26 DRUG NAME(S) PREFERRED OPTION(S) venlafaxine ext-rel capsule VENTOLIN HFA albuterol sulfate CFC-free aerosol (except NDCs 00093317431, 66993001968), levalbuterol tartrate CFC-free aerosol VEREGEN imiquimod VIAGRA avanafil, sildenafil, tadalafil VICTOZA liraglutide, MOUNJARO, OZEMPIC, RYBELSUS, TRULICITY VIIBRYD citalopram, escitalopram, fluoxetine (except fluoxetine tablet 60 mg, fluoxetine tablet [generics for SARAFEM]), paroxetine HCl, paroxetine HCl ext-rel (except NDC 60505367503), sertraline, vilazodone, AUVELITY, TRINTELLIX VIMPAT 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 VITAFOL-ONE generic prenatal vitamins Vitasure generic multivitamins VIVELLE-DOT estradiol VOGELXO testosterone gel (except authorized generics for TESTIM and VOGELXO), testosterone solution, NATESTO VYVANSE amphetamine- dextroamphetamine mixed salts ext-rel, dexmethylphenidate ext- rel, lisdexamfetamine, methylphenidate ext-rel, AZSTARYS VYZULTA bimatoprost, latanoprost, travoprost WELLBUTRIN XL bupropion, bupropion ext-rel (except bupropion ext-rel tablet 450 mg) XANAX, XANAX XR alprazolam, clonazepam, diazepam, lorazepam, oxazepam XENICAL orlistat, QSYMIA, SAXENDA, DRUG NAME(S) PREFERRED OPTION(S) WEGOVY XERESE acyclovir capsule, acyclovir tablet, valacyclovir XIIDRA RESTASIS, VEVYE XOPENEX HFA albuterol sulfate CFC-free aerosol (except NDCs 00093317431, 66993001968), levalbuterol tartrate CFC-free aerosol XTAMPZA ER fentanyl transdermal, hydrocodone ext-rel, hydromorphone ext-rel, methadone, morphine ext-rel XYOSTED testosterone gel (except authorized generics for TESTIM and VOGELXO), testosterone solution, NATESTO XYZBAC generic multivitamins YASMIN ethinyl estradiol-drospirenone, ethinyl estradiol-drospirenone- levomefolate, ethinyl estradiol- levonorgestrel, ethinyl estradiol- levonorgestrel-iron, ethinyl estradiol-norethindrone acetate, ethinyl estradiol-norethindrone acetate-iron, ethinyl estradiol- norgestimate, LO LOESTRIN FE, NATAZIA YAZ ethinyl estradiol-drospirenone, ethinyl estradiol-drospirenone- levomefolate, ethinyl estradiol- levonorgestrel, ethinyl estradiol- levonorgestrel-iron, ethinyl estradiol-norethindrone acetate, ethinyl estradiol-norethindrone acetate-iron, ethinyl estradiol- norgestimate, LO LOESTRIN FE, NATAZIA Yuvafem estradiol vaginal cream, IMVEXXY, VAGIFEM ZALVIT generic prenatal vitamins ZELAC Talk to your doctor ZEPBOUND orlistat, QSYMIA, SAXENDA, WEGOVY ZERVIATE azelastine, bepotastine, cromolyn sodium, loteprednol, olopatadine ZESTORETIC fosinopril-hydrochlorothiazide, lisinopril-hydrochlorothiazide, quinapril-hydrochlorothiazide ZETIA ezetimibe ZIANA adapalene (except adapalene pad), benzoyl peroxide, clindamycin gel (except NDC 68682046275), clindamycin