VA Center for Medication Safety (VA MedSafe)

# "DRAFT WHITE PAPER: Look-Alike Sound-Alike Drug Names For New Molecular Entities (NMEs)"

**[Issue:]{.underline}** Medication safety considerations for look-alike
sound-alike (LASA) drug names.

**[Background:]{.underline}**

Similar drug names account for approximately 15% of all reports to the
USP Medication Errors Reporting program^1^. Despite review by numerous
scientific and governing bodies prior to market introduction, many new
drug names similar in sound or spelling to existing names are still
being approved and, consequently, medication errors due to drug name
confusion continue to occur. Such errors may occur anywhere in the drug
provision process from prescribing (written, oral, or computer entry),
to progress note documenting, to medication dispensing. In 2001, the
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
published a *Sentinel Event Alert* on look-alike and sound-alike drug
names^2^. This national patient safety goal stated that organizations
should identify and, at a minimum, annually review a list of LASA drugs
used in the organization, and take action to prevent errors involving
the interchange of these drugs. Multiple lists of confusing drug name
sets have been identified by the USP and JCAHO. Per the JCAHO standard,
an organization's list of LASA drugs must contain a minimum of 10 drug
combinations, with at least 5 of these from their published list of
problematic drug names (see APPENDIX 1 and II for JCAHO and USP Tables).

One way to minimize the risk of drug name confusion is to screen drug
names against a database of existing products in order to identify
similar drug names pairs. A system for multi-attribute drug product
comparison (MDPC) which enables a user to assess the confusability of
proposed drug names has been developed by Lambert et. al. at the
University of Illinois at Chicago ^3^. Upon input of a drug name, the
system is able to search multiple drug databases based on name
similarity (orthographic and phonological), non-name attribute
similarity (dosage form, strength, and route of administration), or some
combination of both based on the user's assignment of relative weights
to each dimension. The user is further able to place emphasis on the
beginning and/or end of the drug name.

In August 2004, to facilitate compliance with the JCAHO patient safety
mandate, the VA Medical Advisory Panel (MAP) and VISN Formulary Leaders
(VFLs) proposed that VA PBM, in conjunction with the VA Center for
Medication Safety (VA MedSafe), conduct a LASA pilot program for newly
approved new molecular entities (NMEs) being reviewed for formulary
status designation. A memorandum of understanding was reached between VA
PBM and Lambert et al. to utilize the MDPC tool to conduct the LASA for
NMEs pilot program.

**[Description of LASA for NMEs Pilot Program:]{.underline}**

A.  Objectives

> The objective of this program is to pilot a structured search and
> retrieval method for determining LASA drug names that have potential
> for drug name confusion. The focus will be on NMEs as they newly enter
> the prescription market. Once similar drug name pairs are identified,
> recommendations for system-wide safeguards can be built into drug
> information systems to reduce the probability of confusion in
> practice.
>
> B. Process
>
> Using the MDPC search engine, a PBM outcomes pharmacist specialist
> queries the database of existing drug names by employing a minimum of
> five different retrieval methods for each generic and brand name for
> an NME. The original number of retrieval methods was twenty; however,
> through a series of searches, evaluations, and feedback discussions
> with other PBM clinicians, the retrieval methods were pared down to
> five. Within each retrieval methods, attributes such as name,
> strength, dosage form, and route may be varied. These are the search
> strategies currently being utilized:

1.  N-Gram spelling trigram 1space before with number of retrieved
    results based on ≥ 75 drug names.

2.  N-Gram phoneme trigram 1 spaces before and after with number of
    retrieved results based on ≥ 75 drug names.

3.  Editex method based on drug name alone with number of retrieved
    results based on ≥ 75 drug names.

4.  Editex method based on 70% drug name, 10% strength, 10% dosage form,
    and 10% route of administration with number of retrieved results
    based on ≥ 75 drug names.

5.  Merging method based on drug name alone with number of retrieved
    results based on ≥ 75 drug names.

> The above 5 strategies are applied to each brand and generic name. For
> brand names, strategies \# 1-3 are searched using the Multum drug
> database, and strategies \# 4-5 are searched using the Orange Book
> drug database. For generic names, strategies \# 1-3 are searched using
> the Orange Book drug database, and strategies \# 4-5 are searched
> using the Multum drug database.
>
> The retrieval methods produce multiple listings of drug names, each
> with an assigned similarity score and rank. The names may appear in
> more than one of the listings, and may receive a different similarity
> score and rank, depending on the search strategy. To uniformly narrow
> down search results, the following steps are performed:

1.  Drug names with the top 25 similarity scores from each search are
    selected (for both brand and generic name, excluding the NME drug
    name itself).

2.  The names are ranked in descending order of frequency of occurrence.

3.  The PBM outcomes pharmacist screens the list to delete names that
    are highly improbable (e.g. rarely prescribed medication, cleaning
    agents, supplies, little resemblance in name except for similarity
    in strength, etc.).

