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Texas Medicaid August 17, 2012 Meeting MANUFACTURER ABBOTT ACELLA ACELLA ACELLA ACELLA ACELLA ACELLA ACORDA ACTAVIS ACTAVIS ACTIENT PHARMAC ALAVEN ALAVEN ALAVEN ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALCON ALLEGIS ALLEGIS ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN ALLERGAN AMBI AMBI AMBI AMBI AMBI AMER. REGENT AMERISOURCEBERG AMYLIN PHARMACE ARISTOS ASCEND LABORATO ASTRAZENECA AZUR AZUR B.F ASCHER & CO B.F ASCHER & CO B.F ASCHER & CO B.F ASCHER & CO BAUSCH & LOMB BAUSCH & LOMB BRAND NAME CARDIZEM LA (ORAL) ENTRE-B OTC (ORAL) ESOCOR P OTC (ORAL) PNV-DHA (ORAL) PNV-DHA PLUS (ORAL) PNV-IRON (ORAL) PRENAISSANCE BALANCE (ORAL) ZANAFLEX CAPSULE (ORAL) PROMETHAZINE VC SYRUP (ACTAVIS) (ORAL) PROMETHAZINE VC/CODEINE SYRUP (ACTAVIS) (ORAL) SEMPREX-D (ORAL) PREFERA OB (ORAL) PREFERA-OB ONE (ORAL) PREFERA-OB PLUS DHA (ORAL) ALOMIDE (OPHTHALMIC) AZOPT (OPHTHALMIC) BETOPTIC S (OPHTHALMIC) CILOXAN OINTMENT (OPHTHALMIC) CIPRO HC (OTIC) CIPRODEX (OTIC) DUREZOL (OPHTHALMIC) EMADINE (OPHTHALMIC) FLAREX (OPHTHALMIC) MAXIDEX (OPHTHALMIC) MOXEZA (OPHTHALMIC) NATACYN (OPHTHALMIC) NEVANAC (OPHTHALMIC) PATADAY (OPHTHALMIC) PATANOL (OPHTHALMIC) TOBRADEX OINTMENT (OPHTHALMIC) TOBRADEX ST (OPHTHALMIC) TOBREX OINTMENT (OPHTHALMIC) TRAVATAN / TRAVATAN Z 2.5 ML (OPHTHALMIC) TRAVATAN / TRAVATAN Z 5 ML (OPHTHALMIC) TRIESENCE (INTRAOCULR) VEXOL (OPHTHALMIC) VIGAMOX (OPHTHALMIC) ENDACON LIQUID OTC (ORAL) OTOZIN (OTIC) ACUVAIL (OPHTHALMIC) ALOCRIL (OPHTHALMIC) ALPHAGAN P 0.1% (OPHTHALMIC) ALPHAGAN P 0.15% (OPHTHALMIC) BLEPHAMIDE (OPHTHALMIC) BLEPHAMIDE S.O.P. (OPHTHALMIC) COMBIGAN (OPHTHALMIC) ELESTAT (OPHTHALMIC) FML (OPHTHALMIC) FML FORTE (OPHTHALMIC) FML S.O.P. (OPHTHALMIC) LASTACAFT (OPHTHALMIC) LUMIGAN 2.5ML (OPHTHALMIC) LUMIGAN 5ML (OPHTHALMIC) LUMIGAN 7.5ML (OPHTHALMIC) OZURDEX (INTRAOCULR) PRED MILD (OPHTHALMIC) PRED-G DROPS SUSP (OPHTHALMIC) PRED-G OINT. (OPHTHALMIC) ZYMAXID (OPHTHALMIC) 10PEH-4CPM-20DM OTC (ORAL) 20DM-4CPM OTC (ORAL) 40PSE-400GFN-20DM OTC (ORAL) 60PSE-4CPM-20DM OTC (ORAL) MAXINATE (ORAL) SPRIX (NASAL) NIGHT-TIME LIQUID OTC (ORAL) BYDUREON (SUBCUTANE.) CEFDITOREN (ORAL) PRAMOXINE-HC (OTIC) VIMOVO (ORAL) GESTICARE DHA (ORAL) NATELLE ONE (ORAL) BENZEDREX OTC (NASAL) HOLD 4 HOUR LOZENGE OTC (ORAL) ORNEX MAX-STRENGTH OTC (ORAL) ORNEX OTC (ORAL) ACETIC ACID/ALUMINUM (OTIC) ALREX (OPHTHALMIC) August 2012 THERAPEUTIC CLASS CALCIUM CHANNEL BLOCKERS COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS SKELETAL MUSCLE RELAXANTS COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC ANTIHISTAMINES, MINIMALLY SEDATING PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMIC ANTIBIOTICS OTIC ANTIBIOTICS OTIC ANTIBIOTICS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMIC ANTIBIOTICS OPHTHALMIC ANTIBIOTICS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS OPHTHALMIC ANTIBIOTICS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMIC ANTIBIOTICS COUGH AND COLD, NON-NARCOTIC OTIC ANTI-INFECTIVES & ANESTHETICS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS OPHTHALMIC ANTIBIOTICS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS NSAIDS COUGH AND COLD, NON-NARCOTIC HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS CEPHALOSPORINS AND RELATED ANTIBIOTICS OTIC ANTI-INFECTIVES & ANESTHETICS NSAIDS PRENATAL VITAMINS PRENATAL VITAMINS COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD OTIC ANTI-INFECTIVES & ANESTHETICS OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS Provider Synergies, L.L.C. Texas Medicaid August 17, 2012 Meeting MANUFACTURER BAUSCH & LOMB BAUSCH & LOMB BAUSCH & LOMB BAUSCH & LOMB BAUSCH & LOMB BAUSCH & LOMB BAUSCH & LOMB BAUSCH & LOMB BAUSCH & LOMB BAYER BERGEN BRUNSWIG BERGEN BRUNSWIG BERGEN BRUNSWIG BERGEN BRUNSWIG BERGEN BRUNSWIG BERGEN BRUNSWIG BERGEN BRUNSWIG BERGEN BRUNSWIG BERGEN BRUNSWIG