRAMUSCULAR SYRINGE
AFLURIA 2018-2019 (PF) INTRAMUSCULAR SYRINGE
QL
AFLURIA 2018-2019 INTRAMUSCULAR SUSPENSION
QL
AFLURIA QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE
QL
AFLURIA QUAD 2018-2019 INTRAMUSCULAR SUSPENSION
QL
BEXSERO INTRAMUSCULAR SYRINGE
DAPTACEL (DTAP PEDIATRIC) (PF) INTRAMUSCULAR SUSPENSION
FLUAD 2018-2019 (65 YR UP)(PF) INTRAMUSCULAR SYRINGE
QL
FLUARIX QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE
QL
FLUBLOK QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE
QL
FLUCELVAX QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE
FLUCELVAX QUAD 2018-2019 INTRAMUSCULAR SUSPENSION
FLULAVAL QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE
QL
FLULAVAL QUAD 2018-2019 INTRAMUSCULAR SUSPENSION
QL
FLUMIST QUAD 2018-2019 NASAL NASAL SPRAY SYRINGE
75
Nombre del medicamento Referencia Notas
FLUZONE HIGH-DOSE 2018-19 (PF) INTRAMUSCULAR SYRINGE
QL
FLUZONE QUAD 2018-2019 (PF) INTRAMUSCULAR SUSPENSION
QL
FLUZONE QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE
QL
FLUZONE QUAD 2018-2019 INTRAMUSCULAR SUSPENSION
QL
FLUZONE QUAD PEDI 2018-19 (PF) INTRAMUSCULAR SYRINGE
QL
INFANRIX (DTAP) (PF) INTRAMUSCULAR SUSPENSION
INFANRIX (DTAP) (PF) INTRAMUSCULAR SYRINGE
M-M-R II (PF) SUBCUTANEOUS RECON SOLN
PREVNAR 13 (PF) INTRAMUSCULAR SYRINGE
PROQUAD (PF) SUBCUTANEOUS SUSPENSION FOR RECONSTITUTION
SHINGRIX (PF) INTRAMUSCULAR SUSPENSION FOR RECONSTITUTION
AL; QL
TENIVAC (PF) INTRAMUSCULAR SUSPENSION
TENIVAC (PF) INTRAMUSCULAR SYRINGE
tetanus-diphtheria toxoids-td intramuscular suspension
TRUMENBA INTRAMUSCULAR SYRINGE
VARIVAX (PF) SUBCUTANEOUS SUSPENSION FOR RECONSTITUTION
ZOSTAVAX (PF) SUBCUTANEOUS SUSPENSION FOR RECONSTITUTION
AL; QL
DEPENDENCIA QUÍMICA, AGENTES PARA TRATAMIENTO
AGENTES PARA DEJAR DE FUMAR
bupropion hcl (smoking deter) oral tablet extended release 12 hr
Zyban QL
bupropion hcl oral tablet sustained-release 12 hr
Wellbutrin SR QL
76
Nombre del medicamento Referencia Notas
CHANTIX CONTINUING MONTH BOX ORAL TABLET
QL
CHANTIX ORAL TABLET QL
CHANTIX STARTING MONTH BOX ORAL TABLETS,DOSE PACK
QL
nicorelief buccal gum OTC
nicotine (polacrilex) buccal gum Nicorelief OTC
nicotine (polacrilex) buccal lozenge Nicorette OTC
nicotine (polacrilex) buccal mini lozenge Nicorette OTC
nicotine transdermal patch 24 hour Nicoderm CQ OTC
nicotine transdermal patch, td daily, sequential
OTC
NICOTROL INHALATION CARTRIDGE
NICOTROL NS NASAL SPRAY,NON-AEROSOL
quit 2 buccal gum OTC
quit 4 buccal gum OTC
stop smoking aid buccal lozenge OTC
ANTAGONISTA DEL ALCOHOL
acamprosate oral tablet,delayed release (dr/ec)
QL
disulfiram oral tablet Antabuse
ANTAGONISTAS DE NARCÓTICOS
buprenorphine hcl sublingual tablet QL
buprenorphine-naloxone sublingual tablet QL
SUBOXONE SUBLINGUAL FILM QL
DERMATOLÓGICO
AGENTES ANTIACNÉ, TÓPICOS
acne cleanser topical cleanser OTC
acne cleansing bar topical bar OTC
acne control cleanser topical cream OTC
acne foaming wash topical cleanser OTC
acne medication topical gel OTC
acne medication topical lotion OTC; QL
acne pads topical pads, medicated OTC
acne treatment (benzoyl perox) topical gel OTC
acne vanishing topical cream OTC
acne-clear topical gel OTC
77
Nombre del medicamento Referencia Notas
advanced acne wash topical cleanser,extended release
OTC
benzepro topical foam OTC
benzoyl peroxide topical cleanser Acne Foaming Wash OTC
benzoyl peroxide topical foam BenzEFoam OTC
benzoyl peroxide topical gel OTC
bp foam topical foam OTC
bp gel topical gel OTC
bp topical gel OTC
bp wash acne treatment topical kit OTC
bp wash topical cleanser OTC
bpo-10 topical cleanser OTC
bpo-5 topical cleanser OTC
clindamycin phosphate topical gel Cleocin T
clindamycin phosphate topical solution Cleocin T
clindamycin phosphate topical swab Cleocin T
clindamycin-benzoyl peroxide topical gel Duac
creamy acne face topical cleanser OTC
daily face wash topical cleanser OTC
ery pads topical swab
erythromycin with ethanol topical solution
erythromycin with ethanol topical swab Ery Pads
foaming acne face wash topical cleanser OTC
metronidazole topical cream MetroCream QL
metronidazole topical lotion MetroLotion
NEUTROGENA ON THE SPOT TOPICAL CREAM
OTC
OC8 TOPICAL GEL OTC
panoxyl topical bar OTC
panoxyl topical cleanser OTC
persa-gel topical gel OTC
rapid clear treatment pads topical pads, medicated
OTC
RIAX TOPICAL FOAM OTC
rosadan topical cream QL
targeted acne spot treatment topical cream
OTC
78
Nombre del medicamento Referencia Notas
AGENTES ANTINFLAMATORIOS ESTEROIDES TÓPICOS
amcinonide topical lotion
amcinonide topical ointment QL
anti-itch (hc) topical cream OTC; QL
anti-itch (hc) topical ointment OTC
anti-itch (hc) with aloe-vit e topical cream OTC; QL
anti-itch plus topical cream OTC; QL
betamethasone dipropionate topical lotion QL
betamethasone valerate topical cream QL
betamethasone valerate topical ointment QL
betamethasone, augmented topical cream
clobetasol scalp solution Cormax QL
clobetasol topical cream Temovate QL
clobetasol topical gel
clobetasol topical ointment Temovate QL
clobetasol-emollient topical cream QL
cormax scalp solution QL
cortisone (hydrocortisone) topical cream OTC; QL
cortisone with aloe topical cream OTC; QL
diflorasone topical cream Psorcon QL
eczema anti-itch topical cream OTC; QL
fluocinonide-e topical cream
fluocinonide-emollient topical cream Fluocinonide-E
fluticasone topical cream Cutivate QL
fluticasone topical ointment QL
halobetasol propionate topical cream Ultravate QL
halobetasol propionate topical ointment Ultravate QL
hydrocortisone acetate topical cream 0.5 %
OTC
hydrocortisone acetate topical cream 1 % OTC; QL
hydrocortisone acetate topical ointment OTC
hydrocortisone plus topical cream OTC; QL
hydrocortisone topical cream 0.5 % OTC; QL
hydrocortisone topical cream 1 % Ala-Cort OTC; QL
hydrocortisone topical cream 2.5 % Ala-Cort QL
hydrocortisone topical cream in packet OTC
79
Nombre del medicamento Referencia Notas
hydrocortisone topical cream with perineal applicator
Anusol-HC QL
hydrocortisone topical ointment 0.5 % OTC
hydrocortisone topical ointment 1 % Anti-Itch (HC) OTC
hydrocortisone topical ointment 2.5 % QL
hydrocortisone-aloe vera topical cream Cortisone with Aloe OTC; QL
hydrocortisone-pramoxine topical cream Pramosone
hydrocream topical cream OTC; QL
mometasone topical cream Elocon QL
mometasone topical ointment Elocon QL
mometasone topical solution QL
noble formula hc topical cream OTC; QL
prednicarbate topical ointment Dermatop PA; QL
proctosol hc topical cream with perineal applicator
QL
proctozone-hc topical cream with perineal applicator
QL
scalp relief topical solution OTC
scalpicin anti-itch topical solution OTC
TEXACORT TOPICAL SOLUTION
triamcinolone acetonide topical cream Triderm QL
triamcinolone acetonide topical ointment QL
trianex topical ointment QL
triderm topical cream QL
AGENTES ANTIPSORIÁSICOS
calcipotriene scalp solution
calcipotriene topical cream Dovonex
calcipotriene topical ointment Calcitrene
calcitrene topical ointment
AGENTES PARA ROSÁCEA, TÓPICOS
metronidazole topical gel 0.75 % Rosadan
metronidazole topical gel 1 % Metrogel QL
metronidazole topical gel with pump Metrogel
rosadan topical gel
AGENTES SISTÉMICOS CONTRA EL ACNÉ
amnesteem oral capsule PA
80
Nombre del medicamento Referencia Notas
claravis oral capsule PA
isotretinoin oral capsule Absorica PA
myorisan oral capsule PA
zenatane oral capsule PA
AGENTES TÓPICOS, VARIOS
a and d (lan, pet) topical ointment OTC
absorbine pain relieving topical gel OTC
advanced healing (petrolatum) topical ointment
OTC
alphabath topical oil OTC
ameriphor topical ointment OTC
amlactin topical lotion OTC
ammonium lactate topical cream Geri-Hydrolac OTC
ammonium lactate topical lotion AmLactin OTC
anti-dandruff topical shampoo OTC
aqua glycolic face topical cream OTC
aqua glycolic topical shampoo OTC
aqua lube topical lubricant OTC
arthricream rub topical cream OTC
aveeno intense relief topical cream OTC
bath oil topical oil OTC
beta care topical cream OTC
beta care topical lotion OTC
blue gel topical gel OTC
calamine phenolated topical lotion OTC
calamine-zinc oxide topical lotion OTC
calamine-zinc oxide-phenol topical suspension
OTC
callus remover topical adhesive patch,medicated
OTC
callus removers topical adhesive patch,medicated
OTC
cam topical lotion OTC
cameo oil topical oil OTC
CERAVE PM TOPICAL LOTION,EXTENDED RELEASE
OTC
CERAVE SUNSCREEN TOPICAL LOTION
OTC
81
Nombre del medicamento Referencia Notas
CERAVE TOPICAL CLEANSER OTC
CERAVE TOPICAL CREAM OTC
cetaphil moisturizing topical cream OTC
cloverine topical ointment OTC
compound w topical liquid OTC
corn remover topical adhesive patch,medicated
OTC
daily moisturizing lotion topical lotion OTC
dermabase topical cream OTC
dermacerin topical cream OTC
dermaphor topical ointment OTC
dermavantage topical lotion OTC
DESENEX TOPICAL AEROSOL POWDER
OTC
diaper rash relief topical ointment OTC
diaper rash topical ointment OTC
diclofenac sodium topical drops PA; QL
dr scholl's clear away topical adhesive patch,medicated
OTC
dry skin care topical lotion OTC
dry skin therapy moisturizing topical lotion OTC
dry skin therapy topical cream OTC
duofilm topical liquid OTC
emollient topical cream Aqua Glycolic Face OTC