4.  The PBM outcomes pharmacist and PBM clinician discuss the
    significance of remaining names and come to consensus on the final
    selection of LASA names. Consideration is given to the similarity
    score, rank, frequency of occurrence, dosage form, indications for
    use, and formulary status. Further consideration is given as to how
    the drug is prescribed in the VA order entry process as well as how
    the drug is stocked/shelved.

5.  A list of approximately 3-8 names are incorporated into the NME
    monograph under the Look-alike Sound-alike (LASA) evaluation
    section. The LASA names should be accompanied with dosage strengths
    and forms so that the reader can make additional judgment regarding
    the probability of a mix-up. When needed, a brief explanation of why
    the LASA drug name may be cause for potential drug name confusion
    will be included.

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B.  Findings

> The retrieval methods using the MDPC search engine produce many LASA
> names that could potentially cause drug name confusion. However,
> significant effort needs to be applied to narrowing down the lists and
> making the final selection of drug names that would be incorporated
> into the monograph. Despite efforts to conduct the process in an
> objective manner, the final selection is dependent on substantial
> subjective evaluation on the part of the PBM outcomes pharmacist and
> clinician. A list of LASA drug name pairs that have been identified
> for NMEs to date can be found in Appendix III. The steps for search,
> retrieval, and determination of significant drug names for potential
> confusion are part of a dynamic process that is constantly being
> refined.
>
> As a way to evaluate the utility of the search results, the PBM
> outcomes pharmacist periodically screens alerts from the FDA and
> Institute for Safe Medication Practices (ISMP) for actual or
> close-call mix-ups between a NME drug name and other currently
> marketed drug names. These are the findings to-date:

  ------------- ---------------- ----------------- -----------------------
  **NME Drug    **LASA Drug Name **Identified as   **Comments**
  Name**        Mix-up or Close  Potential LASA    
                Call**           Drug Name in NME  
                                 Monograph?**      

  Sitagliptin   Sumatriptan      YES               

  Azilect™      Aricept™         YES               

  Omacor™       Amicar™          YES               

  Nexavar™      Nexium™          YES               

  Razadyne™     Rozerem™         YES               

  Adacel™       Daptacel™        NO                Immunizations not in
                                                   database?

  Lunesta™      Neulasta™        NO                Previous methods were
                                                   based on 25-50
                                                   retrieved drug names.
                                                   Neulasta was lower on
                                                   the list. We have since
                                                   expanded number of
                                                   retrieved names to 75.
  ------------- ---------------- ----------------- -----------------------

> Upon discovery of these mix-ups or close-calls, the PBM outcomes
> pharmacist will alert the PBM clinician covering that specific drug
> monograph, and an annotation regarding the reported actual mix-up or
> close-call is included in the drug monograph as a way to alert readers
> of the elevated potential for a LASA mix-up occurrence.

C.  Limitations

> Difficulties encountered in the LASA pilot program are found in the
> narrowing down of the numerous LASA names to those that are relevant
> to the VA's formulary, order entry process, and individual facilities'
> stocking/shelving policies. While this review process generates a list
> of potential LASA drug names that can be used to alert individuals in
> the drug prescribing and dispensing process, it does not have an
> objective method to determine the likelihood of confusion between the
> NME drug name and the list of potential LASA drug names. Additionally,
> although the MDPC provides an exhaustive tool for screening drug names
> against multiple databases, it does not yet provide a look-alike
> comparison for drugs similar in appearance (color, size, shape) as
> well as packaging. These are significant considerations in evaluating
> a drug's potential for mix-up.

**[Recommendations (Not in Place)]{.underline}**

A.  Evaluation of real and potential errors from the list of identified
    LASA pairs will need to be evaluated on an ongoing interval basis.

B.  Methods for implementation of safeguards and alerts need to be
    designed into drug information systems to reduce the probability of
    drug name confusion in the prescription order entry and dispensing
    process. The following are examples of suggested computer system
    reminders for LASA drugs:

    1.  When ordering a drug that has LASA potential for drug name
        confusion, the provider is given a flagged warning alerting
        him/her to the LASA potential.

    2.  The provider needs to confirm that he/she indeed intended to
        order that specific drug product before being allowed to proceed
        to the next step of order entry.

    3.  The provider is prompted to indicate the purpose of the
        medication on the prescription order entry.

    4.  The medication label should contain both generic and brand name
        (if different from the generic name).

C.  Auxiliary reminder labels should be placed on containers of
    identified LASA drugs pairs to alert all personnel involved in the
    dispensing process.

D.  Periodic updates should be carried out to educate health care
    providers on newly reported LASA potentials and close-calls

E.  Policies that minimize drug name confusion should be implemented.
    The following are examples:

    1.  Develop alternate stocking methods for LASA drug pairs other
        than alphabetically by name.

    2.  When placing verbal/telephone orders, prescriber must provide
        correct spelling of drug name, and person receiving the order
        must repeat the drug name and dose ordered.

    3.  When dispensing a drug with LASA potential, the practitioner
        should inquire if the drug is a routine or new medication. In
        the event the patient does not recognize the drug, the
        prescription should be withheld until clarification can be made
        with the prescriber.