BERGEN BRUNSWIG BOCA PHARMACAL BOCA PHARMACAL BOEHRINGER BOEHRINGER BRECKENRIDGE BRECKENRIDGE BRECKENRIDGE BRECKENRIDGE BRECKENRIDGE BRECKENRIDGE BRECKENRIDGE BRECKENRIDGE BUREL PHARMACEU BUREL PHARMACEU CAPELLON CAPELLON CAPELLON CAPELLON CAPELLON CAPITAL CAPITAL CARWIN ASSOCIAT CARWIN ASSOCIAT CENTRIX CENTRIX CENTRIX CENTRIX CENTRIX CENTURION LABS CENTURION LABS CENTURION LABS CENTURION LABS CENTURION LABS CENTURION LABS CENTURION LABS CENTURION LABS CEPHALON CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CHAIN DRUG CONS CONTRACT PHARM CONTRACT PHARM CONTRACT PHARM COREPHARMA LLC BRAND NAME BESIVANCE (OPHTHALMIC) LOTEMAX DROPS (OPHTHALMIC) LOTEMAX OINTMENT (OPHTHALMIC) NEOMYCIN/BACITRACIN/POLY/HC (OPHTHALMIC) NEOMYCIN/BACITRACIN/POLYMYXIN OINT (OPHTHALMIC) OPTIPRANOLOL (OPHTHALMIC) PREDNISOLONE SOD PHOSPHATE (OPHTHALMIC) RETISERT (INTRAOCULR) ZYLET (OPHTHALMIC) CIPRO SUSPENSION (ORAL) ALLERGY & SINUS HEADACHE CAPLET OTC (ORAL) ALLERGY PLUS-SINUS HEADACHE OTC (ORAL) COLD MULTI-SYMPTOM DAYTIME OTC (ORAL) DAILY PRENATAL (ORAL) DAYTIME MUCUS RELIEF DM OTC (ORAL) DAYTIME SINUS RELIEF (ORAL) LICE EGG REMOVER OTC (TOPICAL) NIGHT-TIME SINUS SOFTGEL OTC (ORAL) PV ALLERGY & SINUS CAPLET OTC (ORAL) SINUS CONGESTION & PAIN OTC (ORAL) FE C (ORAL) GUAIFENESIN/CODEINE SYRUP (ORAL) JENTADUETO (ORAL) MOBIC SUSPENSION (ORAL) BROMPHENEX DM SYRUP OTC (ORAL) VINATE AZ (ORAL) VINATE CALCIUM (ORAL) VINATE GT (ORAL) VINATE IC (ORAL) VINATE II (ORAL) VINATE PN CARE (ORAL) VINATE-M (ORAL) RELCOF C (ORAL) RELNATE DHA (ORAL) CERTUSS-D TABLET OTC (ORAL) LIQUIBID PD-R OTC (ORAL) RESCON OTC (ORAL) RESCON-DM LIQUID OTC (ORAL) TREXBROM (ORAL) CAPCOF (ORAL) CAPMIST DM OTC (ORAL) RU-HIST FORTE (ORAL) RU-HIST-D OTC (ORAL) CLOFERA OTC (ORAL) DICEL CD OTC (ORAL) DICEL DM OTC (ORAL) DICEL OTC (ORAL) PAIRE OB PLUS DHA (ORAL) CENTERGY (ORAL) LUSAIR (ORAL) RYDEX DM OTC (ORAL) RYDEX G OTC (ORAL) RYDEX OTC (ORAL) TRYMINE CD OTC (ORAL) TRYMINE CG OTC (ORAL) TRYMINE D OTC (ORAL) AMRIX (ORAL) CHILD PLUS COUGH-RUNNY NOSE (ORAL) COLD RELIEF PLUS OTC (ORAL) COMPLETE SINUS RELIEF OTC (ORAL) DAYTIME SINUS (ORAL) DAYTIME SINUS RELIEF SOFTGELS OTC (ORAL) DEXTROMETHORPHAN LIQUID OTC (ORAL) INTENSE COLD & FLU OTC (ORAL) NON ASPIRIN SINUS (ORAL) PIPERONYL BUTOXIDE/PYRETHRINS KIT OTC (TOPICAL) PV COLD & COUGH SOFTGEL OTC (ORAL) PV NIGHT-TIME SINUS SOFTGEL OTC (ORAL) SINUS NIGHTTIME OTC (ORAL) TRIACTIN OTC (ORAL) TUSSIN CF SYRUP OTC (ORAL) TUSSIN COLD SEVERE CONGESTION OTC (ORAL) TUSSIN COLD-CONGESTION OTC (ORAL) VAPOR INHALER OTC (NASAL) MATERNITY (ORAL) MULTI-SYMPTOM COLD-COUGH (ORAL) PNV WITH CA,NO.74/IRON/FA BRAND (ORAL) METAXALONE (ORAL) August 2012 THERAPEUTIC CLASS OPHTHALMIC ANTIBIOTICS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS OPHTHALMIC ANTIBIOTICS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS FLUOROQUINOLONES, ORAL COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD ANTIPARASITICS, TOPICAL COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD PRENATAL VITAMINS COUGH AND COLD, NARCOTIC HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS NSAIDS COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS COUGH AND COLD, NARCOTIC PRENATAL VITAMINS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD PRENATAL VITAMINS COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD SKELETAL MUSCLE RELAXANTS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD ANTIPARASITICS, TOPICAL COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD PRENATAL VITAMINS COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS SKELETAL MUSCLE RELAXANTS Provider Synergies, L.L.C. Texas Medicaid August 17, 2012 Meeting MANUFACTURER CORNERSTONE CORNERSTONE CORNERSTONE CORNERSTONE CREEKWOOD PHARM CYPRESS PHARM. CYPRESS PHARM. CYPRESS PHARM. CYPRESS PHARM. CYPRESS PHARM. CYPRESS PHARM. DR.REDDY'S LAB DR.REDDY'S LAB ECR PHARM. EDWARDS PHARMAC