eucerin original topical lotion OTC
excel-gel topical gel OTC
finger cream topical cream OTC
geri-hydrolac topical cream OTC
geri-hydrolac topical lotion OTC
glycerin topical liquid OTC
glycerin topical solution OTC
gordon's vite a topical cream OTC
gordons-vite e topical cream OTC
hydrocerin (with petrolatum) topical cream OTC
hydrocerin topical lotion OTC
hydrolatum topical ointment OTC
HYPERCARE TOPICAL LIQUID OTC
ice blue gel topical gel OTC
82
Nombre del medicamento Referencia Notas
johnson's baby oil topical oil OTC
lan-o-soothe topical cream OTC
lidocaine hcl mucous membrane jelly
lidocaine topical adhesive patch,medicated
Lidoderm PA; QL
lidocaine topical ointment QL
liquid corn and callus remover topical liquid
OTC
lubriderm daily moisture (pet) topical lotion OTC
lubriderm skin nourishing topical lotion OTC
lubrisilk topical lotion OTC
lubrisoft topical lotion OTC
mapo bath topical oil OTC
mediplast corn-callus-wart topical adhesive patch,medicated
OTC
mineral oil light topical oil OTC
mineral oil topical oil Lobana Bath OTC
minerin creme topical cream OTC
minerin topical lotion OTC
moisturizing cream topical cream OTC
moiturizing lotion topical lotion OTC
mosco callus-corn remover topical liquid OTC
mosco corn remover topical adhesive patch,medicated
OTC
natural oatmeal bath treatment topical packet
OTC
nivatopic plus topical cream
oatmeal bath regular topical packet OTC
pain relief (menthol) topical gel OTC
pain relieving (menthol) topical gel OTC
pediatric oint (cod liver oil) topical ointment
OTC
petrolatum topical ointment OTC
petroleum jelly topical gel OTC
petroleum jelly, white topical gel OTC
plantar wart remover topical adhesive patch,medicated
OTC
podofilox topical solution PA
protective ointment topical ointment OTC
83
Nombre del medicamento Referencia Notas
prumyx topical cream
psoriasis medicated topical shampoo OTC
salactic film topical liquid OTC
salicylic acid topical cream,extended release
salicylic acid topical lotion,extended release
sal-plant topical gel OTC
scar gel topical gel OTC
scar topical gel OTC
sebex topical shampoo OTC
secura protective topical ointment OTC
selenium sulfide topical lotion
selsun blue (salicylic acid) topical shampoo
OTC
selsun blue naturals topical shampoo OTC
selsun blue topical shampoo OTC
silver sulfadiazine topical cream Silvadene
skin treatment topical lotion OTC
sorbidon hydrate topical cream OTC
special care lotion topical lotion OTC
ssd topical cream
sween cream topical cream OTC
sween topical cream OTC
thera bath topical oil OTC
thera-derm topical lotion OTC
therapeutic blue topical gel OTC
therapeutic moisturizing topical cream OTC
therapeutic t plus topical shampoo OTC
ultra mide 25 topical lotion OTC
unscented cold cream topical cream OTC
urea topical cream 20 % Gormel OTC
urea topical cream 40 %
urea topical cream 45 % Uramaxin
urea topical cream 50 % Ure-K
urea topical gel
urea topical lotion Uramaxin
vanicream topical cream OTC
84
Nombre del medicamento Referencia Notas
vitamin a and d topical ointment OTC
vitamin e plus topical cream OTC
vitamin e topical cream Gordons-Vite E OTC
vitamin e topical oil OTC
vitamin e-vitamins a and d topical cream OTC
vits a and d-white pet-lanolin topical ointment
A and D (lan, pet) OTC
vits a and d-white pet-lanolin topical ointment in packet
Vitamin A and D GRx OTC
walgreens dry skin treatment topical ointment
OTC
wart remover topical adhesive patch,medicated
OTC
wart remover topical gel OTC
wart remover topical liquid OTC
wart remover topical plaster OTC
white petrolatum topical gel Lip Treatment OTC
white petrolatum topical ointment Cloverine OTC
white petrolatum topical ointment in packet
Vaseline White Petroleum OTC
white petroleum jelly topical gel OTC
x-seb t pearl topical shampoo OTC
zinc oxide diaper cream topical cream OTC
zinc oxide topical ointment OTC
ANESTÉSICOS TÓPICOS
hydrocortisone-pramoxine topical cream Pramosone
lidocaine-prilocaine topical cream QL
ANTIBIÓTICOS TÓPICOS
antibiotic (bacitracin zinc) topical ointment OTC; QL
antibiotic (neomy-bacit-polym) topical ointment
OTC; QL
antibiotic-pain relief (bacit) topical ointment
OTC; QL
bacitracin topical ointment Bacitraycin Plus OTC; QL
bacitracin topical packet OTC; QL
bacitracin zinc topical ointment Antibiotic (bacitracin zinc) OTC; QL
bacitracin zinc topical packet OTC; QL
bacitracin-polymyxin b topical ointment Double Antibiotic OTC
bacitracin-polymyxin b topical packet Polysporin OTC
85
Nombre del medicamento Referencia Notas
bacitraycin plus topical ointment OTC; QL
double antibiotic (b.tracn zn) topical ointment
OTC
double antibiotic topical ointment OTC
gentamicin topical cream
gentamicin topical ointment
mupirocin topical ointment Centany QL
neosporin plus painrelief(bac) topical ointment
OTC; QL
poly bacitracin topical ointment OTC
triple antibiotic (pram) extra topical ointment
OTC; QL
triple antibiotic plus topical ointment OTC; QL
triple antibiotic topical ointment OTC; QL
triple antibiotic topical ointment in packet OTC
wal-sporin topical ointment OTC
ANTIMICÓTICOS TÓPICOS
af topical aerosol powder OTC
ALEVAZOL TOPICAL OINTMENT OTC
antifungal (clotrimazole) topical cream OTC; QL
antifungal (tolnaftate) topical aerosol,spray
OTC
antifungal (tolnaftate) topical cream OTC
antifungal (tolnaftate) topical powder OTC
antifungal cream (miconazole) topical cream
OTC
antifungal spray topical aerosol powder OTC
antifungal topical liquid OTC
antifungal topical solution OTC
athlete's foot (clotrimazole) topical cream OTC; QL
athlete's foot (terbinafine) topical cream OTC
athlete's foot (tolnaftate) topical aerosol powder
OTC
athlete's foot (tolnaftate) topical aerosol,spray
OTC
athlete's foot (tolnaftate) topical cream OTC
athlete's foot af topical cream OTC
athlete's foot topical aerosol powder OTC
athlete's foot topical powder OTC
86
Nombre del medicamento Referencia Notas
athletic foot cream topical cream OTC; QL
azolen tincture topical tincture OTC
baza antifungal topical cream OTC
baza cream hospital care pack topical combo pack
OTC
blis-to-sol (tolnaftate) topical solution OTC
ciclopirox topical cream Ciclodan
ciclopirox topical solution Ciclodan PA
ciclopirox topical suspension Loprox (as olamine)
clotrimazole af topical cream OTC; QL
clotrimazole topical cream Antifungal (clotrimazole) OTC; QL
clotrimazole topical solution OTC
clotrimazole-betamethasone topical cream Lotrisone QL
clotrimazole-betamethasone topical lotion QL
critic-aid clear af topical ointment OTC
DERMAFUNGAL TOPICAL OINTMENT OTC
desenex topical powder OTC
ELON DUAL DEFENSE TOPICAL SOLUTION
OTC
foot and sneaker topical aerosol powder OTC
FUNGI CURE TOPICAL SPRAY,NON-AEROSOL
OTC
FUNGI-NAIL TOPICAL SOLUTION OTC
fungoid tincture topical tincture OTC
fungoid-d topical cream OTC
GORDOCHOM TOPICAL SOLUTION OTC
HONGO CURA SPRAY TOPICAL AEROSOL,SPRAY
OTC
inzo antifungal topical cream OTC
itch relief (clotrimazole) topical cream OTC; QL
jock itch (clotrimazole) topical cream OTC; QL
jock itch (terbinafine) topical cream OTC
jock itch topical aerosol powder OTC
ketoconazole topical cream QL
ketoconazole topical shampoo Nizoral QL
LAMISIL (AEROSOL) TOPICAL AEROSOL,SPRAY
OTC
87
Nombre del medicamento Referencia Notas
LAMISIL AF TOPICAL AEROSOL POWDER
OTC
LAMISIL AT TOPICAL CREAM OTC
LAMISIL AT TOPICAL GEL OTC
LOTRIMIN AF (CLOTRIMAZOLE) TOPICAL CREAM
OTC; QL
LOTRIMIN AF JOCK ITCH POWDER TOPICAL AEROSOL POWDER
OTC
LOTRIMIN AF POWDER TOPICAL AEROSOL POWDER
OTC
LOTRIMIN AF TOPICAL AEROSOL,SPRAY
OTC
LOTRIMIN AF TOPICAL POWDER OTC
micatin topical cream OTC
miconazole nitrate topical aerosol powder Athlete's Foot OTC
miconazole nitrate topical creamAntifungal Cream (miconazole)
OTC
miconazorb af topical powder OTC
micro-guard topical powder OTC
MYCO NAIL A TOPICAL SOLUTION OTC
MYCO NAIL TOPICAL LIQUID OTC
NIZORAL A-D TOPICAL SHAMPOO OTC
nyamyc topical powder QL
nystatin topical cream QL
nystatin topical ointment QL
nystatin topical powder Nyamyc QL
nystop topical powder QL
odor control foot-sneaker topical aerosol powder
OTC
remedy antifungal topical cream OTC
remedy antifungal topical powder OTC
remedy phytoplex antifungal topical ointment
OTC
remedy phytoplex antifungal topical powder
OTC
ringworm topical cream OTC; QL
secura antifungal extra thick topical cream OTC
secura antifungal topical cream OTC
terbinafine hcl topical cream Antifungal (terbinafine) OTC
88
Nombre del medicamento Referencia Notas
tinactin topical aerosol powder OTC
tinactin topical aerosol,spray OTC
tinactin topical cream OTC
tolnaftate topical aerosol powder AF OTC
tolnaftate topical cream Antifungal (tolnaftate) OTC
tolnaftate topical powder Antifungal (tolnaftate) OTC
triple paste af topical ointment OTC
UNDELENIC TOPICAL TINCTURE OTC
zeasorb (miconazole) topical powder OTC
ANTIVIRALES TÓPICOS
ABREVA TOPICAL CREAM OTC
acyclovir topical ointment Zovirax PA; QL
DERIVADOS DE LA VITAMINA A
DIFFERIN TOPICAL GEL OTC; QL
tretinoin (emollient) topical cream Refissa
tretinoin microspheres topical gel Retin-A Micro
tretinoin topical cream Retin-A PA
tretinoin topical gel Retin-A PA
ESCABICIDAS Y PEDICULICIDAS
complete lice treatment topical kit OTC; QL