**[Implications for VA:]{.underline}**

The pilot LASA for NME program utilizing the MDPC search engine provides
a standardized format for evaluating LASA drug name potentials. This is
just one piece of the armamentarium in ensuring medication safety for
our Veteran patients. The responsibility still rests upon physicians,
nurses, and pharmacists to attentively inspect each prescription order
for its intended use. Having safeguards and alerts in place, combined
with the efforts of providers, will provide an environment that would
minimize the potential for medication errors to occur.

**[Future Plans]{.underline}**

A prototype evaluation of known LASA drug pairs has been conducted. This
tool will be used to evaluate the LASA for NME pilot program to search
for real and potential or "close call" errors. A Phase 2 SBIR grant
(Reducing Drug Name Confusion with Better Search Software,
1R43RR021232-01) was awarded to Dr. Lambert\'s company, Pharm I.R.,
Inc., in 2007, with Dr. King Lup Liu as the PI. The goal of the SBIR
grant is to design and test a system for detecting drug name confusion
errors in integrated electronic medical records. The VA is acting as a
subcontractor on that project, and the analysis will be conducted on VA
national prescribing and diagnostic data. Preliminary results should be
available in late 2008 or early 2009.\"

**[References:]{.underline}**

1.  USP Quality Review. March 2001. No. 76

2.  JCAHO. *Sentinel Event Alert*. Issue 19 - May 2001.

3.  Lambert BL, Yu C, Thirumalai M. A system for multiattribute drug
    product comparison. J Med Syst. Vol. 28, No. 1, February 2004.