EDWARDS PHARMAC EDWARDS PHARMAC EDWARDS PHARMAC EDWARDS PHARMAC EDWARDS PHARMAC EKR THERAPEUTIC ELI LILLY & CO. ELI LILLY & CO. EMD SERONO, INC EMD SERONO, INC EMD SERONO, INC EMD SERONO, INC EON LABS EVERETT EVERETT EVERETT EVERETT EVERETT EVERETT EVERETT EVERETT FALCON PHARMACE FALCON PHARMACE FALCON PHARMACE FERA PHARMACEUT FERA PHARMACEUT FOREST PHARMACE G.M. PHARM G.M. PHARM G.M. PHARM G.M. PHARM G.M. PHARM G.M. PHARM G.M. PHARM G.M. PHARM G.M. PHARM G.M. PHARM G.M. PHARM GAVIS PHARMACEU GENENTECH, INC. GENENTECH, INC. GENENTECH, INC. GENENTECH, INC. GENENTECH, INC. GLAXOSMITHKLINE GLAXOSMITHKLINE GLAXOSMITHKLINE GLOBAL PHARM HAWTHORN PHARM HAWTHORN PHARM HAWTHORN PHARM HAWTHORN PHARM HAWTHORN PHARM HAWTHORN PHARM HAWTHORN PHARM HAWTHORN PHARM HI-TECH PHARMAC HORIZON PHARMA IROKO PHARMACEU IROKO PHARMACEU ISTA PHARMACEUT ISTA PHARMACEUT ISTA PHARMACEUT BRAND NAME FACTIVE (ORAL) SPECTRACEF (ORAL) ZYFLO (ORAL) ZYFLO CR (ORAL) DIMETANE-DX LIQUID OTC (ORAL) CORFEN-DM LIQUID OTC (ORAL) DE-CHLOR DM LIQUID OTC (ORAL) DEX-TUSS OTC (ORAL) HIST-PSE SOLUTION OTC (ORAL) NEUTRAHIST DROPS OTC (ORAL) NEUTRAHIST PDX OTC (ORAL) AUGMENTIN 125 SUSPENSION (ORAL) FEXOFENADINE-D 24-HOUR (ORAL) LODRANE D OTC (ORAL) ED A-HIST LIQUID OTC (ORAL) ED A-HIST TABLET OTC (ORAL) ED BRON GP LIQUID OTC (ORAL) ED CHLORPED D OTC (ORAL) ED-A-HIST DM LIQUID OTC (ORAL) RYMED OTC (ORAL) CARDENE SR (ORAL) HUMATROPE CARTRIDGE (INJECTION) HUMATROPE VIAL (INJECTION) SAIZEN CARTRIDGE (INJECTION) SAIZEN VIAL (INJECTION) SEROSTIM VIAL (INJECTION) ZORBTIVE VIAL (INJECTION) ORPHENADRINE COMPOUND (ORAL) REAPHIRM (ORAL) SELECT-OB (ORAL) SELECT-OB + DHA (ORAL) VITAFOL-OB (ORAL) VITAFOL-OB+DHA (ORAL) VITAFOL-ONE (ORAL) VITAFOL-PLUS CAPSULE (ORAL) VITAFOL-PN (ORAL) BETAXOLOL (OPHTHALMIC) BRIMONIDINE P 0.15% (OPHTHALMIC) NEOMYCIN/POLYMYXIN/HC (OPHTHALMIC) BACITRACIN (OPHTHALMIC) SULFACETAMIDE OINTMENT (OPHTHALMIC) TIAZAC 420 MG (ORAL) CARBATUSS-12 (ORAL) MYOXIN (OTIC) NASOPEN OTC (ORAL) NASOPEN-CH OTC (ORAL) PHENA-S 12 (ORAL) VANACOF CD (ORAL) VANACOF DX OTC (ORAL) VANACOF G OTC (ORAL) VANACOF OTC (ORAL) VANACOF-PE OTC (ORAL) VANATAB DX OTC (ORAL) HYDROCODONE/HOMATROPINE TABLET (ORAL) NUTROPIN AQ CARTRIDGE (INJECTION) NUTROPIN AQ VIAL (INJECTION) PEGASYS PROCLICK (SUB-Q) PEGASYS SYRINGE (SUB-Q) PEGASYS VIAL (SUBCUTANE.) CEFTIN SUSPENSION (ORAL) DYNACIRC CR (ORAL) RELENZA (INHALATION) RIMANTADINE (ORAL) BICLORA LIQUID OTC (ORAL) BICLORA TABLET OTC (ORAL) BICLORA-D LIQUID OTC (ORAL) BICLORA-D TABLET OTC (ORAL) ICAR-C PLUS (ORAL) NASOHIST DROPS OTC (ORAL) REZIRA (ORAL) ZUTRIPRO (ORAL) LEVOFLOXACIN SOLUTION (ORAL) DUEXIS (ORAL) INDOCIN (RECTAL) INDOCIN SUSPENSION (ORAL) BEPREVE (OPHTHALMIC) BROMDAY (OPHTHALMIC) ISTALOL (OPHTHALMIC) August 2012 THERAPEUTIC CLASS FLUOROQUINOLONES, ORAL CEPHALOSPORINS AND RELATED ANTIBIOTICS LEUKOTRIENE MODIFIERS LEUKOTRIENE MODIFIERS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC CEPHALOSPORINS AND RELATED ANTIBIOTICS ANTIHISTAMINES, MINIMALLY SEDATING COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD CALCIUM CHANNEL BLOCKERS GROWTH HORMONE GROWTH HORMONE GROWTH HORMONE GROWTH HORMONE GROWTH HORMONE GROWTH HORMONE SKELETAL MUSCLE RELAXANTS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMICS, GLAUCOMA AGENTS OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS OPHTHALMIC ANTIBIOTICS OPHTHALMIC ANTIBIOTICS CALCIUM CHANNEL BLOCKERS COUGH AND COLD, NON-NARCOTIC OTIC ANTI-INFECTIVES & ANESTHETICS COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC GROWTH HORMONE GROWTH HORMONE HEPATITIS C AGENTS HEPATITIS C AGENTS HEPATITIS C AGENTS CEPHALOSPORINS AND RELATED ANTIBIOTICS CALCIUM CHANNEL BLOCKERS ANTIVIRALS, ORAL ANTIVIRALS, ORAL COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC FLUOROQUINOLONES, ORAL NSAIDS NSAIDS NSAIDS OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS OPHTHALMICS, ANTI-INFLAMMATORIES OPHTHALMICS, GLAUCOMA AGENTS Provider Synergies, L.L.C. Texas Medicaid August 17, 2012 Meeting MANUFACTURER JANSSEN PHARM INC JAYMAC PHARMA JAYMAC PHARMA JAYMAC PHARMA JAYMAC PHARMA JAYMAC PHARMA JHP PHARMACEUTI JHP PHARMACEUTI JHP PHARMACEUTI KADMON PHARM KADMON PHARM KADMON PHARM KADMON PHARM KARALEX PHARMA, KENWOOD LAB. KING PHARM LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LARKEN LABS LASER LASER LASER LASER LASER LASER LASER LASER LASER LASER LEADER LEADER LLORENS PHARM LLORENS PHARM LLORENS PHARM LLORENS PHARM LLORENS PHARM LLORENS PHARM LLORENS PHARM LLORENS PHARM LLORENS PHARM LLORENS PHARM LLORENS PHARM LUNSCO, INC. LUPIN PHARMA LUPIN PHARMA MACOVEN PHARMAC MACOVEN PHARMAC MACOVEN PHARMAC MACOVEN PHARMAC MACOVEN PHARMAC MACOVEN PHARMAC MACOVEN PHARMAC MACOVEN PHARMAC MACOVEN PHARMAC MACOVEN PHARMAC MAGNA PHARM MAGNA PHARM MAGNA PHARM MAGNA PHARM MAJOR PHARMACEU MAJOR PHARMACEU MALLINCKRODT BR MARNEL PHARM. BRAND NAME LEVAQUIN SOLUTION (ORAL) DRYMAX AF OTC (ORAL) J-COF DHC (ORAL) J-MAX DHC (ORAL) J-TAN D PD OTC (ORAL) VIVA DHA (ORAL) ADRENALIN CHLORIDE (NASAL) COLY-MYCIN S (OTIC) CORTISPORIN-TC (OTIC) INFERGEN (SUBCUTANE.) RIBAPAK (ORAL) RIBASPHERE 400 MG (ORAL) RIBASPHERE 600 MG (ORAL) MALATHION (TOPICAL) TYZINE SPRAY (NASAL) OXECTA (ORAL) ENDACOF OTC (ORAL) ENDACOF-DC OTC (ORAL) LOHIST DROPS OTC (ORAL) LOHIST PEB DM LIQUID OTC (ORAL) LOHIST-D OTC (ORAL) LOHIST-DM SYRUP (ORAL) LOHIST-PEB OTC (ORAL) LOHIST-PSB OTC (ORAL) MYHIST-DM LIQUID (ORAL) NOHIST TABLET OTC (ORAL) NOHIST-DM LIQUID OTC (ORAL) NOHIST-LQ LIQUID OTC (ORAL) OTO-END 10 (OTIC) PE-HIST DM (ORAL) PINNACAINE (OTIC) SUDATEX G OTC (ORAL) SUDATEX-DM OTC (ORAL) Y-COF DMX OTC (ORAL) DALLERGY DROPS OTC (ORAL) DALLERGY OTC (ORAL) DONATUSS DC (ORAL) DONATUSSIN (ORAL) DONATUSSIN DM OTC (ORAL) DONATUSSIN OTC (ORAL) LACTOCAL-F (ORAL) NEO AC OTC (ORAL) NEO DM OTC (ORAL) RESPAIRE-30 (ORAL) CHEST CONGESTION & PAIN RELIEF (ORAL) CHEST CONGESTION-PAIN RLF PE (ORAL) CONEX SOLUTION OTC (ORAL) CONEX TABLET OTC (ORAL) NATALVIT (ORAL) TUSNEL C (ORAL) TUSNEL CAPSULE (ORAL) TUSNEL LIQUID (ORAL) TUSNEL PED-C (ORAL) TUSNEL PEDIATRIC DROPS (ORAL) TUSNEL PEDIATRIC LIQUID (ORAL) TUSNEL SOLUTION (ORAL) TUSNEL-DM DROPS (ORAL) PROTID (ORAL) SUPRAX SUSPENSION (ORAL) SUPRAX TABLET (ORAL) BP 8 COUGH OTC (ORAL) BPM-PHENYLEPH-DM LIQUID OTC (ORAL) BPM-PSE-DM LIQUID OTC (ORAL) BROM-PSE-DM SYRUP OTC (ORAL) CARDEC DM OTC (ORAL) CARDEC OTC (ORAL) L-METHYLFOLATE PNV DHA (ORAL) PYRIL D (ORAL) PYRIL DM OTC (ORAL) TRIP-PSE LIQUID OTC (ORAL) STAHIST (ORAL) STAHIST AD OTC (ORAL) Z-TUSS AC OTC (ORAL) Z-TUSS E OTC (ORAL) CHILDREN'S MAPAP COUGH-SINUS (ORAL) COUGH & COLD TABLET OTC (ORAL) TUSSICAPS (ORAL) MAR-COF BP (ORAL) August 2012 THERAPEUTIC CLASS FLUOROQUINOLONES, ORAL COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD PRENATAL VITAMINS COUGH AND COLD, COLD OTIC ANTIBIOTICS OTIC ANTIBIOTICS HEPATITIS C AGENTS HEPATITIS C AGENTS HEPATITIS C AGENTS HEPATITIS C AGENTS ANTIPARASITICS, TOPICAL COUGH AND COLD, COLD ANALGESICS, NARCOTICS SHORT COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD OTIC ANTI-INFECTIVES & ANESTHETICS COUGH AND COLD, NON-NARCOTIC OTIC ANTI-INFECTIVES & ANESTHETICS COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD PRENATAL VITAMINS COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD PRENATAL VITAMINS COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD CEPHALOSPORINS AND RELATED ANTIBIOTICS CEPHALOSPORINS AND RELATED ANTIBIOTICS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD PRENATAL VITAMINS COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC Provider Synergies, L.L.C. Texas Medicaid August 17, 2012 Meeting MANUFACTURER MARNEL PHARM. MARNEL PHARM. MC NEIL MCNEIL CONSUMER MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MCR/AMERICAN PH MEDA PHARMACEUT MEDECOR PHARMA MEDECOR PHARMA MEDICINE