| GENERIC NAME | BRAND NAME |
| ACYCLOVIR | ZOVIRAX 200 MG CAP |
| ACYCLOVIR | ZOVIRAX 800 MG CAP |
| ALBUTEROL (30 days of brand name may be dispensed, ONE TIME if generic is not available) | PROVENTIL INHALER (17 GM) |
| ALLOPURINOL | ZYLOPRIM 100 MG TAB |
| ALLOPURINOL | ZYLOPRIM 300 MG TAB |
| AMITRIPTYLENE | ELAVIL |
| ATENOLOL | TENORIMIN 100 MG TAB |
| ATENOLOL | TENORIMIN 50 MG TAB |
| BENZTROPINE MESYLATE | COGENTIN 0.6 MG TAB |
| BENZTROPINE MESYLATE | COGENTIN 1 MG TAB |
| BENZTROPINE MESYLATE | COGENTIN 2 MG TAB |
| CAPTOPRIL | CAPOTEN 100 MG TAB |
| CAPTOPRIL | CAPOTEN 12.5 MG TAB |
| CAPTOPRIL | CAPOTEN 25 MG TAB |
| CAPTOPRIL | CAPOTEN 50 MG TAB |
| CARBAMAZEPINE | TEGRETOL 200 MG TAB |
| CHLORTHALIDONE | HYGROTON 25 MG TAB |
| CHLORTHALIDONE | HYGROTON 50 MG TAB |
| CLONIDINE | CATAPRES 0.1 MG TAB |
| CLONIDINE | CATAPRES 0.2 MG TAB |
| CLONIDINE | CATAPRES 0.3 MG TAB |
| COLCHICINE | COLCHICINE 0.6 MG TAB |
| CONJUGATED ESTROGEN | PREMARIN 0.3 MG TAB |
| CONJUGATED ESTROGEN | PREMARIN 0.625 MG TAB |
| CONJUGATED ESTROGEN | PREMARIN 1.25 MG TAB |
| CONJUGATED ESTROGEN | PREMARIN 2.5 MG TAB |
| DESIPRAMINE | NORPRAMIN |
| DIGOXIN | LANOXIN 0.125MG TAB |
| DIGOXIN | LANOXIN 0.25 MG TAB |
| DIGOXIN PED. ELIXIR | LANOXIN 0.05 MG/ML PEDIATRIC ELIXIR |
| DILTIAZEM | CARDIZEM 30 MG TAB |
| DILTIAZEM | CARDIZEM 60 MG TAB |
| DILTIAZEM CD | CARDIZEM CD 180 MG CAP |
| DILTIAZEM CD | CARDIZEM CD 240 MG CAP |
| DILTIAZEM CD | CARDIZEM CD 300 MG CAP |
| DOXEPIN | SINEQUAN |
| DOXYCYCLINE | VIBRAMYCIN 100 MG CAP |
| DOXYCYCLINE | VIBRAMYCIN 50 MG CAP |
| FLUOXETINE | PROZAC 10MG |
| FLUOXETINE | PROZAC 20MG |
| FOLIC ACID | FOLIC ACID 1 MG TAB |
| FUROSEMIDE | LASIX 20 MG TAB |
| FUROSEMIDE | LASIX 40 MG TAB |
| GEMFIBROZIL | LOPID 600 MG TAB |
| GLIPIZIDE | GLUCOTROL 10 MG TAB |
| GLIPIZIDE | GLUCOTROL 5 MG TAB |
| GLYBURIDE | MICRONASE 1.25 MG TAB |
| GLYBURIDE | MICRONASE 2.5 MG TAB |
| GLYBURIDE | MICRONASE 5 MG TAB |
| GRISEOFULVIN V | GRIFULVIN V 250 MG TAB |
| HYDRALAZINE | APRESOLINE 10 MG TAB |
| HYDRALAZINE | APRESOLINE 25 MG TAB |
| HYDRALAZINE | APRESOLINE 50 MG TAB |
| HYDROCHLOROTHIAZIDE | HCTZ 25 MG TAB |
| HYDROCHLOROTHIAZIDE | HCTZ 50 MG TAB |
| INDOMETHACIN | INDOCIN 25 MG CAP |
| INDOMETHACIN | INDOCIN 50 MG CAP |
| INSULIN HUMAN 70/30 | NOVOLIN 70/30 INS 100 U/CC (10 CC) |
| INSULIN HUMAN N | NOVOLIN N INS 100 U/CC (10 CC) |
| INSULIN HUMAN R | NOVOLIN R INS 100 U/CC (10 CC) |
| INSULIN HUMAN U | NOVOLIN U INS 1OO U/CC (10 CC) |
| ISRADIPINE | DYNACIRC 2.5 MG CAP |
| ISRADIPINE | DYNACIRC 5 MG CAP |
| KETOCONAZOLE | NIZORAL 200 MG TAB |
| LABETALOL HCL | NORMODYNE 100 MG TAB |
| LABETALOL HCL | NORMODYNE 200 MG TAB |
| LEVODOPA/CARBIDOPA | SINEMET 10/100 MG TAB |
| LEVODOPA/CARBIDOPA | SINEMET 25/100 MG TAB |
| LEVODOPA/CARBIDOPA | SINEMET 25/250 MG TAB |
| LEVOTHYROXINE SODIUM | LEVOTHROID 100 MCG TAB |
| LEVOTHYROXINE SODIUM | LEVOTHROID 150 MCG TAB |