**Appendix III**

+-------+------------+------------------------------------------------+
|       | **NME**    | **LASA Names**                                 |
+-------+------------+------------------------------------------------+
| 1     | **Aza      | Cimetidine, famotidine, ranitidine,            |
|       | citidine** | azathioprine, azulfidine, capecitabine,        |
|       |            | zalcitabine                                    |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Videx, Vitrase, Viadur                         |
|       | *Vidaza™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 2     | **Ci       | Sulfisoxazole, colestipol, clozaril, cozaar,   |
|       | lostazol** | inositol, aldactazide, voriconazole            |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Plendil                                        |
|       | *Pletal™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 3     | **Du       | Fluoxetine, atomoxetine, paroxetine, Dulcolax  |
|       | loxetine** |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **C        | Symbyax                                        |
|       | ymbalta™** |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 4     | **E        | Gefitinib, imatinib                            |
|       | rlotinib** |                                                |
|       |            |                                                |
|       | (ge        |                                                |
|       | neric**)** |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Pexeva                                         |
|       | Tarceva™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 5     | **Esz      | Testolactone, buspirone, risperidone,          |
|       | opiclone** | ropinirole                                     |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Menest, Cenestin, Lutera, Congestac, Nestabs   |
|       | Lunesta™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 6     | **         | Bimatoprost, latanoprost, travoprost           |
|       | Iloprost** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **V        | Ventolin inh., Ventuss Syrup, Tavist Syrup     |
|       | entavis™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 7     | **         | Orlenta, Uristat                               |
|       | Orlistat** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Xiral, Xeloda                                  |
|       | Xenical™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 8     | **Pe       | Paganone, paraplatin, imatinib, gefitinib,     |
|       | gaptanib** | Protonix                                       |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Adagen, magnesium sulfate, glucagen,           |
|       | Macugen™** | mustargen, salagen                             |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 9     | **Pe       | A-methapred, Penetrex, trimetrexate,           |
|       | metrexed** | ceftriaxone, Cetapred, Emetrol, Medipred,      |
|       |            | Merrem, methotrexate                           |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Alinia, Elimite, Aceta, Adalimunab, Alfenta,   |
|       | *Alimta™** | Esclim                                         |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 10    | **Pra      | Prandin                                        |
|       | mlintide** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Insulin                                        |
|       | *Symlin™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 11    | Rifaximin  | Rifampin, rifapentine, rifabutin, Rifater      |
+-------+------------+------------------------------------------------+
|       | Xifaxan™   | Xanax, Biaxin                                  |
+-------+------------+------------------------------------------------+
| 12    | **Sib      | Imipramine, topiramate                         |
|       | utramine** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Mexitil, meperidine                            |
|       | Meridia™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 13    | **Telit    | Erythromycin, clarithromycin, azithromycin,    |
|       | hromycin** | dirithromycin                                  |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Ketek™** | Keflex, Keftab, K-pek, Kaopek                  |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 14    | **Aca      | Bacampicillin, acarbose, camptosar             |
|       | mprosate** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Camptosar, Keppra, captopril                   |
|       | Campral™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 15    | **Apo      | Oxymorphone, hydromorphone, atomoxetine,       |
|       | morphine** | morphine                                       |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Naprosyn, Unasyn, Zosyn                        |
|       | *Apokyn™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 16    | **Bev      | Daclizumab, efalizumab, omalizumab,            |
|       | acizuma**b | palivizumab, adalimumab, basiliximab,          |
|       |            | abciximab                                      |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Fastin, Arestin, Avandia, avandamet, Vantin    |
|       | Avastin™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 17    | **Mi       | Caspofungin, Fungizone, Macugen                |
|       | cafungin** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **M        | Micatin, Mysoline                              |
|       | ycamine™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 18    | **         | Olanzapine (oral route), clozapine,            |
|       | Olanzapine | mirtazapine, Flolan, loxapine                  |
|       | IM**       |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Zyprexa  | Zyprexa (oral route,including Zydis), Zyrtec,  |
|       | IM™**      | Ziprasidone mesylate (Geodon IM), Hiprex,      |
|       |            | Chorex, Zephrex                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
| 19    | **Tdap**   | DDAVP, Orap, APAP, DTPA, Q-TAPP                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Adagen, Aranelle, Ascarel                      |
|       | *Adacel™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 20    | **Ti       | Atazanavir, indinavir, lopinavir, amprenavir,  |
|       | pranavir** | nelfinavir, saquinavir, trizivir, Famvir,      |
|       |            | ritonavir                                      |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Activella, Antivert, Sustiva, Ativan, Actos    |
|       | Aptivus™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 21    | **C        | rituximab, abciximab, cefotaxime, alemtuzumab, |
|       | etuximab** | ceftizoxime,                                   |
|       |            |                                                |
|       | (generic)  | Rituxan, trastuzumab, basiliximab              |
+-------+------------+------------------------------------------------+
|       | **         | Rubex, Rituxan                                 |
|       | Erbitux™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 22    | **Ci       | Calcet                                         |
|       | nacalcet** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **S        | Buspar, Senna products                         |