SHOP MEDICINE SHOP MEDICINE SHOP MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK MERCK SHARP & D MERCK SHARP & D MERCK SHARP & D MERZ MISSION PHARM. MISSION PHARM. MISSION PHARM. MISSION PHARM. MISSION PHARM. MISSION PHARM. MISSION PHARM. MISSION PHARM. MORTON GROVE PH MORTON GROVE PH MYLAN MYLAN MYLAN MYLAN NNODUM CORP NOVARTIS BRAND NAME MAR-COF CG (ORAL) MARNATAL-F (ORAL) TYLENOL COLD SEVERE CONGESTION OTC (ORAL) TYLENOL SINUS CAPLET OTC (ORAL) ALLFEN CD (ORAL) ALLFEN CDX (ORAL) ALLFEN DM TABLETS (ORAL) AMBIFED CD (ORAL) AMBIFED CDX (ORAL) AMBIFED-G CD (ORAL) AMBIFED-G CDX (ORAL) BROVEX PEB (ORAL) BROVEX PEB DM LIQUID OTC (ORAL) BROVEX PSB (ORAL) BROVEX PSB DM (ORAL) COTAB A (ORAL) COTAB AX (ORAL) COTABFLU (ORAL) MAXIFED CD (ORAL) MAXIFED CDX (ORAL) MAXIFED DM OTC (ORAL) MAXIFED-G CD (ORAL) MAXIFED-G CDX (ORAL) MAXIFLU CD (ORAL) MAXIFLU CDX (ORAL) MAXIPHEN (ORAL) MAXIPHEN CD (ORAL) MAXIPHEN CDX (ORAL) MAXIPHEN DM (ORAL) MAXIPHEN DMX OTC (ORAL) PHENFLU CD (ORAL) PHENFLU CDX (ORAL) SOMA 250 MG (ORAL) TRICARE (ORAL) TRICARE DHA (ORAL) COUGH & SORE THROAT LOZENGE OTC (ORAL) INTENSE COUGH RELIEVER LIQUID OTC (ORAL) PRENATAL VITS W-CA,FE,FA(LT1MG) OTC (ORAL) AVELOX (ORAL) AZASITE (OPHTHALMIC) CLARINEX ODT (ORAL) CLARINEX SYRUP (ORAL) CLARINEX TABLET (ORAL) CLARINEX-D 12 HOUR (ORAL) CLARINEX-D 24 HOUR (ORAL) CLARITIN CAPSULE OTC (ORAL) CLARITIN CHEW OTC (ORAL) CLARITIN ODT OTC (ORAL) CLARITIN-D 12 HOUR OTC (ORAL) CORICIDIN HBP TABLET OTC (ORAL) NOROXIN (ORAL) PEG-INTRON (SUBCUTANE.) PEG-INTRON REDIPEN (SUBCUTANE.) REBETOL SOLUTION (ORAL) SINGULAIR GRAN PACK (ORAL) SINGULAIR TAB CHEW (ORAL) SINGULAIR TABLET (ORAL) VICTRELIS (ORAL) COSOPT PF (OPHTHALMIC) JANUMET XR (ORAL) ZIOPTAN (OPHTHALMIC) AQUA GLYCOLIC HC (TOPICAL) CITRANATAL 90 DHA (ORAL) CITRANATAL ASSURE (ORAL) CITRANATAL B-CALM (ORAL) CITRANATAL DHA (ORAL) CITRANATAL RX (ORAL) DUET DHA BALANCED (ORAL) NATAFORT (ORAL) TINDAMAX (ORAL) BROMFED DM SYRUP (ORAL) MYTUSSIN DAC OTC (ORAL) BROMFENAC (OPHTHALMIC) FENOPROFEN (ORAL) KETOPROFEN ER (ORAL) MECLOFENAMATE (ORAL) INATAL GT (ORAL) CHILDREN'S TRIAMINIC OTC (NASAL) August 2012 THERAPEUTIC CLASS COUGH AND COLD, NARCOTIC PRENATAL VITAMINS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC SKELETAL MUSCLE RELAXANTS PRENATAL VITAMINS PRENATAL VITAMINS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS FLUOROQUINOLONES, ORAL OPHTHALMIC ANTIBIOTICS ANTIHISTAMINES, MINIMALLY SEDATING ANTIHISTAMINES, MINIMALLY SEDATING ANTIHISTAMINES, MINIMALLY SEDATING ANTIHISTAMINES, MINIMALLY SEDATING ANTIHISTAMINES, MINIMALLY SEDATING ANTIHISTAMINES, MINIMALLY SEDATING ANTIHISTAMINES, MINIMALLY SEDATING ANTIHISTAMINES, MINIMALLY SEDATING ANTIHISTAMINES, MINIMALLY SEDATING COUGH AND COLD, NON-NARCOTIC FLUOROQUINOLONES, ORAL HEPATITIS C AGENTS HEPATITIS C AGENTS HEPATITIS C AGENTS LEUKOTRIENE MODIFIERS LEUKOTRIENE MODIFIERS LEUKOTRIENE MODIFIERS HEPATITIS C AGENTS OPHTHALMICS, GLAUCOMA AGENTS HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS OPHTHALMICS, GLAUCOMA AGENTS STEROIDS, TOPICAL LOW PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS ANTIBIOTICS, GI COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC OPHTHALMICS, ANTI-INFLAMMATORIES NSAIDS NSAIDS NSAIDS PRENATAL VITAMINS COUGH AND COLD, COLD Provider Synergies, L.L.C. Texas Medicaid August 17, 2012 Meeting MANUFACTURER NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVARTIS NOVO NORDISK OPTIMER PHARMAC PACIFIC PHARMA PARAPRO LLC PEDINOL PHARM. PERNIX THERAPEU PERNIX THERAPEU PERNIX THERAPEU PERNIX THERAPEU PERNIX THERAPEU PERNIX THERAPEU PERNIX THERAPEU PERNIX THERAPEU PERRIGO CO. PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PFIZER PHARMACEU ASSOC PHARMADERM PHARMICS PHARMICS PLIVA, INC POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. BRAND NAME COMTREX CAPLET OTC (ORAL) COMTREX COLD & COUGH OTC (ORAL) COMTREX DEEP