13 DRUG NAME(S) PREFERRED OPTION(S) OZEMPIC, RYBELSUS, TRULICITY BYETTA liraglutide, MOUNJARO, OZEMPIC, RYBELSUS, TRULICITY BYSTOLIC acebutolol, atenolol, carvedilol, carvedilol phosphate ext-rel, metoprolol succinate ext-rel, metoprolol tartrate, nadolol, nebivolol, pindolol, propranolol, propranolol ext-rel calcipotriene cream, CALCIPOTRIENE FOAM calcipotriene ointment, calcipotriene solution, tazarotene, VTAMA, ZORYVE CREAM, ZORYVE FOAM calcipotriene-betamethasone calcipotriene ointment or calcipotriene solution WITH desoximetasone (except desoximetasone ointment 0.05%), fluocinonide (except fluocinonide cream 0.1%) or BRYHALI; tazarotene, ENSTILAR, VTAMA, ZORYVE CREAM, ZORYVE FOAM calcitriol ointment calcipotriene ointment, calcipotriene solution, tazarotene, VTAMA, ZORYVE CREAM, ZORYVE FOAM CAMBIA diclofenac sodium, ibuprofen, naproxen (except naproxen CR or naproxen suspension) Capsinac diclofenac sodium, diclofenac sodium gel 1%, diclofenac sodium solution 1.5%, ibuprofen, meloxicam tablet, naproxen (except naproxen CR or naproxen suspension) CARAFATE sucralfate tablet carbinoxamine tablet 6 mg (NDC 73684011060 only), CARBINOXAMINE TABLET 6 MG levocetirizine CARDIZEM, CARDIZEM CD, CARDIZEM LA diltiazem ext-rel (except generics for CARDIZEM LA), verapamil ext- rel carisoprodol 250 mg cyclobenzaprine (except cyclobenzaprine tablet 7.5 mg) CARNITOR, CARNITOR SF levocarnitine CELEBREX celecoxib, diclofenac sodium, ibuprofen, meloxicam tablet, naproxen (except naproxen CR or naproxen suspension) chlordiazepoxide-clidinium (NDCs 11534019701, 42494040901, 51293069601, 51293069610, 67877073101, 70700018501 only) dicyclomine DRUG NAME(S) PREFERRED OPTION(S) chlorzoxazone 250 mg, chlorzoxazone 375 mg, chlorzoxazone 500 mg (NDC 73007001303 only), chlorzoxazone 750 mg cyclobenzaprine (except cyclobenzaprine tablet 7.5 mg) CIALIS avanafil, sildenafil, tadalafil CICATRACE Talk to your doctor CILOXAN ciprofloxacin, erythromycin, gentamicin, levofloxacin, moxifloxacin, ofloxacin, sulfacetamide, tobramycin, BESIVANCE CIPRO HC OTIC ciprofloxacin-dexamethasone, ofloxacin otic ciprofloxacin-fluocinolone ciprofloxacin-dexamethasone, ofloxacin otic CITRANATAL generic prenatal vitamins CLIMARA estradiol CLIMARA PRO COMBIPATCH clindamycin gel (NDC 68682046275 only) 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 clobetasol emollient foam clobetasol cream, clobetasol foam (except clobetasol emollient foam), clobetasol gel, clobetasol lotion, clobetasol ointment, halobetasol cream, halobetasol ointment clobetasol spray clobetasol cream, clobetasol foam (except clobetasol emollient foam), clobetasol gel, clobetasol lotion, clobetasol ointment, halobetasol cream, halobetasol ointment CLOBEX SPRAY clobetasol cream, clobetasol foam (except clobetasol emollient foam), clobetasol gel, clobetasol lotion, clobetasol ointment, halobetasol cream, halobetasol ointment clocortolone cream hydrocortisone butyrate cream, hydrocortisone butyrate ointment, hydrocortisone butyrate solution, mometasone, triamcinolone cream, triamcinolone lotion, triamcinolone ointment (except triamcinolone ointment