|       | ensipar™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 23    | **E        | gefitinib, imatinib                            |
|       | rlotinib** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Pexeva                                         |
|       | Tarceva™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 24    | **E        | Nateglinide; ethionamide                       |
|       | xenatide** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Diabeta                                        |
|       | *Byetta™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 25    | **E        | Escitalopram, eszopiclone, glipizide           |
|       | zetimibe** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Zetia™** | Zebeta 10 mg, Zovia 1/150, Zerit 1 mg, Meridia |
|       | or         | 10 mg, Zyrtec                                  |
|       | **         |                                                |
|       | Vytorin™** | 10 mg, Voltaren, Vantin, Vysken.               |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 26    | **Hy       | Isordil, Isosorbide dinitrate, hydralazine,    |
|       | dralazine/ | hydroxyzine                                    |
|       | Isosorbide |                                                |
|       | D          |                                                |
|       | initrate** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Bidil™** | Bentyl, Isordil, Paxil, Plendil                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 27    | *          | Aluminum hydroxide, lithium carbonate          |
|       | *Lanthanum |                                                |
|       | C          |                                                |
|       | arbonate** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **F        | Fiorinal, Fosfree, Fer-In-Sol                  |
|       | osrenol™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 28    | **Omega-3  | Omeprazole,Orap                                |
|       | fatty acid |                                                |
|       | ethyl      |                                                |
|       | esters**   |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Omeprazole, Mevacor, Orap, Amicar              |
|       | *Omacor™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 29    | **Pari     | Calcitriol, ergocalciferol, paclitaxel         |
|       | calcitol** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Remular Tempra Gemzar, Zanosar                 |
|       | Zemplar™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 30    | **R        | Ramipril                                       |
|       | amelteon** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Remeron, Reminyl, Razadyne, Romazicon          |
|       | Rozerem™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 31    | **Omapraz  | propanolol HCl 40mg tab, sodium bicarb 1.9G    |
|       | ole/Sodium | effervescent tab, omeprazole magnesium 20mg DR |
|       | bic        | tab, dapiprazole HCl 0.5G Opthalmic powder for |
|       | arbonate** | reconst, esomeprazole mag 20mg DR capsule.     |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Vepesid 50mg capsule, megestrol 100G powder    |
|       | Zegerid™** | for compounding, Zerit 1mg powder for          |
|       |            | reconst., Tegaserod 2mg tab, Zephrex 400mg     |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 32    | **S        | Solifenacin, sorine, soriatane, erlotinib,     |
|       | orafenib** | imatinib, Lorabid                              |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Nexium, Nicolar, Temodar, Anabar, Benicar,     |
|       | Nexavar™** | Cozaar, Donnamar, Niacor, Tasmar, Elspar,      |
|       |            | Gemzar, Toposar                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 33    | **B        | Bromfed-DM syrup, bromfenax PD 6mg cap,        |
|       | romfenac** | nepafenac opth. Soln, diclofenac ophth. Soln,  |
|       |            | ketorolac ophth. Soln.                         |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Xalatan ophthalmic solution, Xigris injection, |
|       | *Xibrom™** | Xeloda 150mg tab                               |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 34    | **Tig      | Mitomycin, Tetracycline HCl, Timentin,         |
|       | ecycline** | Ticarcillin Disodium, Ticar, Terramycin        |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Fluorouracil, Adrucil, Adriamycin RDF,         |
|       | Tygacil™** | Cisplatin, Doxil, Idamycin, Mithracin,         |
|       |            | Mitomycin, Mutamycin, Tagamet, Pipracil,       |
|       | (brand)    | Totacillin-N, Diuril sodium, Ticarcillin       |
|       |            | disodium, Triavil, Tridil, Kytril, Mycamine,   |
|       |            | Tigan, Tusal                                   |
+-------+------------+------------------------------------------------+
| 35    | **A        | Aricept®,Abelcet®, Alefacept, Atrosept®,       |
|       | batacept** | Etanercept                                     |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Aredia®, Oretic®, Iressa®, Auranofin, Orfro®,  |
|       | Orencia™** | Anexsia®                                       |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| *     | **Lubi     | **testosterone, progesterone, dinoprostone,    |
| *36** | prostone** | mifepristone, misoprostol, unoprostone,        |
|       |            | Lupron, Lunesta, Loprox, Lubrex**              |
|       | **(        |                                                |
|       | generic)** |                                                |
+-------+------------+------------------------------------------------+
|       | **A        | Alinia, Alimta, Avita, Amitex, Avinza, Amikin, |
|       | mitiza™**\ | Antara, Antizol, Arixtra, Emtriva,             |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 37    | **S        | gefitinib, sumatriptan, Sinemet, erlotinib,    |
|       | unitinib** | sorafenib, imatinib                            |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Sufenta, Sinemet, Subutex, Nipent, Serevent,   |
|       | *Sutent™** | sufentanil, Alupent                            |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 38    | **N        | Bromfenac, Naprapac, Mefenamic acid            |
|       | epafenac** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Neo-Dex, Valnac cream**,** Nolvadex, Kinevac,  |
|       | Nevanac™** | Navane,                                        |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 39    | **Anidu    | other echinocandins caspofungin and micafungin |
|       | lafungin** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Eurax (crotamiton) -- topical scabicidal       |
|       | *Eraxis™** | cream, Exratuss oral suspension                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 40    | **Def      | deferoxamine, Desferal, divalproex, dexferrum  |
|       | erasirox** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Excedrin, Velcade, Endrate, Estrace,           |
|       | *Exjade™** | exemestane                                     |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 41    | **         | Nesacaine inj., clofarabine inj., fludarabine  |