lice bedding spray aerosol,spray OTC
lice complete kit 1-2-3 topical kit OTC; QL
lice killing (permethrin) topical liquid OTC; QL
lice killing topical shampoo OTC
lice pyrinyl shampoo topical shampoo OTC
lice solution topical kit OTC; QL
lice treatment (permethrin) topical liquid OTC; QL
lice treatment topical liquid OTC; QL
lice treatment topical shampoo OTC
permethrin topical cream Elimite QL
rid complete lice elim kit topical kit OTC; QL
spinosad topical suspension Natroba
INMUNOMODULADORES TÓPICOS
imiquimod topical cream in packet Aldara QL
tacrolimus topical ointment Protopic PA; AL; QL
89
Nombre del medicamento Referencia Notas
TÓPICO ANTINEOPLÁSICO Y PREMALIGNO
fluorouracil topical cream Efudex QL
fluorouracil topical solution PA; QL
DISPOSITIVOS CON Y SIN AGUJAS, JERINGAS Y ACCESORIOS
AGUJAS, DISPOSITIVOS SIN AGUJAS, JERINGAS Y ACCESORIOS
BD AUTOSHIELD DUO PEN NEEDLE NEEDLE
OTC
BD ECLIPSE LUER-LOK SYRINGE OTC
BD INSULIN SYRINGE HALF UNIT SYRINGE
OTC
BD INSULIN SYRINGE MICRO-FINE SYRINGE
OTC
BD INSULIN SYRINGE SAFETY-LOK SYRINGE
OTC
BD INSULIN SYRINGE SLIP TIP SYRINGE
OTC
BD INSULIN SYRINGE SYRINGE OTC
BD INSULIN SYRINGE U-500 SYRINGE
BD INSULIN SYRINGE ULTRA-FINE SYRINGE
OTC
BD LO-DOSE MICRO-FINE IV SYRINGE OTC
BD LO-DOSE ULTRA-FINE SYRINGE OTC
BD LUER-LOK SYRINGE SYRINGE OTC
BD SAFETYGLIDE INSULIN SYRINGE SYRINGE
OTC
BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE
OTC
BD ULTRA-FINE MINI PEN NEEDLE NEEDLE
OTC
BD ULTRA-FINE NANO PEN NEEDLE NEEDLE
OTC
BD ULTRA-FINE ORIG PEN NEEDLE NEEDLE
OTC
BD ULTRA-FINE SHORT PEN NEEDLE NEEDLE
OTC
BD VEO INSULIN SYR HALF UNIT SYRINGE
OTC
90
Nombre del medicamento Referencia Notas
BD VEO INSULIN SYRINGE UF SYRINGE
OTC
insulin syringe microfine syringe OTC
insulin syringe needleless syringe BD Insulin Syringe Slip Tip OTC
INSULIN SYRINGE SYRINGE OTC
insulin syringe-needle u-100 syringe BD Insulin Syringe OTC
ANÁLISIS DE LA AZUCAR EN LA SANGRE
TRUE METRIX GLUCOSE TEST STRIP STRIP
OTC; QL
TRUETEST TEST STRIPS STRIP OTC; QL
ANTISÉPTICOS, OTROS
alcoh-wipe towelette OTC
AUXILIARES PARA ANÁLISIS DE CUERPOS CETÓNICOS EN ORINA
KETONE CARE STRIP OTC; QL
KETONE URINE TEST STRIP OTC; QL
KETOSTIX STRIP OTC; QL
TRUEPLUS KETONE STRIP OTC; QL
DIAFRAGMAS/CAPUCHÓN CERVICAL
WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 65 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 70 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 75 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 80 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 85 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 90 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 95 VAGINAL DIAPHRAGM
DISPOSITIVOS CON Y SIN AGUJAS, JERINGAS Y ACCESORIOS
1ST TIER UNILET COMFORTOUCH OTC; QL
91
Nombre del medicamento Referencia Notas
ACE AEROSOL CLOUD ENHANCER SPACER
QL
ADJUSTABLE LANCING DEVICE OTC
ADVANCED LANCING DEVICE KIT OTC
ADVANCED TRAVEL LANCETS OTC; QL
ADVOCATE LANCING DEVICE OTC
ADVOCATE RAPID-SAFE LANCING OTC
AEROTRACH PLUS SPACER QL
AEROVENT PLUS SPACER QL
AIMSCO LATEX CONDOM DEVICE OTC
AIRZONE PEAK FLOW METER DEVICE OTC
ALTERNATE SITE LANCET OTC; QL
ALTERNATE SITE LANCING DEVICE OTC
AQUA LANCE LANCING DEVICE OTC
ASSURE HAEMOLANCE PLUS OTC; QL
ASSURE LANCE OTC; QL
ASSURE LANCE PLUS OTC; QL
ASTHMA CHECK METER DEVICE OTC
AUTO-LANCET MINI OTC; QL
AUTOLET IMPRESSION LANC DEV KIT OTC
AUTOLET LANCING DEVICE OTC
AUTOLET PLUS LANCING DEVICE OTC
AZO TEST STRIPS STRIP OTC
BD AUTOSHIELD DUO PEN NEEDLE NEEDLE
OTC
BD ECLIPSE LUER-LOK SYRINGE OTC
BD INSULIN SYRINGE HALF UNIT SYRINGE
OTC
BD INSULIN SYRINGE MICRO-FINE SYRINGE
OTC
BD INSULIN SYRINGE SAFETY-LOK SYRINGE
OTC
BD INSULIN SYRINGE SLIP TIP SYRINGE
OTC
BD INSULIN SYRINGE SYRINGE OTC
BD INSULIN SYRINGE U-500 SYRINGE
BD INSULIN SYRINGE ULTRA-FINE SYRINGE
OTC
BD LO-DOSE MICRO-FINE IV SYRINGE OTC
92
Nombre del medicamento Referencia Notas
BD LO-DOSE ULTRA-FINE SYRINGE OTC
BD LUER-LOK SYRINGE SYRINGE OTC
BD SAFETYGLIDE INSULIN SYRINGE SYRINGE
OTC
BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE
OTC
BD ULTRA-FINE MINI PEN NEEDLE NEEDLE
OTC
BD ULTRA-FINE NANO PEN NEEDLE NEEDLE
OTC
BD ULTRA-FINE ORIG PEN NEEDLE NEEDLE
OTC
BD ULTRA-FINE SHORT PEN NEEDLE NEEDLE
OTC
BD VEO INSULIN SYR HALF UNIT SYRINGE
OTC
BD VEO INSULIN SYRINGE UF SYRINGE
OTC
BREATHERITE MDI SPACER SPACER QL
BREATHERITE SPACER-MASK, NEO. SPACER
QL
BREATHERITE SPACER-MASK,ADULT SPACER
QL
BREATHERITE SPACER-MASK,CHILD SPACER
QL
BREATHERITE SPACER-MASK,INFANT SPACER
QL
BREATHERITE SPACER-MASK,S.CHLD SPACER
QL
BREATHERITE VALVED MDI CHAMBER SPACER
QL
BREATHERITE VALVED MDI SPACER SPACER
QL
CAREONE LANCING DEVICE OTC
CAREONE ULTRA THIN LANCET OTC; QL
CARETOUCH LANCING DEVICE OTC
CARETOUCH TWIST LANCET OTC; QL
COLOR LANCETS OTC; QL
COMFORT LANCETS OTC; QL
COMPACT SPACE CHAMBER SPACER QL
93
Nombre del medicamento Referencia Notas
COMPACT SPACE CHAMBER-LRG MASK SPACER
QL
COMPACT SPACE CHAMBER-MED MASK SPACER
QL
COMPACT SPACE CHAMBER-SM MASK SPACER
QL
CONDOMS-PREM LUBRICATED DEVICE
OTC
CUT N CRUSH OTC
DROPLET LANCING DEVICE OTC
EASY CLICK LANCING DEVICE OTC
EASY MINI EJECT LANCING DEVICE OTC
EASY TOUCH LANCETS OTC; QL
EASY TOUCH LANCING DEVICE OTC
EASY TOUCH SAFETY LANCETS OTC; QL
EASY TOUCH TWIST LANCETS OTC; QL
E-Z JECT LANCETS OTC; QL
E-Z JECT THIN LANCETS OTC; QL
EZ SMART LANCETS OTC; QL
FANTASY CONDOM DEVICE OTC
FC2 FEMALE CONDOM OTC
FINE 30 UNIVERSAL LANCETS OTC; QL
FORA LANCING DEVICE OTC
FORACARE LANCETS OTC; QL
GLUCOCOM LANCETS OTC; QL
HEALTHY ACCENTS AUTOLET OTC
HEALTHY ACCENTS UNILET LANCET OTC; QL
HYPOLANCE AST LANCING KIT OTC
IN-CHECK NASAL WITH MASK DEVICE OTC
IN-CHECK ORAL FLOW METER DEVICE
OTC
INCONTROL LANCING DEVICE OTC
INCONTROL SUPER THIN LANCETS OTC; QL
INCONTROL ULTRA THIN LANCETS OTC; QL
insulin syringe microfine syringe OTC
insulin syringe needleless syringe BD Insulin Syringe Slip Tip OTC
INSULIN SYRINGE SYRINGE OTC
insulin syringe-needle u-100 syringe BD Insulin Syringe OTC
94
Nombre del medicamento Referencia Notas
INVACARE LANCETS OTC; QL
KETONE CARE STRIP OTC; QL
KETONE URINE TEST STRIP OTC; QL
KETOSTIX STRIP OTC; QL
KIMONO CONDOMS(NON-LUBRICATED) DEVICE
OTC
KIMONO MAXX CONDOMS DEVICE OTC
KIMONO MICROTHIN AQUA LUBE CON DEVICE
OTC
KIMONO MICROTHIN CONDOMS DEVICE
OTC
KIMONO MICROTHIN LARGE CONDOMS DEVICE
OTC
KIMONO TEXTURED CONDOMS DEVICE
OTC
lancets Advocate Lancet OTC; QL
lancets, super thin OTC; QL
lancets,thin OTC; QL
lancets,ultra thin OTC; QL
lancing device Adjustable Lancing Device OTC
lancing device with lancets OTC
lancing device with lancets kitAccu-Chek FastClix Lancing Dev
OTC
lancing system OTC
LANZO LANCING DEVICE KIT OTC
LITE TOUCH LANCING DEVICE OTC
LITEAIRE MDI CHAMBER SPACER QL
MEDLANCE PLUS LANCETS OTC; QL
MICRO THIN LANCETS OTC; QL
MICROCHAMBER SPACER QL
MICROLET NEXT LANCING DEVICE KIT
OTC
MICROLIFE PEAK FLOW METER DEVICE
OTC
MICROSPACER SPACER QL
MINI LANCING DEVICE OTC
MINI WRIGHT PEAK FLOW METER DEVICE
MONOLET LANCETS OTC; QL
95
Nombre del medicamento Referencia Notas
MONOLET THIN LANCETS OTC; QL
MULTI-LANCET DEVICE 2 KIT OTC
MYGLUCOHEALTH LANCETS OTC; QL
ON CALL LANCING DEVICE OTC
ON CALL PLUS LANCING DEVICE OTC
ON-THE-GO LANCETS OTC; QL
OPTICHAMBER ADULT MASK-LARGE DEVICE
QL
OPTICHAMBER DIAMOND LG MASK SPACER
QL
OPTICHAMBER DIAMOND VHC SPACER
QL
OPTICHAMBER DIAMOND-MED MSK SPACER
QL
OPTICHAMBER DIAMOND-SML MASK SPACER
QL
PANDA MASK DEVICE OTC; QL
PEAK AIR PEAK FLOW METER DEVICE
OTC
PEDIATRIC MEDIUM MASK DEVICE OTC; QL
PEDIATRIC PANDA MASK DEVICE OTC; QL
PEDIATRIC SMALL MASK DEVICE OTC; QL
PERSONAL BEST FULL RANGE DEVICE
OTC
PERSONAL BEST LOW RANGE DEVICE
OTC
PIKO 1 DEVICE OTC
POCKET CHAMBER SPACER QL
POCKET PEAK FLOW METER DEVICE OTC
PRIMEAIRE SPACER QL
PROCHAMBER SPACER QL
PRODIGY LANCING DEVICE OTC
RELIAMED MINI LANCING DEVICE OTC
RELION THIN LANCETS OTC; QL
RELION ULTRA THIN PLUS LANCETS OTC; QL
RIGHTEST GD500 LANCING DEVICE OTC
RIGHTEST GL300 LANCETS OTC; QL
RITEFLO AEROCHAMBER SPACER QL
SAFETY LANCETS OTC; QL
96
Nombre del medicamento Referencia Notas
SIDESTREAM PEDIATRIC FACE MASK DEVICE
OTC; QL
SMART SENSE LANCETS OTC; QL
SMARTDIABETES VANTAGE OTC; QL
STERILANCE TL OTC; QL
SUPER THIN LANCETS OTC; QL
SURE COMFORT LANCING PEN OTC
SUREFLEX LANCING DEVICE OTC
SURE-PEN LANCING DEVICE OTC
TABLET CUTTER OTC
TECHLITE LANCETS OTC; QL
THIN LANCETS OTC; QL
TOPCARE UNIVERSAL1 LANCET OTC; QL
TRUE METRIX AIR GLUCOSE METER OTC
TRUE METRIX GLUCOSE TEST STRIP STRIP
OTC; QL
TRUE METRIX LEVEL 1 SOLUTION OTC
TRUE METRIX LEVEL 2 SOLUTION OTC
TRUE METRIX LEVEL 3 SOLUTION OTC
TRUEDRAW LANCING DEVICE OTC
TRUEPLUS KETONE STRIP OTC; QL
TRUEPLUS LANCETS OTC; QL
TRUETEST TEST STRIPS STRIP OTC; QL
TRUSTEX LATEX CONDOM DEVICE OTC
TRUSTEX LUBRICATED CONDOMS DEVICE
OTC
TRUSTEX NON-LUB CONDOMS DEVICE
OTC
TRUSTEX-RIA LUB/SPERMICIDE DEVICE
OTC
TRUSTEX-RIA LUBRICATED CONDOMS DEVICE
OTC
TRUSTEX-RIA NON-LUB CONDOMS DEVICE
OTC
TRUZONE PEAK FLOW METER DEVICE
TWIST LANCETS OTC; QL
ULTI-LANCE OTC
ULTRA THIN LANCETS OTC; QL
97
Nombre del medicamento Referencia Notas
ULTRA THIN PLUS LANCETS OTC; QL
ULTRA-CARE LANCETS OTC; QL
UNILET COMFORTOUCH LANCET OTC; QL
UNILET EXCELITE II LANCET OTC; QL
UNILET EXCELITE LANCET OTC; QL
UNILET GP LANCET OTC; QL