CHEST COLD (ORAL) TAVIST OTC (ORAL) THERAFLU COLD & COUGH MED OTC (ORAL) THERAFLU COLD & COUGH POWD PACK OTC (ORAL) THERAFLU COLD & COUGH STRIP OTC (ORAL) THERAFLU COLD AND COUGH POWER OTC (ORAL) THERAFLU FLU & SORE THROAT OTC (ORAL) THERAFLU FLU-COLD-COUGH MED OTC (ORAL) THERAFLU MAX-D COLD-FLU PACKET OTC (ORAL) THERAFLU MAX-STRENGTH CAPLET OTC (ORAL) THERAFLU MULTI-SYMPTOM COLD OTC (ORAL) THERAFLU NIGHTTIME FORMULA OTC (ORAL) THERAFLU NIGHTTTIME MEDICINE OTC (ORAL) THERAFLU OTC (ORAL) THERAFLU PACKET OTC (ORAL) TRIAMINIC CHEST-NASAL CONG LIQ OTC (ORAL) TRIAMINIC COLD & ALLERGY SOFTCHEWS OTC (ORAL) TRIAMINIC COLD & ALLERGY SYRUP OTC (ORAL) TRIAMINIC COLD & COUGH STRIP OTC (ORAL) TRIAMINIC COLD-ALLERGY PE OTC (ORAL) TRIAMINIC COLD-COUGH STRIP OTC (ORAL) TRIAMINIC COLD-COUGH-FEVER LIQUID OTC (ORAL) TRIAMINIC COUGH LIQUID OTC (ORAL) TRIAMINIC COUGH-COLD CHEW OTC (ORAL) TRIAMINIC COUGH-NASAL CONG LIQUID OTC (ORAL) TRIAMINIC COUGH-SORE THROAT LIQUID OTC (ORAL) TRIAMINIC LONG ACTING COUGH SYRUP OTC (ORAL) TRIAMINIC NIGHT TIME/CHILD TRIAMINIC-D COLD LIQUID OTC (ORAL) TRIAMINIC SOFTCHEWS OTC (ORAL) TRIAMINIC SYRUP OTC (ORAL) TRIAMINICIN OTC (ORAL) NORDITROPIN PEN (INJECTION) DIFICID TABLET (ORAL) FLUOROMETHOLONE (OPHTHALMIC) NATROBA (TOPICAL) NALFON (ORAL) ALDEX GS DM OTC (ORAL) ALDEX GS OTC (ORAL) CEDAX CAPSULE (ORAL) CEDAX SUSPENSION (ORAL) PEDIATEX TD LIQUID OTC (ORAL) PEDIATEX TDM OTC (ORAL) Z-COF 12DM (ORAL) Z-COF I OTC (ORAL) NIGHT TIME COLD & FLU LIQUID OTC (ORAL) ARTHROTEC (ORAL) CELEBREX (ORAL) CHILDREN'S DIMETAPP COLD-FLU OTC (ORAL) COVERA-HS (ORAL) DIMETAPP LONG-ACTING COUGH LIQUID OTC (ORAL) FLAGYL CAPSULE (ORAL) FLAGYL ER (ORAL) GENOTROPIN CARTRIDGE (INJECTION) GENOTROPIN DISP SYRIN (INJECTION) PRIMATENE ASTHMA OTC (ORAL) ROBITUSSIN COUGH & COLD CF LIQUID OTC (ORAL) ROBITUSSIN LONG-ACTING LIQUID OTC (ORAL) ROBITUSSIN PEDIATRIC COUGH SYRUP OTC (ORAL) SKELAXIN (ORAL) TUSSIGON (ORAL) XALATAN 2.5 ML (OPHTHALMIC) CETIRIZINE SOLUTION 5MG/5ML OTC (ORAL) TYZINE DROPS (NASAL) O-CAL FA (ORAL) O-CAL PRENATAL (ORAL) METRONIDAZOLE CAPSULE (ORAL) ALA-HIST AC (ORAL) ALAHIST DHC (ORAL) ALA-HIST DM OTC (ORAL) ALA-HIST PE OTC (ORAL) DECONEX DM OTC (ORAL) DECONEX DMX OTC (ORAL) DECONEX IR OTC (ORAL) DECONEX OTC (ORAL) DURAFLU (ORAL) LORTUSS DM OTC (ORAL) August 2012 THERAPEUTIC CLASS COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD GROWTH HORMONE ANTIBIOTICS, GI OPHTHALMICS, ANTI-INFLAMMATORIES ANTIPARASITICS, TOPICAL NSAIDS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD CEPHALOSPORINS AND RELATED ANTIBIOTICS CEPHALOSPORINS AND RELATED ANTIBIOTICS COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC NSAIDS NSAIDS COUGH AND COLD, NON-NARCOTIC CALCIUM CHANNEL BLOCKERS COUGH AND COLD, NON-NARCOTIC ANTIBIOTICS, GI ANTIBIOTICS, GI GROWTH HORMONE GROWTH HORMONE COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC SKELETAL MUSCLE RELAXANTS COUGH AND COLD, NARCOTIC OPHTHALMICS, GLAUCOMA AGENTS ANTIHISTAMINES, MINIMALLY SEDATING COUGH AND COLD, COLD PRENATAL VITAMINS PRENATAL VITAMINS ANTIBIOTICS, GI COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC Provider Synergies, L.L.C. Texas Medicaid August 17, 2012 Meeting MANUFACTURER POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. POLY PHARM. PRO-PHARMA LLC PRO-PHARMA LLC PRO-PHARMA LLC PRO-PHARMA LLC PRO-PHARMA LLC PRUGEN PHARMACE PRUGEN PHARMACE PRUGEN PHARMACE PRUGEN PHARMACE PRUGEN PHARMACE PRUGEN PHARMACE PURDUE PHARMA L PURETEK CORPORA PURETEK CORPORA PURETEK CORPORA PURETEK CORPORA QUALITEST QUALITEST QUALITEST QUALITEST QUALITEST R.A.MC NEIL CO. R.A.MC NEIL CO. R.A.MC NEIL CO. R.A.MC NEIL CO. R.A.MC NEIL CO. R.A.MC NEIL CO. R.A.MC NEIL CO. R.A.MC NEIL CO. R.A.MC NEIL CO. R.A.MC NEIL CO. R.A.MC NEIL CO. RANBAXY RANBAXY RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RECKITT BENCKIS RESPA PHARM. RESPA PHARM. RESPA PHARM. RESPA