19 DRUG NAME(S) PREFERRED OPTION(S) ketoprofen ext-rel capsule diclofenac sodium, ibuprofen, meloxicam tablet, naproxen (except naproxen CR or naproxen suspension) KETOSTIX Talk to your doctor lactulose pak (NDCs 69067001015, 69067002015 only) lactulose solution LAMICTAL, LAMICTAL ODT carbamazepine, carbamazepine ext-rel, clobazam, clonazepam, 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, rufinamide, tiagabine, topiramate, topiramate ext-rel, valproic acid, zonisamide, BRIVIACT, OXTELLAR XR, XCOPRI LAMICTAL XR 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 LANOXIN TABLET (125 MCG and 250 MCG only) digoxin lansoprazole delayed-rel orally disintegrating tablet esomeprazole delayed-rel, lansoprazole delayed-rel capsule, omeprazole delayed-rel, pantoprazole delayed-rel tablet lanthanum carbonate calcium acetate, sevelamer carbonate, AURYXIA LATUDA aripiprazole, clozapine, lurasidone, olanzapine, quetiapine, quetiapine ext-rel, risperidone, ziprasidone, VRAYLAR LESCOL XL atorvastatin, ezetimibe- simvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin LEVEMIR INSULIN GLARGINE-YFGN, LANTUS DRUG NAME(S) PREFERRED OPTION(S) levorphanol fentanyl transdermal, hydrocodone ext-rel, hydromorphone ext-rel, methadone, morphine ext-rel LEXAPRO 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 LIALDA balsalazide, mesalamine delayed- rel, mesalamine ext-rel, sulfasalazine, sulfasalazine delayed-rel LIBRAX dicyclomine LIPITOR atorvastatin, ezetimibe- simvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin LITHOSTAT Talk to your doctor LIVALO atorvastatin, ezetimibe- simvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin Lofena diclofenac sodium, ibuprofen, meloxicam tablet, naproxen (except naproxen CR or naproxen suspension) LOKELMA VELTASSA Lorzone cyclobenzaprine (except cyclobenzaprine tablet 7.5 mg) LOTEMAX, LOTEMAX SM dexamethasone, difluprednate, loteprednol, prednisolone acetate 1% LOVAZA omega-3 acid ethyl esters, VASCEPA luliconazole ciclopirox, clotrimazole, econazole, ketoconazole cream 2%, naftifine LUMIGAN bimatoprost, latanoprost, travoprost LUNESTA doxepin, eszopiclone, ramelteon, zolpidem, zolpidem ext-rel, BELSOMRA, QUVIVIQ LYRICA duloxetine, pregabalin, pregabalin ext-rel MACRODANTIN nitrofurantoin (except NDC 16571074024) Matzim LA diltiazem ext-rel (except generics for CARDIZEM LA), verapamil ext-