25 DRUG NAME(S) PREFERRED OPTION(S) eletriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan, NURTEC ODT, TOSYMRA, UBRELVY or ZEMBRACE SYMTOUCH triamcinolone aerosol 0.2% hydrocortisone butyrate cream, hydrocortisone butyrate ointment, hydrocortisone butyrate solution, mometasone, triamcinolone cream, triamcinolone lotion, triamcinolone ointment (except triamcinolone ointment 0.05%) triamcinolone ointment 0.05% hydrocortisone butyrate cream, hydrocortisone butyrate ointment, hydrocortisone butyrate solution, mometasone, triamcinolone cream, triamcinolone lotion, triamcinolone ointment (except triamcinolone ointment 0.05%) TRICOR fenofibrate (except fenofibrate capsule 30 mg, 50 mg, 90 mg, 130 mg; fenofibrate tablet 40 mg, 120 mg), fenofibric acid delayed- rel TRILEPTAL carbamazepine, carbamazepine ext-rel, divalproex sodium, divalproex sodium ext-rel, eslicarbazepine, gabapentin, lacosamide, lamotrigine, lamotrigine ext-rel, levetiracetam, levetiracetam ext-rel, oxcarbazepine, phenobarbital, phenytoin, phenytoin sodium extended, pregabalin, primidone, tiagabine, topiramate, topiramate ext-rel, valproic acid, zonisamide, BRIVIACT, OXTELLAR XR, XCOPRI TRI-VI-FLOR generic multivitamins TRIVIDIA INSULIN SYRINGES BD ULTRAFINE INSULIN SYRINGES, EMBECTA ULTRAFINE INSULIN SYRINGES (except certain NDCs) TronVite generic multivitamins TRUDHESA eletriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan, NURTEC ODT, TOSYMRA, UBRELVY, ZEMBRACE SYMTOUCH TRUETEST STRIPS AND KITS ACCU-CHEK AVIVA PLUS STRIPS AND KITS, ACCU-CHEK GUIDE STRIPS AND KITS, ACCU-CHEK SMARTVIEW STRIPS AND KITS, DRUG NAME(S) PREFERRED OPTION(S) TRUE METRIX STRIPS AND KITS TRUETRACK STRIPS AND KITS ACCU-CHEK AVIVA PLUS STRIPS AND KITS, ACCU-CHEK GUIDE STRIPS AND KITS, ACCU-CHEK SMARTVIEW STRIPS AND KITS, TRUE METRIX STRIPS AND KITS TUDORZA SPIRIVA ULORIC allopurinol ULTIMED INSULIN SYRINGES BD ULTRAFINE INSULIN SYRINGES, EMBECTA ULTRAFINE INSULIN SYRINGES (except certain NDCs) ULTIMED NEEDLES BD ULTRAFINE NEEDLES, EMBECTA ULTRAFINE NEEDLES (except certain NDCs) ULTRAVATE clobetasol cream, clobetasol foam (except clobetasol emollient foam), clobetasol gel, clobetasol lotion, clobetasol ointment, halobetasol cream, halobetasol ointment umeclidinium-vilanterol ANORO ELLIPTA, STIOLTO RESPIMAT UROXATRAL alfuzosin ext-rel, doxazosin, silodosin, tamsulosin, terazosin V-GO INSULIN INFUSION PUMP OMNIPOD 5 INSULIN INFUSION PUMP, OMNIPOD DASH INSULIN INFUSION PUMP, OMNIPOD INSULIN INFUSION PUMP, TWIIST INSULIN INFUSION PUMP AND SUPPLIES VALCYTE valganciclovir VALTREX acyclovir capsule, acyclovir tablet, valacyclovir Vanoxide-HC adapalene (except adapalene pad), benzoyl peroxide, clindamycin gel (except NDC 68682046275), clindamycin solution, clindamycin-benzoyl peroxide, dapsone, erythromycin solution, erythromycin-benzoyl peroxide, tazarotene, tretinoin, AKLIEF, EPIDUO, TWYNEO, WINLEVI VASCULERA Talk to your doctor VECTICAL calcipotriene ointment, calcipotriene solution, tazarotene, VTAMA, ZORYVE CREAM, ZORYVE FOAM VELPHORO calcium acetate, sevelamer carbonate, AURYXIA venlafaxine ext-rel tablet (except 225 mg) desvenlafaxine ext-rel, duloxetine, venlafaxine,
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