|       | Nelarabine | inj., cytarabine inj., cladribine inj.,        |
|       | Inj**      | nephramine inj., nevirapine tab, navelbine     |
|       |            | inj., gemcitabine inj, nicardipine inj.        |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Arranon™ | Aranelle, adagen inj, amrinone inj, aramine    |
|       | Inj**      | inj, aranesp inj, aredia inj, albalon          |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 42    | **Oxy      | oxycodone, oxymetholone, oxandrolone,          |
|       | morphone** | OxyContin, hydromorphone, morphine, Oramorph   |
|       |            | SR; oxymorphone IR may be mistaken for         |
|       | (generic)  | oxymorphone ER and vice versa                  |
+-------+------------+------------------------------------------------+
|       | **Opana™** | None                                           |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 43    | **Ran      | Bevacizumab, daclizumab, efalizumab,           |
|       | ibizumab** | rituximab, pegaptanib                          |
|       |            |                                                |
|       | (ge        |                                                |
|       | neric**)** |                                                |
+-------+------------+------------------------------------------------+
|       | **L        | Lumigan, livostin, lantus, lunesta, luveris    |
|       | ucentis™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 44    | **Sit      | Sumatriptan 100mg tablets, simvastatin 10mg    |
|       | agliptin** | tablets, Symlin injection                      |
|       | 25mg, 50,  |                                                |
|       | 100mg      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Enjuvia 0.3mg tablets, Avandia 2mg tablets     |
|       | Januvia™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 45    | **Posa     | Pantoprazole, Pediazole, propranolol,          |
|       | conazole** | fluconazole, voriconazole                      |
|       | 40mg/mL    |                                                |
|       | susp;      |                                                |
|       | 200mg TID  |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Norfloxacin, nexavar 200mg, Amoxil, moexipril, |
|       | Noxafil™** | Mexitil, Monopril 40mg, paxil                  |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 46    | **D        | Abacavir 300mg tablet, Denavir 0.1% cream,     |
|       | arunavir** | tenofovir 300mg tablet, Trizivir 300mg tablet, |
|       | 300mg      | Anabar 300mg tablet, Combivir 300mg tablet,    |
|       | tablets;   | Epivir 300mg tablet, Retrovir 300mg tablets,   |
|       | 600mg BID  | indinavir 100mg capsule, and daunorubicin 2mg  |
|       |            | injection.                                     |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **P        | Evista 60mg tablets, prazosin 1mg capsule,     |
|       | rezista™** | Pronestyl 250mg tablet, Pexeva 30mg tablet,    |
|       |            | and Trizivir 300mg tablet.                     |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 47    | **E        | Entacapone; combivir, abacavir, epivir,        |
|       | ntecavir** | amprenavir                                     |
|       | 0.5mg, 1mg |                                                |
|       | tablets,   |                                                |
|       | 0.05mg/mL  |                                                |
|       | soln.      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Ba       | Baclofen                                       |
|       | raclude™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 48    | **Zoster   | Zoladex, Zorbtive, Zovirax                     |
|       | Vaccine    |                                                |
|       | Live**     |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Z        | Varivax, Zenapax, Zovirax, YF-Vax              |
|       | ostavax™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 49    | **Pr       | Pregnyl, Prevalite, progesterone, Prograf,     |
|       | egabalin** | proguanil                                      |
|       | 25-, 50-,  |                                                |
|       | 75-, 100-, |                                                |
|       | 150-,      |                                                |
|       | 200-,      |                                                |
|       | 225-, and  |                                                |
|       | 300-mg     |                                                |
|       | capsules.  |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Lysine, Lymerix, , Lutera, Luride              |
|       | *Lyrica™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 50    | **Norg     | norgestrel/ethinyl estradiol,                  |
|       | estimate** | levonorgestrel/ethinyl estradiol,              |
|       |            | norethindrone/ethinyl estradiol, nortriptyline |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Mo       | monoket, micronor, menest, trinessa, jolessa,  |
|       | noNessa™** | iressa, TriNessa                               |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
|       | **T        | iressa, trisenox, MonoNessa                    |
|       | riNessa™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 51    | **Qu       | Quadramet; Growth hormone; Hyaluronidase       |
|       | adrivalent | recombinant; HP Acthar Gel, Hepatitis B        |
|       | HPV        | vaccine                                        |
|       | vaccine or |                                                |
|       | human      |                                                |
|       | papi       |                                                |
|       | llomavirus |                                                |
|       | vaccine or |                                                |
|       | HPV        |                                                |
|       | vaccine**  |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **G        | Lamisil, Adacel, Dermasil, Gelusil, Vistaril,  |
|       | ardasil™** | Lioresal, Gammagard                            |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 52    | **Pan      | Gemtuzumab, adalimumab, alemtuzumab,           |
|       | itumumab** | basiliximab, bevacizumab, cetuximab,           |
|       |            | daclizumab, irbritumomab, natalizumab,         |
|       | (generic)  | palivizumab, ranibuzumab, rituximab,           |
|       |            | trastuzumab, abciximab, efalizumab, omalizumab |
+-------+------------+------------------------------------------------+
|       | **V        | Ventavis, cerebyx, vepesid, varivax            |
|       | ectibix™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 53    | **         | Selegiline oral tablets, sertraline, other     |
|       | Selegilene | transdermal products including scopolamine,    |
|       | Tra        | fentanyl, and nitroglycerin                    |
|       | nsdermal** |                                                |
|       |            |                                                |
|       | **(        |                                                |
|       | generic)** |                                                |