UNILET LANCET OTC; QL
UNILET LANCETS OTC; QL
UNILET SUPER THIN LANCETS OTC; QL
UNISTIK 2 DEVICE KIT OTC
UNISTIK 3 COMFORT DEVICE KIT OTC
UNISTIK 3 COMFORT LANCET OTC; QL
UNISTIK 3 EXTRA LANCET OTC; QL
UNISTIK 3 GENTLE OTC; QL
UNISTIK 3 KIT OTC
UNISTIK 3 LANCETS OTC; QL
UNISTIK 3 NEONATAL DEVICE KIT OTC
UNISTIK 3 NEONATAL KIT OTC
UNISTIK 3 NORMAL LANCET OTC; QL
UNISTIK CZT LANCET OTC; QL
UNISTIK PRO LANCET OTC; QL
UNISTIK SAFETY OTC; QL
UNISTIK TOUCH LANCETS OTC; QL
UNIVERSAL 1 LANCETS OTC; QL
URINARY TRACT INF.TEST (WBCS) STRIP
OTC
VORTEX HOLDING CHAMBER CHILD SPACER
QL
VORTEX HOLDING CHAMBER SPACER
QL
VORTEX HOLDING CHAMBER TODDLER SPACER
QL
VORTEX VHC FROG MASK-CHILD SPACER
QL
VORTEX VHC LADYBUG MASK-TODDLR SPACER
QL
WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM
98
Nombre del medicamento Referencia Notas
WIDE-SEAL DIAPHRAGM 65 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 70 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 75 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 80 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 85 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 90 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 95 VAGINAL DIAPHRAGM
EQUIPOS, DISPOSITIVOS, ESPACIADORES Y AUXILIARES RESPIRATORIOS
ACE AEROSOL CLOUD ENHANCER SPACER
QL
AEROTRACH PLUS SPACER QL
AEROVENT PLUS SPACER QL
BREATHERITE MDI SPACER SPACER QL
BREATHERITE SPACER-MASK, NEO. SPACER
QL
BREATHERITE SPACER-MASK,ADULT SPACER
QL
BREATHERITE SPACER-MASK,CHILD SPACER
QL
BREATHERITE SPACER-MASK,INFANT SPACER
QL
BREATHERITE SPACER-MASK,S.CHLD SPACER
QL
BREATHERITE VALVED MDI CHAMBER SPACER
QL
BREATHERITE VALVED MDI SPACER SPACER
QL
COMPACT SPACE CHAMBER SPACER QL
COMPACT SPACE CHAMBER-LRG MASK SPACER
QL
COMPACT SPACE CHAMBER-MED MASK SPACER
QL
99
Nombre del medicamento Referencia Notas
COMPACT SPACE CHAMBER-SM MASK SPACER
QL
LITEAIRE MDI CHAMBER SPACER QL
MICROCHAMBER SPACER QL
MICROSPACER SPACER QL
OPTICHAMBER ADULT MASK-LARGE DEVICE
QL
OPTICHAMBER DIAMOND LG MASK SPACER
QL
OPTICHAMBER DIAMOND VHC SPACER
QL
OPTICHAMBER DIAMOND-MED MSK SPACER
QL
OPTICHAMBER DIAMOND-SML MASK SPACER
QL
PANDA MASK DEVICE OTC; QL
PEDIATRIC MEDIUM MASK DEVICE OTC; QL
PEDIATRIC PANDA MASK DEVICE OTC; QL
PEDIATRIC SMALL MASK DEVICE OTC; QL
POCKET CHAMBER SPACER QL
PRIMEAIRE SPACER QL
PROCHAMBER SPACER QL
RITEFLO AEROCHAMBER SPACER QL
SIDESTREAM PEDIATRIC FACE MASK DEVICE
OTC; QL
VORTEX HOLDING CHAMBER CHILD SPACER
QL
VORTEX HOLDING CHAMBER SPACER
QL
VORTEX HOLDING CHAMBER TODDLER SPACER
QL
VORTEX VHC FROG MASK-CHILD SPACER
QL
VORTEX VHC LADYBUG MASK-TODDLR SPACER
QL
PRESERVATIVOS
AIMSCO LATEX CONDOM DEVICE OTC
CONDOMS-PREM LUBRICATED DEVICE
OTC
FANTASY CONDOM DEVICE OTC
100
Nombre del medicamento Referencia Notas
FC2 FEMALE CONDOM OTC
KIMONO CONDOMS(NON-LUBRICATED) DEVICE
OTC
KIMONO MAXX CONDOMS DEVICE OTC
KIMONO MICROTHIN AQUA LUBE CON DEVICE
OTC
KIMONO MICROTHIN CONDOMS DEVICE
OTC
KIMONO MICROTHIN LARGE CONDOMS DEVICE
OTC
KIMONO TEXTURED CONDOMS DEVICE
OTC
TRUSTEX LATEX CONDOM DEVICE OTC
TRUSTEX LUBRICATED CONDOMS DEVICE
OTC
TRUSTEX NON-LUB CONDOMS DEVICE
OTC
TRUSTEX-RIA LUB/SPERMICIDE DEVICE
OTC
TRUSTEX-RIA LUBRICATED CONDOMS DEVICE
OTC
TRUSTEX-RIA NON-LUB CONDOMS DEVICE
OTC
SUMINISTROS MÉDICOS Y DME PARA EL ANÁLISIS Y MONITOREO DE LA GLUCOSA EN SANGRE
1ST TIER UNILET COMFORTOUCH OTC; QL
ADJUSTABLE LANCING DEVICE OTC
ADVANCED LANCING DEVICE KIT OTC
ADVANCED TRAVEL LANCETS OTC; QL
ADVOCATE LANCING DEVICE OTC
ADVOCATE RAPID-SAFE LANCING OTC
ALTERNATE SITE LANCET OTC; QL
ALTERNATE SITE LANCING DEVICE OTC
AQUA LANCE LANCING DEVICE OTC
ASSURE HAEMOLANCE PLUS OTC; QL
ASSURE LANCE OTC; QL
ASSURE LANCE PLUS OTC; QL
AUTO-LANCET MINI OTC; QL
AUTOLET IMPRESSION LANC DEV KIT OTC
101
Nombre del medicamento Referencia Notas
AUTOLET LANCING DEVICE OTC
AUTOLET PLUS LANCING DEVICE OTC
CAREONE LANCING DEVICE OTC
CAREONE ULTRA THIN LANCET OTC; QL
CARETOUCH LANCING DEVICE OTC
CARETOUCH TWIST LANCET OTC; QL
COLOR LANCETS OTC; QL
COMFORT LANCETS OTC; QL
DROPLET LANCING DEVICE OTC
EASY CLICK LANCING DEVICE OTC
EASY MINI EJECT LANCING DEVICE OTC
EASY TOUCH LANCETS OTC; QL
EASY TOUCH LANCING DEVICE OTC
EASY TOUCH SAFETY LANCETS OTC; QL
EASY TOUCH TWIST LANCETS OTC; QL
E-Z JECT LANCETS OTC; QL
E-Z JECT THIN LANCETS OTC; QL
EZ SMART LANCETS OTC; QL
FINE 30 UNIVERSAL LANCETS OTC; QL
FORA LANCING DEVICE OTC
FORACARE LANCETS OTC; QL
GLUCOCOM LANCETS OTC; QL
HEALTHY ACCENTS AUTOLET OTC
HEALTHY ACCENTS UNILET LANCET OTC; QL
HYPOLANCE AST LANCING KIT OTC
INCONTROL LANCING DEVICE OTC
INCONTROL SUPER THIN LANCETS OTC; QL
INCONTROL ULTRA THIN LANCETS OTC; QL
INVACARE LANCETS OTC; QL
lancets Advocate Lancet OTC; QL
lancets, super thin OTC; QL
lancets,thin OTC; QL
lancets,ultra thin OTC; QL
lancing device Adjustable Lancing Device OTC
lancing device with lancets OTC
lancing device with lancets kitAccu-Chek FastClix Lancing Dev
OTC
102
Nombre del medicamento Referencia Notas
lancing system OTC
LANZO LANCING DEVICE KIT OTC
LITE TOUCH LANCING DEVICE OTC
MEDLANCE PLUS LANCETS OTC; QL
MICRO THIN LANCETS OTC; QL
MICROLET NEXT LANCING DEVICE KIT
OTC
MINI LANCING DEVICE OTC
MONOLET LANCETS OTC; QL
MONOLET THIN LANCETS OTC; QL
MULTI-LANCET DEVICE 2 KIT OTC
MYGLUCOHEALTH LANCETS OTC; QL
ON CALL LANCING DEVICE OTC
ON CALL PLUS LANCING DEVICE OTC
ON-THE-GO LANCETS OTC; QL
PRODIGY LANCING DEVICE OTC
RELIAMED MINI LANCING DEVICE OTC
RELION THIN LANCETS OTC; QL
RELION ULTRA THIN PLUS LANCETS OTC; QL
RIGHTEST GD500 LANCING DEVICE OTC
RIGHTEST GL300 LANCETS OTC; QL
SAFETY LANCETS OTC; QL
SMART SENSE LANCETS OTC; QL
SMARTDIABETES VANTAGE OTC; QL
STERILANCE TL OTC; QL
SUPER THIN LANCETS OTC; QL
SURE COMFORT LANCING PEN OTC
SUREFLEX LANCING DEVICE OTC
SURE-PEN LANCING DEVICE OTC
TECHLITE LANCETS OTC; QL
THIN LANCETS OTC; QL
TOPCARE UNIVERSAL1 LANCET OTC; QL
TRUE METRIX AIR GLUCOSE METER OTC
TRUE METRIX LEVEL 1 SOLUTION OTC
TRUE METRIX LEVEL 2 SOLUTION OTC
TRUE METRIX LEVEL 3 SOLUTION OTC
TRUEDRAW LANCING DEVICE OTC
103
Nombre del medicamento Referencia Notas
TRUEPLUS LANCETS OTC; QL
TWIST LANCETS OTC; QL
ULTI-LANCE OTC
ULTRA THIN LANCETS OTC; QL
ULTRA THIN PLUS LANCETS OTC; QL
ULTRA-CARE LANCETS OTC; QL
UNILET COMFORTOUCH LANCET OTC; QL
UNILET EXCELITE II LANCET OTC; QL
UNILET EXCELITE LANCET OTC; QL
UNILET GP LANCET OTC; QL
UNILET LANCET OTC; QL
UNILET LANCETS OTC; QL
UNILET SUPER THIN LANCETS OTC; QL
UNISTIK 2 DEVICE KIT OTC
UNISTIK 3 COMFORT DEVICE KIT OTC
UNISTIK 3 COMFORT LANCET OTC; QL
UNISTIK 3 EXTRA LANCET OTC; QL
UNISTIK 3 GENTLE OTC; QL
UNISTIK 3 KIT OTC
UNISTIK 3 LANCETS OTC; QL
UNISTIK 3 NEONATAL DEVICE KIT OTC
UNISTIK 3 NEONATAL KIT OTC
UNISTIK 3 NORMAL LANCET OTC; QL
UNISTIK CZT LANCET OTC; QL
UNISTIK PRO LANCET OTC; QL
UNISTIK SAFETY OTC; QL
UNISTIK TOUCH LANCETS OTC; QL
UNIVERSAL 1 LANCETS OTC; QL
SUMINISTROS MÉDICOS Y DME: ESPIRÓMETRO
AIRZONE PEAK FLOW METER DEVICE OTC
ASTHMA CHECK METER DEVICE OTC
IN-CHECK NASAL WITH MASK DEVICE OTC
IN-CHECK ORAL FLOW METER DEVICE
OTC
MICROLIFE PEAK FLOW METER DEVICE
OTC
104
Nombre del medicamento Referencia Notas
MINI WRIGHT PEAK FLOW METER DEVICE
PEAK AIR PEAK FLOW METER DEVICE
OTC
PERSONAL BEST FULL RANGE DEVICE
OTC
PERSONAL BEST LOW RANGE DEVICE
OTC
PIKO 1 DEVICE OTC
POCKET PEAK FLOW METER DEVICE OTC
TRUZONE PEAK FLOW METER DEVICE
SUMINISTROS MÉDICOS Y DME
CUT N CRUSH OTC
TABLET CUTTER OTC
ENDOCRINO
AGENTES ANDRÓGENOS
testosterone cypionate intramuscular oil Depo-Testosterone PA
testosterone enanthate intramuscular oil PA
testosterone transdermal gel Testim PA; QL
testosterone transdermal gel in metered-dose pump
Vogelxo PA; QL
testosterone transdermal gel in packet AndroGel PA; QL
AGENTES DE PROGESTERONA PARA LA FERTILIDAD: PREVENCIÓN DE NACIMIENTOS PREMATUROS
hydroxyprogest(pf)(preg presv) intramuscular oil
Makena PA; QL
AGENTES ESTROGÉNICOS
amabelz oral tablet
estradiol oral tablet Estrace
estradiol transdermal patch weekly Climara QL
estradiol-norethindrone acet oral tablet Activella
estropipate oral tablet
fyavolv oral tablet
jevantique lo oral tablet
jinteli oral tablet
lopreeza oral tablet
105
Nombre del medicamento Referencia Notas
mimvey lo oral tablet
mimvey oral tablet
norethindrone ac-eth estradiol oral tablet Fyavolv
PREMPHASE ORAL TABLET
PREMPRO ORAL TABLET
AGENTES PROGESTACIONALES
hydroxyprogest(pf)(preg presv) intramuscular oil
Makena PA; QL
medroxyprogesterone oral tablet Provera QL
norethindrone acetate oral tablet Aygestin
progesterone micronized oral capsule Prometrium QL
AGENTES SUPRESORES HIPOFISARIOS
cabergoline oral tablet QL
ANTIHIPERGLICÉMICO, MIMÉTICO DE INCRETINA (AGONISTA DEL RECEPTOR GLP-1)
OZEMPIC SUBCUTANEOUS PEN INJECTOR
PA; QL
VICTOZA 2-PAK SUBCUTANEOUS PEN INJECTOR
PA; QL
VICTOZA 3-PAK SUBCUTANEOUS PEN INJECTOR
PA; QL
ANTIHIPERGLUCÉMICOS, TIPO ANÁLOGO DE AMILINA
SYMLINPEN 120 SUBCUTANEOUS PEN INJECTOR
PA
SYMLINPEN 60 SUBCUTANEOUS PEN INJECTOR
PA
CALCITONINAS
calcitonin (salmon) nasal spray,non-aerosol
QL
GLUCOCORTICOIDES
cortisone oral tablet
dexamethasone intensol oral drops
dexamethasone oral elixir Decadron
dexamethasone oral solution
dexamethasone oral tablet Decadron
hydrocortisone oral tablet Cortef
106
Nombre del medicamento Referencia Notas