PHARM. RESPA PHARM. RESPA PHARM. ROCHE LABS. ROCHE LABS. ROCHE LABS. ROMARK PHARM ROMARK PHARM ROXANE LABS. ROXANE LABS. SALIX PHARMACEU SANCILIO & COMP SANDOZ SANDOZ SETON PHARMACEU SETON PHARMACEU SETON PHARMACEU SETON PHARMACEU BRAND NAME LORTUSS EX OTC (ORAL) LORTUSS LQ OTC (ORAL) POLY HIST DHC (ORAL) POLY HIST NC (ORAL) POLY-TUSSIN AC OTC (ORAL) POLY-TUSSIN DHC (ORAL) POLY-TUSSIN EX (ORAL) POLY-VENT DM OTC (ORAL) POLY-VENT IR OTC (ORAL) POLY-VENT PLUS (ORAL) PRO-CHLO LIQUID OTC (ORAL) PRO-CLEAR AC OTC (ORAL) PRO-CLEAR CAPS OTC (ORAL) PROFE FORTE OTC (ORAL) PRO-RED AC OTC (ORAL) BAL-CARE DHA ESSENTIAL (ORAL) PNV WITH CA,NO.74/IRON/FA (ORAL) PR NATAL 400 (ORAL) PR NATAL 400 EC (ORAL) PR NATAL 430 (ORAL) PR NATAL 430 EC (ORAL) INTERMEZZO (SUBLINGUAL) OTIC CARE (OTIC) PNV OB+DHA (ORAL) PUREFE OB PLUS (ORAL) PUREFE PLUS (ORAL) CHERATUSSIN DAC OTC (ORAL) CODITUSS DM SYRUP OTC (ORAL) PHENYLHISTINE DH OTC (ORAL) PROMETHAZINE VC SYRUP (QUALITEST) (ORAL) PROMETHAZINE VC/CODEINE SYRUP (QUALITEST) (ORAL) CHLO TUSS EX OTC (ORAL) CHLO TUSS OTC (ORAL) EZFE FORTE (ORAL) M-CLEAR (ORAL) M-CLEAR WC (ORAL) M-END DM (ORAL) M-END DMX OTC (ORAL) M-END MAX D OTC (ORAL) M-END PE (ORAL) M-END WC (ORAL) M-VIT (ORAL) EURAX CREAM (TOPICAL) EURAX LOTION (TOPICAL) CHILDREN'S MUCINEX OTC (ORAL) DELSYM SUS ER 12H OTC (ORAL) KID'S MUCINEX MINI-MELTS OTC (ORAL) MUCINEX COLD & SINUS OTC (ORAL) MUCINEX COLD LIQUID OTC (ORAL) MUCINEX COLD-FLU & SORE THROAT OTC (ORAL) MUCINEX COUGH OTC (ORAL) MUCINEX D ER OTC (ORAL) MUCINEX D OTC (ORAL) MUCINEX DM OTC (ORAL) MUCINEX ER TABLET OTC (ORAL) MUCINEX OTC (NASAL) MUCINEX SEVERE CONGEST-COUGH OTC (ORAL) CODAR AR (ORAL) CODAR D (ORAL) CODAR GF (ORAL) RESPA A.R. (ORAL) TRICODE AR (ORAL) TRICODE GF (ORAL) NAPROSYN SUSPENSION (ORAL) TAMIFLU CAPSULE (ORAL) TAMIFLU SUSPENSION (ORAL) ALINIA SUSPENSION (ORAL) ALINIA TABLET (ORAL) MELOXICAM SUSPENSION (ORAL) NAPROXEN SUSPENSION (ORAL) XIFAXAN (ORAL) PRENATA (ORAL) OMNITROPE CARTRIDGE (INJECTION) OMNITROPE VIAL (INJECTION) CAVAN-ALPHA KIT (ORAL) CAVAN-EC SOD DHA (ORAL) SE-NATAL 19 TAB CHEW (ORAL) SE-NATAL 19 TABLET (ORAL) August 2012 THERAPEUTIC CLASS COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC PRENATAL VITAMINS COUGH AND COLD, NARCOTIC PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS SEDATIVE HYPNOTICS OTIC ANTI-INFECTIVES & ANESTHETICS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC PRENATAL VITAMINS ANTIPARASITICS, TOPICAL ANTIPARASITICS, TOPICAL COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC NSAIDS ANTIVIRALS, ORAL ANTIVIRALS, ORAL ANTIBIOTICS, GI ANTIBIOTICS, GI NSAIDS NSAIDS ANTIBIOTICS, GI PRENATAL VITAMINS GROWTH HORMONE GROWTH HORMONE PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS Provider Synergies, L.L.C. Texas Medicaid August 17, 2012 Meeting MANUFACTURER SETON PHARMACEU SETON PHARMACEU SETON PHARMACEU SHIONOGI SHIONOGI SHIONOGI SHIONOGI SHIONOGI SILARX PHARM SJ PHARMACAL SJ PHARMACAL SUNMARK SUNMARK SUNMARK SUNMARK SUNMARK SUNMARK TARO PHARM USA TARO PHARM USA TEVA TEVA TEVA TEVA TEVA TOPCO TOPCO TOPCO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO TRIGEN LABORATO UPSHER SMITH UPSHER SMITH UPSHER SMITH US PHARMACEUTIC US PHARMACEUTIC US PHARMACEUTIC VALEANT VALEANT VERTEX PHARMACE VERTICAL PHARM VERTICAL PHARM VERTICAL PHARM VERTICAL PHARM VERTICAL PHARM VERTICAL PHARM VERTICAL PHARM VERTICAL PHARM VERTICAL PHARM VERTICAL PHARM BRAND NAME SE-TAN DHA (ORAL) SETONET (ORAL) SETONET-EC (ORAL) FEXMID (ORAL) KEFLEX 750 MG CAPSULE (ORAL) NAPRELAN (ORAL) PONSTEL (ORAL) ULESFIA (TOPICAL) SILAFED OTC (ORAL) NOTUSS-NX (ORAL) NOTUSS-NXD (ORAL) CHEST CONGESTION (ORAL) COUGH & RUNNY NOSE LIQUID OTC (ORAL) MUCUS ER TABLET OTC (ORAL) SM NITE TIME LIQUID OTC (ORAL) TRIACTING COLD AND ALLERGY OTC (ORAL) V-R NON-ASPIRIN FLU GELCAP OTC (ORAL) MALATHION BRAND (TOPICAL) OVIDE (TOPICAL) CEFACLOR TABLET ER (ORAL) CEPHALEXIN TABLET (ORAL) DIFLUNISAL (ORAL) QNASL (NASAL) TEV-TROPIN VIAL (INJECTION) DAY TIME COUGH LIQUID OTC (ORAL) DAYTIME COLD & FLU RELIEF CAPSULE OTC (ORAL) FLU & SORE THROAT PACKET OTC (ORAL) COMPLETE NATAL DHA (ORAL) COMPLETENATE (ORAL) COMPLETE-RF PRENATAL (ORAL) ELITE-OB (ORAL) FOLIVANE-OB (ORAL) FOLIVANE-PRX DHA NF (ORAL) MESEHIST DM (ORAL) MESEHIST WC (ORAL) ROVIN-A DHA (ORAL) TARON-BC (ORAL) TARON-C DHA (ORAL) TARON-DUO EC (ORAL) TARON-PREX PRENATAL (ORAL) TL-ASSURE + DHA (ORAL) TL-ASSURE ONE (ORAL) TL-HIST CD (ORAL) TREAGAN OTIC (OTIC) TRI-DEX PE LIQUID OTC (ORAL) TRINATAL GT (ORAL) TRIVEEN-DUO DHA (ORAL) TRIVEEN-ONE (ORAL) TRIVEEN-PRX RNF (ORAL) TRIVEEN-TEN (ORAL) TRIVEEN-U (ORAL) ULTIMATE OB DHA (ORAL) ULTIMATECARE ONE NF (ORAL) VENATAL COMPLETE DHA (ORAL) VITASPIRE (ORAL) VOL-NATE (ORAL) VOL-TAB RX (ORAL) ZATEAN-CH (ORAL) ZATEAN-PN DHA (ORAL) AMANTADINE TABLET (ORAL) NEXA SELECT (ORAL) PRENEXA (ORAL) CONCEPT DHA (ORAL) CONCEPT OB (ORAL) NOREL AD OTC (ORAL) CARDIZEM CD 360 MG (ORAL) TIMOPTIC (OPHTHALMIC) INCIVEK (ORAL) LORZONE (ORAL) OB COMPLETE 400 (ORAL) OB COMPLETE ONE (ORAL) OB COMPLETE PREMIER (ORAL) OB COMPLETE TAB CHEW (ORAL) OB COMPLETE TABLET (ORAL) OB COMPLETE WITH DHA (ORAL) TRIOXIN (OTIC) TRUST NATAL DHA (ORAL) ZONATUSS (ORAL) August 2012 THERAPEUTIC CLASS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS SKELETAL MUSCLE RELAXANTS CEPHALOSPORINS AND RELATED ANTIBIOTICS NSAIDS NSAIDS ANTIPARASITICS, TOPICAL COUGH AND COLD, COLD COUGH AND COLD, NARCOTIC COUGH AND COLD, NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC ANTIPARASITICS, TOPICAL ANTIPARASITICS, TOPICAL CEPHALOSPORINS AND RELATED ANTIBIOTICS CEPHALOSPORINS AND RELATED ANTIBIOTICS NSAIDS INTRANASAL RHINITIS AGENTS GROWTH HORMONE COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NARCOTIC PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS COUGH AND COLD, NARCOTIC OTIC ANTI-INFECTIVES & ANESTHETICS COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS ANTIVIRALS, ORAL PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS COUGH AND COLD, COLD CALCIUM CHANNEL BLOCKERS OPHTHALMICS, GLAUCOMA AGENTS HEPATITIS C AGENTS SKELETAL MUSCLE RELAXANTS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS PRENATAL VITAMINS OTIC ANTI-INFECTIVES & ANESTHETICS PRENATAL VITAMINS COUGH AND COLD, NON-NARCOTIC Provider Synergies, L.L.C. Texas Medicaid August 17, 2012 Meeting MANUFACTURER VERTICAL PHARM VIROPHARMA INCO VISTAKON PHARMA WALLACE PHARMAC WATSON WATSON WATSON WATSON WEEKS & LEO CO. WEEKS & LEO CO. WOMEN'S CHOICE WOMEN'S CHOICE WYETH CONSUMER WYETH CONSUMER WYETH CONSUMER WYETH CONSUMER WYETH CONSUMER WYETH CONSUMER XANODYNE PHARM XANODYNE PHARM X-GEN PHARMACEU BRAND NAME ZOTEX-C (ORAL) VANCOCIN HCL (ORAL) BETIMOL (OPHTHALMIC) CARISOPRODOL 250 MG (ORAL) ISRADIPINE (ORAL) MATZIM LA (ORAL) PREQUE 10 (ORAL) VERAPAMIL 360 MG CAPSULE (ORAL) EXPECTORANT SYRUP OTC (ORAL) SUPER TROCHE DM LOZENGE OTC (ORAL) NESTABS (ORAL) NESTABS DHA (ORAL) ADT ROBITUSSIN COUGH-COLD-FLU (ORAL) ADULT ROBITUSSIN COUGH SYRUP OTC (ORAL) ADULT ROBITUSSIN M-S COLD LIQUID OTC (ORAL) ADULT ROBITUSSIN NIGHT M-S CLD (ORAL) ADVIL COLD & SINUS LIQUI-GELS OTC (ORAL) CENTRUM SPECIALIST PRENATAL OTC (ORAL) STUART PRENATAL + DHA OTC (ORAL) ZIPSOR (ORAL) NEO-FRADIN (ORAL) August 2012 THERAPEUTIC CLASS COUGH AND COLD, NARCOTIC ANTIBIOTICS, GI OPHTHALMICS, GLAUCOMA AGENTS SKELETAL MUSCLE RELAXANTS CALCIUM CHANNEL BLOCKERS CALCIUM CHANNEL BLOCKERS PRENATAL VITAMINS CALCIUM CHANNEL BLOCKERS COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC PRENATAL VITAMINS PRENATAL VITAMINS COUGH AND COLD, COLD COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, NON-NARCOTIC COUGH AND COLD, COLD COUGH AND COLD, COLD PRENATAL VITAMINS PRENATAL VITAMINS NSAIDS ANTIBIOTICS, GI Provider Synergies, L.L.C.
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