+-------+------------+------------------------------------------------+
|       | **EMSAM™** | EMLA, Emcyt, SAM-E, Emcin clear (swab), Emko   |
|       |            | foam, Emgel                                    |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 54    | **Co       | Ativan injection, tablets, Coumadin tablets,   |
|       | nivaptan** | Sumatriptan injection, tablets, Carboplatin    |
|       |            | injection                                      |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **V        | Valproate sodium injection, pantoprazole       |
|       | aprisol™** | sodium injection, allopurinol tablets          |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 55    | **Zi       | Zidovudine (injectable)                        |
|       | conotide** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Primabalt, Promit (both injectable)            |
|       | *Prialt™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 56    | **Lena     | thalidomide, leflunomide, leuprolide,          |
|       | lidomide** | finasteride, temozolomide                      |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **R        | Revatio, Thalomid, Revia                       |
|       | evlimid™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 57    | **Inhaled  | Intal inhaler                                  |
|       | Insulin**  |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Exenatide                                      |
|       | Exubera™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 58    | **Insulin  | All insulin products                           |
|       | detemir**  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Insulin lispro, sevelemer.                     |
|       | Levemir™** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 59    | **T        | Lamivudine 150mg tablet,                       |
|       | elbivudine | [Z]{.smallcaps}idovudine 300mg tablet,         |
|       | 600mg      | Stavudine 15, 20, 30, 40mg capsule or oral     |
|       | Tablets**  | solution, Terbinafine 250mg tablet,            |
|       |            | Terbutaline 2.5mg tablet, Delavirdine          |
|       | (generic)  | 100/200mg tablet, Ticlopidine 250mg tablet,    |
|       |            | Tizanidine 2mg tablet, Tolterodine 1mg tablet, |
|       |            | Teveten 600mg tablet, Lodine XL 600mg tablet,  |
|       |            | Ribavirin 600mg tablet                         |
+-------+------------+------------------------------------------------+
|       | **Tyzeka™  | Tarceva 100mg tablet, Tarka 1mg tablet, Taztia |
|       | 600mg      | XT 120mg capsule, Tyzine nasal solution,       |
|       | Tablets**  | Tygacil 50mg intravenous, Sustiva 600mg        |
|       |            | tablet, Teczem 180mg tablet, Tiazac 120mg      |
|       | (brand)    | capsule, Zyprexa 10mg tablet                   |
+-------+------------+------------------------------------------------+
| 60    | **         | Vesanoid\*, Uristat, Vagistat-1, voriconazole, |
|       | Vorinostat | venastat                                       |
|       | 100 mg     |                                                |
|       | Capsules** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Zolinza  | Zoladex\*, Zavesca, Ralenza, Zovia, Avinza     |
|       | 100mg      |                                                |
|       | Capsules** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 61    | **Ar       | Albuterol inh soln, formoterol inh cap,        |
|       | formoterol | salmeterol inh powder, metaproterenol, Forane, |
|       | inhalation | aripiprazole, Foradil,                         |
|       | solution** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Brovana  | Bravelle inj, broncho saline metered inhaler,  |
|       | inhalation | Provera tab, Boniva tab, Forane inh liquid,    |
|       | solution** | Opana tab                                      |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 62    | **N        | Natamycin 0.05mg suspension, nateglinide 120mg |
|       | atalizumab | tab, alemtuzumab 30mg inj.                     |
|       | 300mg vial |                                                |
|       | Inj**      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Tysabri  | Ticar 30Gm Inj, Tygacil 50mg Inj, Tobi 300mg   |
|       | 300mg vial | soln, tobramycin 300mg soln                    |
|       | Inj**      |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 63    | **         | Razadyne 12mg tab, raloxifene 60mg tab,        |
|       | Rasagiline | selegiline 5mg cap, repaglinide 1mg tab,       |
|       | 0.5mg, 1mg | ranitidine 150mg tab, rapamune 1mg             |
|       | tab**      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Azilect  | Adalat cc 30mg ER tab, Aricept 5mg tab\*(ISMP  |
|       | 0.5mg, 1mg | high alert), Azelex 0.2mg Cream, Acilac 10Gm   |
|       | tab**      | soln, Anzemet 100mg tab                        |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 64    | *          | Erlotinib, imiatinib, gefitinib, sorafenib,    |
|       | *Dasatanib | sunitinib                                      |
|       | 20mg,      |                                                |
|       | 50mg, 70mg |                                                |
|       | tab**      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Sprycel  | Sprintec, Seroquel 50mg tab, Spiriva,          |
|       | 20mg,      | Symmetrel                                      |
|       | 50mg, 70mg |                                                |
|       | tab**      |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 65    | **         | Cytarabine, capecitabine, zalcitabine,         |
|       | Decitabine | dacarbazine, desirudin, dobutamine,            |
|       | 50mg Inj** | gemcitabine                                    |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Dacogen  | Desogen, Dulcogen, Adagen, Depacon,            |
|       | 50mg inj** | drotrecogin alfa                               |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 66    | **Myc      | Mycophenolate Mofetil (Cellcept), metformin,   |
|       | ophenolate | meloxicam, mefenamic acid, mepenzolate bromide |
|       | Sodium     |                                                |
|       | 180mg,     |                                                |
|       | 360mg      |                                                |
|       | tab**      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Mobic, Myproic, Milophene, Myadec, Mycobutin   |
|       | Myfortic** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 67    | *          | Eskalith 350mg tab/cap, 450mg CR cap, Visken   |
|       | *Aliskiren | 5mg, 10mg tab                                  |
|       | 150mg,     |                                                |
|       | 300mg      |                                                |
|       | tab**      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Tekturna | Ketek 400mg tab, Sanctura 20mg tab, Tarceva    |
|       | 150mg,     | 25mg, 100mg, 150mg tab, Taztia XT 120mg,       |
|       | 300mg      | 180mg, 240mg, 300mg, 360mg cap, Tetrex 250mg   |
|       | tab**      | cap                                            |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 68    | **R        | Rapamune tab, Remodulin inj soln, Renaming     |