methylprednisolone oral tablet Medrol
methylprednisolone oral tablets,dose pack Medrol (Pak)
prednisolone oral solution
prednisolone sodium phosphate oral solution
prednisone intensol oral concentrate
prednisone oral solution
prednisone oral tablet
prednisone oral tablets,dose pack
HIPERGLUCEMIA
dex4 glucose bits oral tablet,chewable OTC
dex4 glucose oral tablet,chewable OTC
dex4 glucose pouch pack oral tablet,chewable
OTC
dex4 glucose quick dissolve oral tablet,chewable
OTC
dextrose oral gel Dex4 Glucose OTC
GLUCAGEN HYPOKIT INJECTION RECON SOLN
GLUCAGON EMERGENCY KIT (HUMAN) INJECTION RECON SOLN
gluco burst oral gel OTC
glucose bits oral tablet,chewable OTC
glucose gel oral gel OTC
glucose oral tablet,chewable Dex4 Glucose OTC
HIPOGLUCEMIA, INSULINA, INTENSIFICADOR DE RESPUESTA
pioglitazone oral tablet Actos PA; QL
pioglitazone-glimepiride oral tablet DUETACT PA; QL
pioglitazone-metformin oral tablet Actoplus MET PA; QL
HIPOGLUCEMIA, INSULINA, TIPO ESTIMULANTE LIBERADOR
glimepiride oral tablet Amaryl
glipizide oral tablet Glucotrol
glipizide oral tablet extended release 24hr Glucotrol XL
glipizide-metformin oral tablet
glyburide micronized oral tablet Glynase
glyburide oral tablet
107
Nombre del medicamento Referencia Notas
glyburide-metformin oral tablet
nateglinide oral tablet Starlix PA
repaglinide oral tablet Prandin PA
HIPOGLUCEMIA, TIPO BIGUANIDA
metformin oral tablet Glucophage
metformin oral tablet extended release 24 hr
Glucophage XR
HIPOGLUCEMIA, TIPO INHIBIDOR DE LA ALFA GLUCOSIDASA
acarbose oral tablet 100 mg Precose
acarbose oral tablet 25 mg, 50 mg Precose QL
HORMONAS ANTIDIURÉTICAS Y VASOPRESORAS
desmopressin nasal spray with pump DDAVP
desmopressin nasal spray,non-aerosol
desmopressin oral tablet DDAVP QL
HORMONAS DEL CRECIMIENTO
ZOMACTON SUBCUTANEOUS RECON SOLN
PA; QL
HORMONAS TIROIDEAS
levothyroxine oral tablet Levo-T
levoxyl oral tablet
liothyronine oral tablet Cytomel
nature-throid oral tablet
np thyroid oral tablet
thyroid (pork) oral tablet Armour Thyroid
unithroid oral tablet
westhroid oral tablet
INHIBIDOR DE LA DIPEPTIDIL PEPTIDASA IV Y COMBINACIONES
JANUMET ORAL TABLET PA; QL
JANUMET XR ORAL TABLET, ER MULTIPHASE 24 HR
PA; QL
JANUVIA ORAL TABLET PA; QL
INHIBIDORES DE RESORCIÓN ÓSEA
alendronate oral solution QL
alendronate oral tablet QL
108
Nombre del medicamento Referencia Notas
raloxifene oral tablet Evista QL
INHIBIDORES DE SODIO-GLUCOSA (SGLT2)
JARDIANCE ORAL TABLET PA; QL
SYNJARDY ORAL TABLET PA; QL
SYNJARDY XR ORAL TABLET, IR - ER, BIPHASIC 24HR
PA; QL
INSULINAS
ADMELOG SOLOSTAR U-100 INSULIN SUBCUTANEOUS INSULIN PEN
QL
ADMELOG U-100 INSULIN LISPRO SUBCUTANEOUS SOLUTION
QL
BASAGLAR KWIKPEN U-100 INSULIN SUBCUTANEOUS INSULIN PEN
QL
HUMALOG MIX 50-50 INSULN U-100 SUBCUTANEOUS SUSPENSION
QL
HUMALOG MIX 50-50 KWIKPEN SUBCUTANEOUS INSULIN PEN
QL
HUMALOG MIX 75-25 KWIKPEN SUBCUTANEOUS INSULIN PEN
QL
HUMALOG MIX 75-25(U-100)INSULN SUBCUTANEOUS SUSPENSION
QL
HUMULIN 70/30 U-100 INSULIN SUBCUTANEOUS SUSPENSION
OTC; QL
HUMULIN 70/30 U-100 KWIKPEN SUBCUTANEOUS INSULIN PEN
OTC; QL
HUMULIN N NPH INSULIN KWIKPEN SUBCUTANEOUS INSULIN PEN
OTC; QL
HUMULIN N NPH U-100 INSULIN SUBCUTANEOUS SUSPENSION
OTC; QL
HUMULIN R REGULAR U-100 INSULN INJECTION SOLUTION
OTC; QL
HUMULIN R U-500 (CONC) INSULIN SUBCUTANEOUS SOLUTION
PA; QL
HUMULIN R U-500 (CONC) KWIKPEN SUBCUTANEOUS INSULIN PEN
PA; QL
NOVOLIN 70/30 U-100 INSULIN SUBCUTANEOUS SUSPENSION
OTC; QL
NOVOLIN N NPH U-100 INSULIN SUBCUTANEOUS SUSPENSION
OTC; QL
109
Nombre del medicamento Referencia Notas
NOVOLIN R REGULAR U-100 INSULN INJECTION SOLUTION
OTC; QL
NOVOLOG MIX 70-30 U-100 INSULN SUBCUTANEOUS SOLUTION
QL
NOVOLOG MIX 70-30FLEXPEN U-100 SUBCUTANEOUS INSULIN PEN
QL
MINERALOCORTICOIDES
fludrocortisone oral tablet
OXITÓCICOS
methylergonovine oral tablet Methergine
PREPARADOS ANTITIROIDEOS
methimazole oral tablet Tapazole
propylthiouracil oral tablet
EQUILIBRIO ELECTROLÍTICO, PRODUCTOS NUTRICIONALES
AGENTES CON MINERALES Y ELECTROLITOS
calcium-magnesium-copper-zinc oral tablet
OTC
k-phos-neutral oral tablet OTC
laxative dietary supplement oral tablet OTC
mag 64 oral tablet,delayed release (dr/ec) OTC
mag-delay oral tablet,delayed release (dr/ec)
OTC
mag-g oral tablet OTC
magnesium gluconate oral tablet Mag-G OTC
magnesium oral tablet OTC
magnesium oxide oral capsule OTC
magnesium oxide oral tablet 200 mg magnesium, 250 mg, 420 mg
OTC
magnesium oxide oral tablet 400 mg (241.3 mg magnesium)
MagOx OTC; QL
magnesium oxide oral tablet 400 mg magnesium
OTC; QL
magnesium oxide oral tablet 500 mgLaxative Dietary Supplement
OTC
mgo oral tablet OTC; QL
phospha 250 neutral oral tablet OTC
phospho-trin 250 neutral oral tablet OTC
110
Nombre del medicamento Referencia Notas
virt-phos 250 neutral oral tablet OTC
AMINOÁCIDOS
levocarnitine oral tablet Carnitor OTC
COMBINACIONES BIOFLAVONOIDES
ear care oral tablet OTC
ear health formula oral tablet OTC
MULTIVITAMÍNICOS
a thru z advanced formula oral tablet OTC
a thru z high potency oral tablet OTC
a thru z oral tablet OTC
a thru z select 50+ formula oral tablet OTC
a thru z select oral tablet OTC
a thru z select women's oral tablet OTC
abc plus oral tablet OTC
actical oral capsule OTC
adults 50 plus oral tablet OTC
ANTIOXIDANT A/C/E/SELENIUM ORAL CAPSULE
OTC
apatate forte oral liquid OTC
bee-zee oral tablet OTC
biosupp oral liquid OTC
biotect plus oral liquid OTC
biovol oral syrup OTC
calcium citrate plus (vit b6) oral tablet OTC
centamin oral liquid OTC
centravites 50 plus oral tablet OTC
centravites oral tablet OTC
centrum women oral tablet OTC
century adults 50 plus oral tablet OTC
century cardio oral tablet OTC
century mature oral tablet OTC
century oral tablet OTC
century ultimate women's oral tablet OTC
cerovite advanced formula oral tablet OTC
cerovite senior oral tablet OTC
certa plus oral tablet OTC
111
Nombre del medicamento Referencia Notas
certavite senior-antioxidant oral tablet OTC
certavite-antioxidant oral tablet OTC
chewable-vite oral tablet,chewable OTC
compete oral tablet OTC
complete 50+ oral tablet OTC
complete multi 50+ oral tablet OTC
complete multi oral tablet OTC
complete multivitamin oral tablet OTC
complete multivitamin-mineral oral tablet OTC
complete oral tablet OTC
complete premium vitamin oral tablet OTC
complete senior oral tablet OTC
complete women oral tablet OTC
corvita oral tablet OTC
daily multiple for men oral tablet OTC
daily multiple for women 50+ oral tablet OTC
daily multiple oral tablet OTC
daily multiple vitamins/iron oral tablet OTC
daily multi-vitamin oral tablet OTC
daily multivitamin with iron oral tablet OTC
daily multivitamin-minerals oral tablet OTC
daily multi-vitamins/iron oral tablet OTC
daily value oral tablet OTC
daily vitamin formula oral tablet OTC
daily vitamin formula-iron oral tablet OTC
daily vitamin formula-minerals oral tablet OTC
daily vitamin with iron and ca oral tablet OTC
daily vitamin with iron oral tablet OTC
daily vites/iron oral tablet OTC
daily-vite oral tablet OTC
e-400 c-500 and beta carotene oral tablet OTC
eldertonic oral elixir OTC
essentia oral tablet OTC
essential daily oral tablet OTC
eye health plus lutein oral tablet OTC
fosfree oral tablet OTC
geriaton oral liquid OTC
112
Nombre del medicamento Referencia Notas
hair vitamins oral tablet OTC
hair,skin and nails oral tablet OTC
healthy eyes oral tablet OTC
healthy eyes supervision oral capsule OTC
icaps areds oral capsule OTC
i-vite oral tablet OTC
i-vite protect oral tablet OTC
macuvite eye care oral tablet OTC
maximum daily multivitamin oral tablet OTC
mega multi for women oral tablet OTC
mega multiple/chelated mineral oral tablet OTC
mega multivitamin for men oral tablet OTC
mega multivitamin with mineral oral tablet OTC
men's daily multivit-mineral oral tablet OTC
men's multi-vitamin oral tablet OTC
men's one daily oral tablet OTC
milltrium senior oral tablet OTC
multi complete with iron oral tablet OTC
multi for her oral tablet OTC
multi-day with iron oral tablet OTC
multi-delyn with iron oral liquid OTC
multilex oral tablet OTC
multilex-t and m oral tablet OTC
multiple vitamin-minerals oral tablet OTC
multiple vitamins oral tablet OTC
multivitamin 50 plus oral tablet OTC
multi-vitamin hp/minerals oral capsule OTC
multivitamin oral capsule OTC
multivitamin oral tablet Daily Multi-Vitamin OTC
multivitamin with iron oral tablet Daily Multi-Vitamins/Iron OTC
multivitamin with minerals oral liquid OTC
multivitamin with minerals oral tablet Bee-Zee OTC
multivit-min-iron fum-folic ac oral tablet OTC
my-vitalife oral capsule OTC
ocutabs oral tablet OTC
omnicap oral tablet OTC
once daily oral tablet OTC
113
Nombre del medicamento Referencia Notas
one daily calcium/iron oral tablet OTC
one daily complete oral tablet OTC
one daily energy oral tablet OTC
one daily essential oral tablet OTC
one daily for men 50+ advanced oral tablet
OTC
one daily for women oral tablet OTC
one daily maximum oral tablet OTC
one daily men's 50 plus memory oral tablet
OTC
one daily multi-vit w-mineral oral tablet OTC
one daily multivitamin oral tablet OTC
one daily multivit-iron(folic) oral tablet OTC
one daily oral tablet OTC
one daily plus iron oral tablet OTC