| LEVOTHYROXINE SODIUM | LEVOTHROID 200 MCG TAB |
| LEVOTHYROXINE SODIUM | LEVOTHROID 25 MCG TAB |
| LEVOTHYROXINE SODIUM | LEVOTHROID 300 MCG TAB |
| LEVOTHYROXINE SODIUM | LEVOTHROID 50 MCG TAB |
| LISINOPRIL | PRINIVIL 10 MG TAB |
| LISINOPRIL | PRINIVIL 20 MG TAB |
| LISINOPRIL | PRINIVIL 40 MG TAB |
| LISINOPRIL | PRINIVIL 5 MG TAB |
| LITHIUM CARBONATE | LITHOBID 300 MG CAP |
| MEDROXYPROGESTERONE ACETATE | PROVERA 10 MG TAB |
| METHYLDOPA | ALDOMET 250 MG TAB |
| METHYLDOPA | ALDOMET 500 MG TAB |
| METHYLERGONOVINE MALEATE | METHERGINE 0.2 MG TAB |
| METOCLOPRAMIDE HCL | REGLAN 10 MG TAB |
| METOPROLOL TARTRATE | LOPRESSOR 100 MG TAB |
| METOPROLOL TARTRATE | LOPRESSOR 50 MG TAB |
| MINOXIDIL | LONITEN 10 MG TAB |
| MINOXIDIL | LONITEN 2.5 MG TAB |
| NADOLOL | CORGARD 120 MG TAB |
| NADOLOL | CORGARD 160 MG TAB |
| NADOLOL | CORGARD 40 MG TAB |
| NADOLOL | CORGARD 80 MG TAB |
| NIFEDIPINE | PROCARDIA 10 MG CAP |
| NITROFURANTOIN MACROCRYSTALS | MACRODANTIN 50 MG CAP |
| NITROGLYCERIN | NITROGLYCERIN 0.15 MG TAB |
| NITROGLYCERIN | NITROGLYCERIN 0.3 MG TAB |
| NITROGLYCERIN | NITROGLYCERIN 0.4 MG TAB |
| NITROGLYCERIN | NITROGLYCERIN 0.6 MG TAB |
| NITROGLYCERIN OINTMENT | NITROL OINT (30 GM) |
| NITROGLYCERIN OINTMENT | NITROL OINT (60 GM) |
| NYSTATIN | NYSTATIN 500 MU TAB |
| NYSTATIN SUSP. | NYSTATIN 100 MU SUSP |
| PHENYTOIN | DILANTIN 100 MG CAP |
| PHENYTOIN INFATAB | DILANTIN 50 MG INFATABS |
| PHENYTOIN PED. SUSP | DILANTIN 30 MG/5 ML PEDIATRIC SUSP |
| PHENYTOIN SUSP | DILANTIN 125 MG/5 ML SUSP |
| PIRBUTERROL | MAXAIR INHALER (LIMIT 2/MONTH) |
| POTASSIUM CHLORIDE | MICRO K 8 MEQ TAB |
| POTASSIUM CHLORIDE | POTASSIUM CHL 10 % SOLN |
| POTASSIUM CHLORIDE | POTASSIUM CHL 20 % SOLN |
| PRAZOSIN HCL | MINIPRESS 1 MG CAP |
| PRAZOSIN HCL | MINIPRESS 2 MG CAP |
| PRAZOSIN HCL | MINIPRESS 5 MG CAP |
| PREDNISONE | PREDNISONE 10 MG TAB |
| PREDNISONE | PREDNISONE 20 MG TAB |
| PREDNISONE | PREDNISONE 5 MG TAB |
| PROBENECID | BENEMID 0.5 GM TAB |
| PROPANTHELINE BROMIDE | PROBANTHINE 15 MG TAB |
| PROPRANOLOL | INDERAL 10 MG TAB |
| PROPRANOLOL | INDERAL 20 MG TAB |
| PROPRANOLOL | INDERAL 40 MG TAB |
| PROPRANOLOL | INDERAL 80 MG TAB |
| SPIRONOLACTONE | ALDACTONE 25 MG TAB |
| THEOPHYLLINE SA | THEO-DUR 100 MG TAB |
| THEOPHYLLINE SA | THEO-DUR 200 MG TAB |
| THEOPHYLLINE SA | THEO-DUR 300 MG TAB |
| TOLAZAMIDE | TOLINASE 100 MG TAB |
| TOLAZAMIDE | TOLINASE 250 MG TAB |
| TRAZADONE | DESYREL 100 MG TAB |
| TRAZADONE | DESYREL 50 MG TAB |
| TRIAMTERENE/HCTZ | MAXZIDE 75/50 MG TAB |
| VALPROIC ACID | DEPAKOTE 250MG |
| VERAPAMIL | CALAN 120 MG TAB |
| VERAPAMIL | CALAN 80 MG TAB |
| VERAPAMIL SR | CALAN SR 180 MG TAB |
| VERAPAMIL SR | CALAN SR 240 MG TAB |
| WAFARIN SODIUM | COUMADIN 10 MG TAB |
| WAFARIN SODIUM | COUMADIN 2 MG TAB |
| WAFARIN SODIUM | COUMADIN 2.5 MG TAB |
| WAFARIN SODIUM | COUMADIN 5 MG TAB |
| WAFARIN SODIUM | COUMADIN 7.5 MG TAB |