|       | etapamulin | inj, ethamolin inj, repaglinide tab, Retin-a   |
|       | 1% topical | micro topical gel                              |
|       | ointment** |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Altabax  | Aldara topical cream, Aldex D oral susp, Alrex |
|       | 1% topical | ophth susp, Altafed oral syrup, Altalube ophth |
|       | ointment** | oint, Altazine ophth soln, Altac cap, Altinac  |
|       |            | top cream, Clobex top lotion, Allermax tab,    |
|       | (brand)    | Alphatrex top gel, Eurax top cream, Lidex top  |
|       |            | oint, Lotemax ophth susp/drops, Mentax top     |
|       |            | cream, Taclonex top oint.                      |
+-------+------------+------------------------------------------------+
| 69    | *          | Malarone 250mg tab, Marinol 2.5mg cap, Avapro  |
|       | *Maraviroc | 150mg tab, Marezine 50mg tab, Miradon 50mg Tab |
|       | 150mg,     | (high alert), Mavik 1mg tab, Myrac 100mg tab,  |
|       | 300mg      | Deferasirox 125mg tab                          |
|       | tab**      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Celontin 150mg cap, sildenafil 20mg tab,       |
|       | *Selzentry | Selsun top lotion, Symmetrel 100mg tab,        |
|       | 150mg,     | Century tab, selenium tab, sertraline 150mg    |
|       | 300mg      | tab, Sulindac 150mg tab, Zantryl 150mg tab,    |
|       | tab**      | Serevent inh powder, Selseb top shampoo        |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 70    | **R        | Entecavir 0.5mg tab, abacavir 600mg tab,       |
|       | altegravir | retrovir 300mg tab, ritonavir 50mg tab,        |
|       | 400mg      | acyclovir 400mg tab, adefovir dipivoxil 10mg   |
|       | tab**      | tab, atazanavir sulfate 100mg cap, darunavir   |
|       |            | 300mg tab, lopinavir 200mg tab, nelfinavir     |
|       | (generic)  | 625mg tab, saquinavir 500mg tab, raloxifene    |
|       |            | 60mg tab, relamine 400mg tab, sevelamer 400mg  |
|       |            | tabt, tiprananvir 250mg cap                    |
+-------+------------+------------------------------------------------+
|       | *          | Isotretinoin 10mg cap, trental 400mg tab,      |
|       | *Isentress | B-stress tab, sectral 400mg cap, stress 600    |
|       | 400mg      | with zinc tab, isuprel 0.2mg injectable (high  |
|       | tab**      | alert according to ISMP), I-sense tab, Ibu-tab |
|       |            | 400mg tab, Iressa 250mg tab, isochron 40mg     |
|       | (brand)    | tab, isoniazid 150mg cap, isoptin 40mg tab,    |
|       |            | stresstabs                                     |
+-------+------------+------------------------------------------------+
| 71    | **P        | Perflutren IV susp, Nitromist SL spray,        |
|       | erforomist | Pemirolast ophth drops, perphenazine tab,      |
|       | 20mcg/2mL  | mucomyst inh soln, paromomycin cap, Porfimer   |
|       | neb        | inj, Prohist syrup, Pulmicort inh suspension   |
|       | solution** |                                                |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Albuterol inh soln, Fortical nasal spray,      |
|       | Formoterol | Forane inh soln, arformoterol inh soln,        |
|       | neb        | Foradil inh powder, formoterol inh powder,     |
|       | solution** | Fosrenol tab, Forma-ray topical soln,          |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
| 72    | **Bisk     | Calcitriol, bisacodyl, eskalith, paskalium,    |
|       | alcitrate, | bismuth subsalicylate, bismatrol, caltrate,    |
|       | metr       | citrate                                        |
|       | onidazole, |                                                |
|       | te         |                                                |
|       | tracycline |                                                |
|       | cap**      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Pylera   | Relera, Provera, Pexeva, Pyrelle, Alera,       |
|       | cap**      | Myleran, Pyrantel                              |
|       |            |                                                |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 73    | *          | Dasatinib tab, erlotinib tab, imatinib tab,    |
|       | *Lapatinib | sunitinib cap, gefitinib cap, Laniazid tab,    |
|       | 500mg      | Larotid suspension, pegatanib intraocular      |
|       | tab**      | soln, sorafenib tab, Lapase cap, olopatadine   |
|       |            | ophth soln.                                    |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Tykerb   | Tyzeka tab, Tylox cap, Tarka tab, Tikosyn cap, |
|       | tab**      | Tycolene tab, Tysabri Intravenous, Tyzine      |
|       |            | nasal soln                                     |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 74    | **         | Ranitidine 150mg tab, relamine tab, rasagiline |
|       | Ranolazine | 0.5mg tab, rimantidine 100mg tab, hydralazine  |
|       | 500mg      | 37.5mg tab, Relasin DM liq, sulfasalazine      |
|       | tabs**     | 500mg tab                                      |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **Ranexa** | Celxa 10, 20, 40mg tab, Zyprexa 2.5-20mg tab,  |
|       |            | Renax 5.5mg tab, Rynesa soln                   |
|       | *          |                                                |
|       | *(brand)** |                                                |
+-------+------------+------------------------------------------------+
| 75    | **Az       | Azithromycin inj, azithromycin tab,            |
|       | ithromycin | erythromycin oph ointment, apraclonidine 1%    |
|       | 1% oph     | oph soln, atropine 1% oph soln, cortomycin 1%  |
|       | soln**     | opth suspension                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | *          | Azacitidine powder inj, Azasan tab, azelastine |
|       | *Azasite** | oph soln, azatadine tab, Azopt oph susp,       |
|       |            | altazine oph soln, antazoline oph son          |
|       | (brand)    |                                                |
+-------+------------+------------------------------------------------+
| 76    | **Lovaza   | Lofibra, Rowasa, Zavesca, lovastatin,          |
|       | (formerly  | lorazepam, Lovenox, Levitra, Levora, Lokara,   |
|       | Omacor)**  | Lozol, Lunesta, Levacet, Levoxyl, Novasa,      |
|       |            | Zolinza                                        |
|       | (Brand)    |                                                |
+-------+------------+------------------------------------------------+
| 77    | **         | Naltrexone tabs, nalmefene inj, naloxone inj,  |
|       | Naltrexone | Natrecor inj powder, nalbuphine inj            |
|       | Inj**      |                                                |
|       |            |                                                |
|       | (generic)  |                                                |
+-------+------------+------------------------------------------------+
|       | **         | Vistaril inj, vivaglobin inj, Vivactil tab     |
|       | Vivitrol** | (from Drugs@FDA)                               |
|       |            |                                                |
|       | (Brand)    |                                                |
+-------+------------+------------------------------------------------+