one daily plus minerals oral tablet OTC
one daily with iron oral tablet OTC
one daily womens 50 plus oral tablet OTC
one daily women's health oral tablet OTC
one daily women's oral tablet OTC
ONE-A-DAY ESSENTIAL ORAL TABLET
OTC
ONE-A-DAY MAXIMUM FORMULA ORAL TABLET
OTC
ONE-A-DAY TEEN ADVANTAGE ORAL TABLET
OTC
opti-vitamins oral tablet OTC
optivite p.m.t. oral tablet OTC
purevit dualfe plus oral capsule OTC
quintabs-m iron free oral tablet OTC
senior tabs oral tablet OTC
sentry (with lutein) oral tablet OTC
sentry oral tablet OTC
sentry senior oral tablet OTC
se-tan plus oral capsule OTC
SPECTRAVITE ADVANCED FORMULA ORAL TABLET
OTC
SPECTRAVITE MEN'S ORAL TABLET OTC
114
Nombre del medicamento Referencia Notas
SPECTRAVITE SENIOR ORAL TABLET OTC
SPECTRAVITE ULTRA WOMEN ORAL TABLET
OTC
SPECTRAVITE ULTRA WOMEN'S SR ORAL TABLET
OTC
sunvite oral tablet OTC
super antioxidant oral capsule OTC
super multiple oral tablet OTC
super multivitamin oral tablet OTC
super thera vite m oral tablet OTC
support oral liquid OTC
tab-a-vite oral tablet OTC
tab-a-vite/iron oral tablet OTC
thera m plus (ferrous fumarat) oral tablet OTC
thera oral tablet OTC
theralogix companion oral tablet OTC
thera-m oral tablet OTC
therapeutic liquid oral liquid OTC
therapeutic-m oral tablet OTC
therapeutic-m vitamin/minerals oral tablet OTC
thera-tabs m oral tablet OTC
thera-tabs oral tablet OTC
theratrum complete 50 plus/lut oral tablet OTC
theratrum complete 50 plus-lyc oral tablet OTC
theratrum complete with lutein oral tablet OTC
therems oral tablet OTC
therems-m oral tablet OTC
totalday multiple oral tablet extended release
OTC
tyr cooler oral liquid OTC
ultimate women's complete 50+ oral tablet OTC
ULTRA ANTIOXIDANT FORMULA ORAL TABLET
OTC
unicomplex-m oral tablet OTC
UROSEX ORAL TABLET OTC
v-c forte oral capsule OTC
vic-forte oral capsule OTC
vit 3 oral capsule OTC
115
Nombre del medicamento Referencia Notas
vitacel (with lutein) oral tablet OTC
vitalee oral tablet OTC
vitamins a and d oral capsule OTC
vitamins and minerals oral tablet OTC
vitamins for hair oral tablet OTC
vitatrum oral tablet OTC
vitrum senior oral tablet OTC
women's daily formula oral tablet OTC
yelets oral tablet OTC
PREPARADOS DE VITAMINA A
vitamin a oral capsule OTC
PREPARADOS DE VITAMINA B
apetigen plus oral liquid OTC
b complex 1 oral tablet OTC
b complex 100 oral tablet OTC
b complex-vitamin b12 oral tablet OTC
b complex-vitamin c-folic acid oral tablet OTC
b-100 complex oral tablet extended release
OTC
b-12 dots oral tablet OTC
balance b-100 oral tablet OTC
balance b-50 oral tablet OTC
balanced b-100 complex oral tablet extended release
OTC
balanced b-100 oral tablet OTC
balanced b-50 complex oral tablet OTC
balanced b-50 oral tablet OTC
b-complex oral tablet OTC
b-complex with vitamin c oral capsule Super B/C OTC
b-complex with vitamin c oral tablet Super B Complex-Vitamin C OTC
b-complex with vitamin c oral tablet extended release
OTC
complex b-100 oral tablet extended release
OTC
cyanocobalamin (vitamin b-12) injection solution
cyanocobalamin (vitamin b-12) oral liquid Liquid B-12 OTC
cyanocobalamin (vitamin b-12) oral tablet Vitamin B-12 OTC
116
Nombre del medicamento Referencia Notas
cyanocobalamin (vitamin b-12) oral tablet extended release
Vitamin B-12 OTC
cyanocobalamin (vitamin b-12) sublingual drops
OTC
cyanocobalamin (vitamin b-12) sublingual lozenge
OTC
cyanocobalamin (vitamin b-12) sublingual tablet
Vitamin B-12 OTC
dialyvite 800 oral tablet OTC
dialyvite oral tablet OTC
fabb oral tablet OTC
folbee oral tablet OTC
folbee plus oral tablet OTC
folbic oral tablet OTC
folic acid-vit b6-vit b12 oral tablet Folplex 2.2 OTC
folplex 2.2 oral tablet OTC
foltabs 800 oral tablet OTC
full spectrum b-vitamin c oral tablet OTC
kobee oral tablet OTC
mynephrocaps oral capsule OTC
mynephron oral capsule OTC
natural b-100 complex oral tablet OTC
nephplex rx oral tablet OTC
nephronex oral liquid OTC
nephronex-sl oral tablet,disintegrating OTC
nephro-vite rx oral tablet OTC
niacin (inositol niacinate) oral capsule Niacin Flush Free OTC
niacin (niacinamide) oral tablet OTC
niacin flush free oral capsule OTC
niacin oral capsule, extended release 125 mg
OTC
niacin oral capsule, extended release 250 mg, 500 mg
OTC; QL
niacin oral tablet OTC
niacin oral tablet extended release Endur-Acin OTC
niacinamide oral tablet Niacin (niacinamide) OTC
pantothenic acid (vit b5) oral tablet OTC
pyridoxine (vitamin b6) oral tablet Vitamin B-6 OTC
117
Nombre del medicamento Referencia Notas
renal caps oral capsule OTC
rena-vite oral tablet OTC
rena-vite rx oral tablet OTC
reno caps oral capsule OTC
riboflavin (vitamin b2) oral tablet Vitamin B-2 OTC
slo-niacin oral tablet extended release OTC
stress b plus zinc oral tablet OTC
stress b with zinc oral tablet OTC
stress formula 600 c oral tablet OTC
stress formula oral tablet OTC
stress formula plus iron oral tablet OTC
stress formula with iron oral tablet OTC
stress formula with iron(sulf) oral tablet OTC
stress formula with zinc oral tablet OTC
stresstabs with zinc oral tablet OTC
super b complex-vitamin c oral tablet OTC
super b maxi complex oral tablet OTC
super b/c oral capsule OTC
super b-50 complex oral capsule OTC
super b-50 complex plus oral tablet OTC
super quints b-50 oral tablet OTC
super quints oral tablet OTC
superplex-t oral tablet OTC
thiamine hcl (vitamin b1) oral tablet Vitamin B-1 OTC
thiamine mononitrate (vit b1) oral tablet Vitamin B-1 (mononitrate) OTC
tl gard rx oral tablet OTC
total b/c oral tablet OTC
triphrocaps oral capsule OTC
ultra b-100 complex oral tablet OTC
virt-gard oral tablet OTC
virt-vite oral tablet OTC
vitamin b complex oral capsule Super B-50 Complex OTC
vitamin b complex oral tablet B Complex 1 OTC
vitamin b complex with c oral capsule OTC
vitamin b complex-folic acid oral tablet B Complex 100 OTC
vitamin b-1 (mononitrate) oral tablet OTC
vitamin b-1 oral tablet OTC
118
Nombre del medicamento Referencia Notas
vitamin b-12 oral tablet OTC
vitamin b-12 oral tablet extended release OTC
vitamin b-12 sublingual tablet OTC
vitamin b-2 oral tablet OTC
vitamin b-6 oral tablet OTC
vitamins b complex oral capsule OTC
vitamins b complex oral tablet OTC
vitamins for hair oral tablet OTC
vp-vite rx oral tablet OTC
PREPARADOS DE VITAMINA C
acerola c-500 oral wafer OTC
ascorbate calcium oral tablet OTC
ascorbic acid (vitamin c) oral capsule, extended release
Vitamin C OTC
ascorbic acid (vitamin c) oral syrup OTC
ascorbic acid (vitamin c) oral tablet C-1000 OTC
ascorbic acid (vitamin c) oral tablet extended release
OTC
ascorbic acid (vitamin c) oral tablet,chewable
Acerola C OTC
ascorbic acid with rose hips oral tablet OTC
c complex oral tablet extended release OTC
c-1000 oral tablet OTC
c-1000 oral tablet extended release OTC
c-1000 with rose hips oral tablet OTC
c-500 oral tablet OTC
c-500 oral tablet extended release OTC
c-500 oral tablet,chewable OTC
endur-c with rose hips oral tablet extended release
OTC
fruit c oral tablet,chewable OTC
fruit c-500 oral tablet,chewable OTC
halls defense oral lozenge OTC
soothing pureway-c oral tablet OTC
strawberry c oral tablet,chewable OTC
vita-c oral crystals OTC
vitamin c drops oral lozenge OTC
vitamin c oral capsule, extended release OTC
119
Nombre del medicamento Referencia Notas
vitamin c oral powder OTC
vitamin c oral tablet OTC
vitamin c oral tablet extended release OTC
vitamin c oral tablet,chewable OTC
vitamin c with rose hips oral tablet OTC
vitamin c with rose hips oral tablet extended release
OTC
zinc and c oral lozenge OTC
PREPARADOS DE VITAMINA D
calcidol oral drops OTC
calcitriol oral capsule Rocaltrol PA
calcitriol oral solution Rocaltrol PA
cholecalciferol (vitamin d3) oral capsule Dialyvite Vitamin D OTC
cholecalciferol (vitamin d3) oral drops D-Vi-Sol OTC
cholecalciferol (vitamin d3) oral tablet Delta D3 OTC
cholecalciferol (vitamin d3) oral tablet,chewable
VitaJoy Daily D OTC
d3-2000 oral capsule OTC
delta d3 oral tablet OTC
dialyvite vitamin d oral capsule OTC
d-vi-sol oral drops OTC
ergocalciferol (vitamin d2) oral capsule Drisdol
ergocalciferol (vitamin d2) oral drops Calcidol OTC
ergocalciferol (vitamin d2) oral tablet OTC
replesta oral wafer OTC
thera-d oral tablet OTC
vitajoy daily d oral tablet,chewable OTC
vitamin d2 oral capsule
vitamin d3 oral capsule OTC
vitamin d3 oral tablet OTC
vitamin d3 oral tablet,chewable OTC
PREPARADOS DE VITAMINA E
aquasol e (d-alpha tocopherol) oral drops OTC
vitamin e (dl, acetate) oral capsule OTC
vitamin e acetate oral capsule OTC
vitamin e mixed oral capsule OTC
vitamin e oral capsule OTC
120
Nombre del medicamento Referencia Notas
vitamin e oral dropsAquasol E (d-alpha tocopherol)
OTC
wheat germ oil oral capsule OTC
PREPARADOS DE VITAMINA K
phytonadione (vitamin k1) oral tablet 100 mcg
OTC
phytonadione (vitamin k1) oral tablet 5 mg Mephyton
PREPARADOS DE VITAMINAS PRENATALES
classic prenatal oral tablet OTC; QL
daily prenatal oral combo pack OTC; QL
kpn oral tablet OTC; QL
one daily prenatal oral combo pack OTC; QL
perry prenatal oral capsule OTC; QL
pnv cmb#95-ferrous fumarate-fa oral tablet
Prenatal OTC; QL
prenatal + dha oral combo pack OTC; QL
prenatal 19 (with docusate) oral tablet OTC; QL
