21 DRUG NAME(S) PREFERRED OPTION(S) Niacor niacin ext-rel NICADAN generic multivitamins NICAPRIN generic multivitamins NICAZEL, NICAZEL FORTE generic multivitamins NICOMIDE generic multivitamins NILANDRON abiraterone, bicalutamide, ERLEADA, NUBEQA, XTANDI, YONSA nitrofurantoin (NDC 16571074024 only) nitrofurantoin (except NDC 16571074024) Norgesic Forte cyclobenzaprine (except cyclobenzaprine tablet 7.5 mg) NORITATE azelaic acid gel, brimonidine gel, ivermectin cream, metronidazole, FINACEA FOAM NORPACE disopyramide NORVASC amlodipine, nifedipine ext-rel NOURIANZ entacapone, pramipexole, pramipexole ext-rel, rasagiline, ropinirole, ropinirole ext-rel, selegiline, NEUPRO NOVO NORDISK NEEDLES BD ULTRAFINE NEEDLES, EMBECTA ULTRAFINE NEEDLES (except certain NDCs) NOXAFIL fluconazole, itraconazole NUCYNTA hydromorphone, morphine, oxycodone NUCYNTA ER fentanyl transdermal, hydrocodone ext-rel, hydromorphone ext-rel, methadone, morphine ext-rel NuDiclo TabPak diclofenac sodium, diclofenac sodium gel 1%, diclofenac sodium solution 1.5%, ibuprofen, meloxicam tablet, naproxen (except naproxen CR or naproxen suspension) NUEDEXTA Talk to your doctor NUVARING ethinyl estradiol-etonogestrel, ANNOVERA NUVIGIL armodafinil, modafinil, SUNOSI omeprazole-sodium bicarbonate esomeprazole delayed-rel, lansoprazole delayed-rel capsule, omeprazole delayed-rel, pantoprazole delayed-rel tablet OMNARIS azelastine-fluticasone, flunisolide, fluticasone, mometasone, XHANCE ONETOUCH LANCETS / LANCING DEVICES ACCU-CHEK LANCETS / LANCING DEVICES ONETOUCH ULTRA STRIPS AND ACCU-CHEK AVIVA PLUS STRIPS DRUG NAME(S) PREFERRED OPTION(S) KITS, ONETOUCH VERIO STRIPS AND KITS AND KITS, ACCU-CHEK GUIDE STRIPS AND KITS, ACCU-CHEK SMARTVIEW STRIPS AND KITS, TRUE METRIX STRIPS AND KITS ONFI clobazam, clonazepam, lamotrigine, rufinamide, topiramate, topiramate ext-rel ONGLYZA saxagliptin, ZITUVIO ONZETRA XSAIL eletriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan, NURTEC ODT, TOSYMRA, UBRELVY, ZEMBRACE SYMTOUCH orphenadrine-aspirin-caffeine cyclobenzaprine (except cyclobenzaprine tablet 7.5 mg) Orphengesic Forte cyclobenzaprine (except cyclobenzaprine tablet 7.5 mg) ORTHO D folic acid, generic multivitamins ORTHO DF folic acid, generic multivitamins OSMOPREP peg 3350-electrolytes (except generics for MOVIPREP), sodium sulfate-potassium sulfate- magnesium sulfate, CLENPIQ OSPHENA estradiol OWEN MUMFORD NEEDLES BD ULTRAFINE NEEDLES, EMBECTA ULTRAFINE NEEDLES (except certain NDCs) oxiconazole (NDCs 00168035830, 51672135902 only) ciclopirox, clotrimazole, econazole, ketoconazole cream 2%, naftifine OXYCONTIN fentanyl transdermal, hydrocodone ext-rel, hydromorphone ext-rel, methadone, morphine ext-rel oxymorphone ext-rel fentanyl transdermal, hydrocodone ext-rel, hydromorphone ext-rel, methadone, morphine ext-rel OXYTROL darifenacin ext-rel, fesoterodine ext-rel, oxybutynin ext-rel, solifenacin, tolterodine, tolterodine ext-rel, trospium, trospium ext-rel, GEMTESA pantoprazole delayed-rel suspension esomeprazole delayed-rel, lansoprazole delayed-rel capsule, omeprazole delayed-rel, pantoprazole delayed-rel tablet paroxetine HCl ext-rel (NDC 60505367503 only) citalopram, escitalopram, fluoxetine (except fluoxetine tablet 60 mg, fluoxetine tablet [generics for SARAFEM]), paroxetine HCl, paroxetine HCl ext-rel (except NDC
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