prenatal 19 oral tablet,chewable OTC; QL
prenatal complete oral tablet OTC; QL
prenatal formula oral tablet OTC; QL
prenatal multi-dha (algal oil) oral capsule OTC; QL
prenatal multivitamins oral tablet OTC; QL
prenatal one daily oral tablet OTC; QL
prenatal oral tablet OTC; QL
prenatal tablet oral tablet OTC; QL
prenatal vitamin oral tablet OTC; QL
prenatal vitamin with minerals oral tablet OTC; QL
prenatal vit-iron fum-folic ac oral tablet Prenatal Tablet OTC; QL
prenatal vits96-iron fum-folic oral tablet OTC; QL
women's prenatal + dha oral combo pack OTC; QL
PRODUCTOS ALIMENTARIOS
gerber good start glucose oral solution OTC
RESINAS LIBERADORAS DE POTASIO
sodium polystyrene (sorb free) oral suspension
121
Nombre del medicamento Referencia Notas
sodium polystyrene sulfonate oral suspension
sodium polystyrene (sorb free)
sodium polystyrene sulfonate rectal enema
sps (with sorbitol) oral suspension
sps (with sorbitol) rectal enema
SOLUCIONES DE IRRIGACIÓN
sodium chloride irrigation solution Aqua Care Sodium Chloride
sterile saline irrigation solution OTC
SUPLEMENTOS DIETARIOS
hair, skin and nails advanced oral tablet OTC
SUSTITUTO DEL CALCIO
bone meal-vitamin d2 oral tablet OTC
ca-d3-mag ox-zinc-cop-mang-bor oral tablet
Calcium 600-D3 Plus OTC
ca-d3-mag ox-zinc-cop-mang-bor oral tablet,chewable
OTC
ca-d3-mag-zinc-cop-mang-bor oral tablet OTC
calci-chew oral tablet,chewable OTC
calcitrate oral tablet OTC
calcium 500 + d (d3) oral tablet OTC
calcium 500 + d oral tablet OTC
calcium 500 + d oral tablet,chewable OTC
calcium 500 oral tablet,chewable OTC
calcium 500 with d oral tablet OTC
calcium 600 + d(3) oral capsule OTC
calcium 600 + d(3) oral tablet OTC
calcium 600 + minerals oral tablet OTC
calcium 600 oral tablet OTC
calcium 600 with vitamin d3 oral capsule 600 mg(1,500mg) -400 unit
OTC
CALCIUM 600 WITH VITAMIN D3 ORAL CAPSULE 600 MG(1,500MG) -500 UNIT
OTC
calcium 600 with vitamin d3 oral tablet OTC
calcium 600 with vitamin d3 oral tablet,chewable
OTC
CALCIUM 600-D3 PLUS ORAL TABLET OTC
calcium acetate oral tablet Calphron QL
122
Nombre del medicamento Referencia Notas
calcium carb and citrate-vitd3 oral tablet extended release
Citracal + D Slow Release OTC
calcium carbonate oral suspension OTC
calcium carbonate oral tablet Calcium 600 OTC
calcium carbonate oral tablet,chewableAntacid Ext Str (calcium carb)
OTC
calcium carbonate-vit d3-min oral tablet Calcium 600 + Minerals OTC
calcium carbonate-vit d3-min oral tablet,chewable
OTC
calcium carbonate-vitamin d3 oral capsuleCalcium 600 with Vitamin D3
OTC
calcium carbonate-vitamin d3 oral tablet Calcium 500 + D OTC
calcium carbonate-vitamin d3 oral tablet,chewable
Calcium 500 + D OTC
calcium citrate + d oral tablet OTC
calcium citrate oral tablet Calcitrate OTC
calcium citrate-vitamin d2 oral tablet OTC
calcium citrate-vitamin d3 oral tablet Calcium Citrate + D OTC
calcium for women oral tablet,chewable OTC
calcium gluconate oral tablet OTC
calcium lactate oral tablet OTC
calcium magnesium oral tablet OTC
calcium soft chew oral tablet,chewable OTC
calcium with vitamin d oral tablet OTC
calcium-folic acid-vitamin d oral wafer OTC
calcium-magnesium-zinc oral tablet OTC
calcium-vitamin d3-vitamin k oral tablet,chewable
Calcium Soft Chew OTC
citrus calcium oral tablet OTC
hi-cal plus vit d oral tablet OTC
oysco 500/d oral tablet OTC
oysco-500 oral tablet OTC
oyster shell + d3 oral tablet OTC
oyster shell calcium 500 oral tablet OTC
oyster shell calcium oral tablet OTC
oyster shell calcium-vit d2 oral tablet OTC
oyster shell calcium-vit d3 oral tablet OTC
oystercal-d oral tablet OTC
123
Nombre del medicamento Referencia Notas
risacal-d oral tablet OTC
super calcium oral tablet OTC
tl g-fol os oral tablet
SUSTITUTO DEL ELECTROLITO
electrolytes-dextrose oral solution Enfamil Enfalyte OTC; QL
oralyte oral solution OTC; QL
pedialyte freezer pops oral solution OTC; QL
pedialyte oral solution OTC; QL
pedialyte singles oral solution OTC; QL
pediatric electrolyte oral solution OTC; QL
pediatric freezer pops oral solution OTC; QL
SUSTITUTO DEL HIERRO
centratex oral capsule OTC
chewable iron oral tablet,chewable OTC
children's iron oral drops OTC
corvita 150 oral tablet OTC
duofer oral tablet OTC
ezfe 200 oral capsule OTC
fe c oral tablet OTC
fe c plus oral tablet OTC; QL
feosol oral tablet OTC
ferate oral tablet OTC
ferocon oral capsule OTC
ferosul oral elixir OTC
ferosul oral tablet OTC
ferraplus 90 oral tablet OTC
ferretts oral tablet OTC
ferrex 150 forte oral capsule OTC
ferrex 150 forte plus oral capsule OTC
ferrex 150 oral capsule OTC
ferrex 150 plus oral capsule OTC
ferric x-150 oral capsule OTC
ferrocite oral tablet OTC
ferrocite plus oral tablet OTC
ferro-time oral tablet OTC
ferrous fumarate oral tablet Ferrocite OTC
ferrous gluconate oral tablet Ferate OTC
124
Nombre del medicamento Referencia Notas
ferrous sulfate oral drops Children's Iron OTC
ferrous sulfate oral elixir FeroSul OTC
ferrous sulfate oral liquid OTC
ferrous sulfate oral solution OTC
ferrous sulfate oral tablet Feosol OTC
ferrous sulfate oral tablet,delayed release (dr/ec)
OTC
ferrousul oral tablet OTC
folitab oral tablet extended release OTC
folivane-f oral capsule OTC
folivane-plus oral capsule OTC
hematinic plus vit/minerals oral tablet OTC
hematinic/folic acid oral tablet OTC
hematogen fa oral capsule OTC
hematogen forte oral capsule OTC
hematogen oral capsule OTC
hemetab oral tablet OTC; QL
high potency iron oral tablet OTC
iferex 150 oral capsule OTC
iron (dried) oral tablet extended release OTC
iron (ferrous sulfate) oral tablet OTC
iron 100 plus oral tablet OTC; QL
iron chews oral tablet,chewable OTC
iron high potency oral tablet OTC
iron oral tablet OTC
iron oral tablet extended release OTC
iron, carbonyl oral tablet Feosol OTC
iron,carbonyl-vitamin c oral tablet FE C OTC
multigen folic oral tablet OTC
multigen oral tablet OTC
multigen plus oral tablet OTC
myferon 150 forte oral capsule OTC
myferon 150 oral capsule OTC
pedia iron oral drops OTC
poly-iron oral capsule OTC
slow release iron oral tablet extended release
OTC
125
Nombre del medicamento Referencia Notas
stress formula oral tablet OTC
taron forte oral capsule OTC
tl icon oral capsule OTC
tricon oral capsule OTC
trigels-f forte oral capsule OTC
wee care oral suspension OTC
SUSTITUTO DEL POTASIO
klor-con 10 oral tablet extended release
klor-con 8 oral tablet extended release
klor-con m10 oral tablet,er particles/crystals
klor-con m15 oral tablet,er particles/crystals
klor-con m20 oral tablet,er particles/crystals
klor-con oral packet
k-tab oral tablet extended release
potassium chloride oral capsule, extended release
potassium chloride oral liquid
potassium chloride oral packet Klor-Con
potassium chloride oral tablet extended release
K-Tab
potassium chloride oral tablet,er particles/crystals
Klor-Con M20
potassium gluconate oral tablet OTC
SUSTITUTO DEL ZINC
chelated zinc oral tablet OTC
zinc amino acid chelate oral tablet OTC
zinc gluconate oral tablet OTC
zinc oral tablet Chelated Zinc OTC
zinc sulfate oral capsule Orazinc OTC
zinc sulfate oral tablet OTC
zinc-220 oral capsule OTC
zinc-vit c-pyridoxine (vit b6) oral lozenge OTC
VITAMINAS PEDIÁTRICAS CON FLÚOR
multi-vit with fluoride-iron oral drops OTC
126
Nombre del medicamento Referencia Notas
multi-vitamin with fluoride oral drops OTC
multivitamin with fluoride oral tablet,chewable
OTC
multi-vitamin with fluoride oral tablet,chewable
OTC
multivitamins with fluoride oral tablet,chewable
OTC
mvc-fluoride oral tablet,chewable OTC
triple vitamin with fluoride oral drops OTC
tri-vitamin with fluoride oral drops OTC
tri-vite with fluoride oral drops OTC
vitamins a,c,d and fluoride oral drops OTC
VITAMINAS PEDIÁTRICAS
animal chews oral tablet,chewable OTC
animal shape vitamins oral tablet,chewable
OTC
animal shapes complete oral tablet,chewable
OTC
chewable-vite oral tablet,chewable OTC
chewable-vite with iron oral tablet,chewable
OTC
children's chewable multivitmn oral tablet,chewable
OTC
children's chewable vitamin oral tablet,chewable
OTC
children's chewables extra c oral tablet,chewable
OTC
children's chewables oral tablet,chewable OTC
children's chewables with iron oral tablet,chewable
OTC
childs chew vite oral tablet,chewable OTC
child's chewable vitamins/iron oral tablet,chewable
OTC
child's vitamin with iron oral tablet,chewable
OTC
childs/iron oral tablet,chewable OTC
dino-life oral tablet,chewable OTC
dino-life with extra c oral tablet,chewable OTC
dino-life with iron-zinc oral tablet,chewable OTC
127
Nombre del medicamento Referencia Notas
FLINTSTONES MULTI-VIT GUMMIES ORAL TABLET,CHEWABLE
OTC
FLINTSTONES TAB CHEW ORAL TABLET,CHEWABLE
OTC
gummi bear multivitamin oral tablet,chewable
OTC
gummy dinos oral tablet,chewable OTC
honey bears oral tablet,chewable OTC
little animals oral tablet,chewable OTC
little animals-iron oral tablet,chewable OTC
lysiplex plus oral liquid OTC
PEDIA POLY-VITE ORAL DROPS OTC
POLY-VI-SOL ORAL DROPS OTC
POLY-VI-SOL WITH IRON ORAL DROPS
OTC
polyvitamin with iron oral tablet,chewable OTC
poly-vitamins oral tablet,chewable OTC
vitalets oral tablet,chewable OTC
zoo chews oral tablet,chewable OTC
zoo friends original oral tablet,chewable OTC
VITAMINAS
biotin oral capsule Meribin OTC
biotin oral tablet OTC
elfolate oral tablet OTC
fabb oral tablet OTC
folbee oral tablet OTC
folbic oral tablet OTC
folic acid oral tablet OTC
folic acid-vit b6-vit b12 oral tablet Folplex 2.2 OTC
folplex 2.2 oral tablet OTC
levomefolate calcium oral tablet Elfolate OTC
l-methylfolate oral tablet OTC
tl gard rx oral tablet OTC
virt-gard oral tablet OTC
virt-vite oral tablet OTC
128
Nombre del medicamento Referencia Notas
ESCLEROSIS MÚLTIPLE
MEDICAMENTOS PARA TRATAR LA ESCLEROSIS MÚLTIPLE
AVONEX (WITH ALBUMIN) INTRAMUSCULAR KIT
PA
AVONEX INTRAMUSCULAR PEN INJECTOR KIT
PA
AVONEX INTRAMUSCULAR SYRINGE KIT
PA
BETASERON SUBCUTANEOUS KIT PA
EXTAVIA SUBCUTANEOUS KIT PA
GILENYA ORAL CAPSULE PA; QL
glatiramer subcutaneous syringe Copaxone PA
glatopa subcutaneous syringe PA
REBIF (WITH ALBUMIN) SUBCUTANEOUS SYRINGE
PA
REBIF REBIDOSE SUBCUTANEOUS PEN INJECTOR
PA
REBIF TITRATION PACK SUBCUTANEOUS SYRINGE
PA
TECFIDERA ORAL CAPSULE,DELAYED RELEASE(DR/EC)
PA; QL
INSUMOS Y PREPARADOS DENTALES
AGENTES PARA LA BOCA Y GARGANTA
cherry cough drops mucous membrane lozenge
OTC
cherry menthol mucous membrane lozenge
OTC
chloraseptic sore throat mucous membrane lozenge
OTC
chloraseptic throat spray mucous membrane aerosol,spray
OTC
clotrimazole mucous membrane troche QL
cough drops (with eucalyptus) mucous membrane lozenge
OTC
honey lemon mucous membrane lozenge OTC
lidocaine hcl mucous membrane jelly
lidocaine hcl mucous membrane solution QL
129
Nombre del medicamento Referencia Notas
lidocaine viscous mucous membrane solution
QL
medikoff drops mucous membrane lozenge
OTC
menthol drops mucous membrane lozenge
OTC
nystatin oral suspension
oralone dental paste
pilocarpine hcl oral tablet Salagen (pilocarpine) QL
sore throat (benzocaine-menth) mucous membrane lozenge
OTC
sore throat relief (pectin) mucous membrane lozenge on a handle
OTC
throat drops mucous membrane lozenge OTC
throat lozenges mucous membrane lozenge
OTC
triamcinolone acetonide dental paste Oralone
zinc with vitamins a and c oral lozenge OTC
ANTISÉPTICOS, OTROS
chloraseptic mucous membrane aerosol,spray
OTC
chlorhexidine gluconate mucous membrane mouthwash
Paroex Oral Rinse QL
paroex oral rinse mucous membrane mouthwash
QL
periogard mucous membrane mouthwash QL
sore throat (hexylresorcinol) mucous membrane lozenge
OTC
PREPARACIONES DE FLUORUROS
fluoride (sodium) oral drops OTC; QL
fluoride (sodium) oral tablet,chewable Fluoritab OTC
fluoritab oral tablet,chewable OTC
FLURA-DROPS ORAL DROPS OTC
ludent fluoride oral tablet,chewable OTC
perio med dental solution OTC
MODIFICADORES METABÓLICOS
AGENTES DE DEFICIENCIA METABÓLICA
calcitriol oral capsule Rocaltrol PA
130
Nombre del medicamento Referencia Notas
calcitriol oral solution Rocaltrol PA
levocarnitine oral tablet Carnitor OTC
sodium phenylbutyrate oral powder Buphenyl PA; QL
sodium phenylbutyrate oral tablet Buphenyl PA; QL
PHARMACOENHANCER - INHIBIDORES DEL CITOCROMO P450
TYBOST ORAL TABLET
ÓTICO
PREPARADOS ÓTICOS, MISCELÁNEOS, ANTINFECCIOSOS
acetic acid otic (ear) solution
carbamoxide ear drops otic (ear) drops OTC
ciprofloxacin hcl otic (ear) dropperette Cetraxal QL
ear drops (carbamide peroxide) otic (ear) drops
OTC
ear drops otc otic (ear) drops OTC
ear wax removal drops otic (ear) drops OTC
ear wax removal kit otic (ear) drops OTC
ear wax removal system otic (ear) drops OTC
murine ear wax removal system otic (ear) drops
OTC
neomycin-polymyxin-hc otic (ear) drops,suspension
neomycin-polymyxin-hc otic (ear) solution
ofloxacin otic (ear) drops QL
PRODUCTOS VAGINALES
ANTIBIÓTICOS VAGINALES
CLEOCIN VAGINAL SUPPOSITORY
clindamycin phosphate vaginal cream Cleocin
metronidazole vaginal gel Metrogel Vaginal
vandazole vaginal gel
ANTIMICÓTICOS VAGINALES
3 day vaginal vaginal cream OTC
3-day vaginal vaginal cream OTC
clotrimazole 3 day vaginal cream OTC
clotrimazole vaginal cream Clotrimazole-7 OTC
clotrimazole-3 vaginal cream OTC
131
Nombre del medicamento Referencia Notas
clotrimazole-7 vaginal cream OTC
miconazole 7 vaginal cream OTC
miconazole 7 vaginal suppository OTC
miconazole nitrate vaginal comb pack,prefill appl, cream
Miconazole-3 OTC
miconazole nitrate vaginal cream Miconazole 7 OTC
miconazole nitrate vaginal kit Monistat 1 Combo Pack OTC
miconazole nitrate vaginal suppository Miconazole 7 OTC
miconazole-3 prefil,cream,wipe vaginal kit OTC
miconazole-3 vaginal comb pack,prefill appl, cream
OTC
miconazole-3 vaginal cream OTC
miconazole-3 vaginal kit OTC
miconazole-3 vaginal suppository PA
miconazole-skin clnsr17 vaginal kitMiconazole-3 prefil,cream,wipe
OTC
terconazole vaginal cream
terconazole vaginal suppository
tioconazole vaginal ointment 1-Day OTC
tioconazole-1 vaginal ointment OTC
PREPARADOS DE ESTRÓGENO VAGINALES
estradiol vaginal tablet Vagifem
yuvafem vaginal tablet
SISTEMA LOCOMOTOR
OTROS MEDICAMENTOS AUTÓNOMOS/DEL SNC
MESTINON ORAL SYRUP
pyridostigmine bromide oral tablet Mestinon
pyridostigmine bromide oral tablet extended release
Mestinon Timespan
RELAJANTES DEL MÚSCULO ESQUELÉTICO
baclofen oral tablet
carisoprodol oral tablet Soma QL
carisoprodol-asa-codeine oral tablet AL
carisoprodol-aspirin oral tablet
chlorzoxazone oral tablet
132
Nombre del medicamento Referencia Notas
cyclobenzaprine oral tablet 10 mg QL
cyclobenzaprine oral tablet 5 mg
dantrolene oral capsule Dantrium
methocarbamol oral tablet Robaxin QL
orphenadrine citrate oral tablet extended release
QL
riluzole oral tablet Rilutek PA
tizanidine oral tablet QL
TERAPIA ALTERNATIVA
TERAPIA ALTERNATIVA
ANTIOXIDANT A/C/E/SELENIUM ORAL CAPSULE
OTC
e-400 c-500 and beta carotene oral tablet OTC
eye health plus lutein oral tablet OTC
glucosamine-chondroitin complx oral capsule
OTC
healthy eyes oral tablet OTC
healthy eyes supervision oral capsule OTC
icaps areds oral capsule OTC
i-vite oral tablet OTC
i-vite protect oral tablet OTC
kelp-lecithin-b6 oral tablet OTC
lecithin-kelp-b6 (100-8.3) oral tablet OTC
lecithin-kelp-b6 (400-20) oral tablet OTC
lecithin-kelp-b6 oral capsule OTC
opti-vitamins oral tablet OTC
prosight oral tablet OTC
super antioxidant oral capsule OTC
ULTRA ANTIOXIDANT FORMULA ORAL TABLET
OTC
TERAPIA DE LA GOTA Y LA HIPERURICEMIA
AGENTES URICOSÚRICOS
probenecid oral tablet
COMBINADOS DE COLQUICINA
probenecid-colchicine oral tablet
133
Nombre del medicamento Referencia Notas
TERAPIA PARA HIPERURICEMIA, INHIBIDORES DE PURINA
allopurinol oral tablet Zyloprim
TERAPIA DEL TRASTORNO COGNITIVO
INHIBIDORES DE LA COLINESTERASA
donepezil oral tablet 10 mg, 5 mg Aricept DO; QL
donepezil oral tablet 23 mg Aricept PA; QL
donepezil oral tablet,disintegrating DO; QL
galantamine oral capsule,ext rel. pellets 24 hr
Razadyne ER DO; QL
galantamine oral solution DO; QL
galantamine oral tablet Razadyne DO; QL
memantine oral solution DO; QL
memantine oral tablet Namenda DO; QL
memantine oral tablets,dose pack Namenda Titration Pak DO; QL
NAMENDA TITRATION PAK ORAL TABLETS,DOSE PACK
DO; QL
rivastigmine tartrate oral capsule DO; QL
TERAPIA GENITOURINARIA
ACIDULANTES URINARIOS
k-phos-neutral oral tablet OTC
phospha 250 neutral oral tablet OTC
phospho-trin 250 neutral oral tablet OTC
virt-phos 250 neutral oral tablet OTC
AGENTE PARA LA INCONTINENCIA/ANTIESPASMÓDICO PARA TRACTO URINARIO
darifenacin oral tablet extended release 24 hr
Enablex
flavoxate oral tablet
oxybutynin chloride oral syrup
oxybutynin chloride oral tablet
oxybutynin chloride oral tablet extended release 24hr
OXYTROL FOR WOMEN TRANSDERMAL PATCH 4 DAY
OTC
134
Nombre del medicamento Referencia Notas
tolterodine oral capsule,extended release 24hr
Detrol LA
tolterodine oral tablet Detrol
trospium oral capsule,extended release 24hr
trospium oral tablet
AGENTES ANALGÉSICOS/ANESTÉSICOS PARA TRACTO URINARIO
phenazopyridine oral tablet Pyridium
urinary pain relief oral tablet OTC
AGENTES ANTIBACTERIANOS URINARIOS
ciprofloxacin (mixture) oral tablet, er multiphase 24 hr
Cipro XR QL
methenamine hippurate oral tablet Hiprex
nitrofurantoin macrocrystal oral capsule Macrodantin
nitrofurantoin monohyd/m-cryst oral capsule
Macrobid
AGENTES PARASIMPÁTICOS
bethanechol chloride oral tablet Urecholine
DESINTOXICANTES DE SANGRE
calcium acetate oral capsule QL
calcium acetate oral tablet Calphron QL
eliphos oral tablet QL
lanthanum oral tablet,chewable Fosrenol QL
sevelamer carbonate oral powder in packet
Renvela QL
sevelamer carbonate oral tablet Renvela QL
HIPERTROFIA PROSTÁTICA BENIGNA/AGENTES MICCIONALES
alfuzosin oral tablet extended release 24 hr
Uroxatral QL
finasteride oral tablet Proscar QL
tamsulosin oral capsule Flomax QL
MODIFICADORES DEL PH URINARIO
cytra k crystals oral packet
cytra-2 oral solution OTC
135
Nombre del medicamento Referencia Notas
cytra-3 oral solution OTC
cytra-k oral solution OTC
potassium citrate oral tablet extended release
Urocit-K 10
potassium citrate-citric acid oral solution Cytra-K OTC
sodium citrate-citric acid oral solution Cytra-2 OTC
tricitrates oral solution OTC
virtrate-k oral solution OTC
TERAPIA PARA TRASTORNOS DE LA ALIMENTACIÓN
AGENTES CONTRA LA OBESIDAD
ALLI ORAL CAPSULE PA; OTC; QL
AGENTES ESTIMULANTES DEL APETITO
megestrol oral suspension PA
136