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Generic Name Strength Image Case Pack TE Rating Reference Listed Drug
buPROPion Hydrochloride Extended-Release Tablets (XL) 150 mg 30s, 90s (24)
500s (12)		 AB3 Wellbutrin XL®
300 mg 30s, 90s (24)
500s (12)
Cyclobenzaprine Hydrochloride Extended-Release Capsules 15 mg 24 AB Amrix®
30 mg 24
Dexlansoprazole Delayed-Release Capsules 30 mg AB Lansoprazole®
60 mg
Dicyclomine Hydrochloride Capsules, USP, 10 mg 10 mg 24 for 100s; 12 for 1000s AB Bentyl Capsules, 10 mg
Diltiazem Hydrochloride Extended-Release Capsules 120 mg 30s, 90s (24) 500s (12) AB3 Cardizem CD®
180 mg 30s, 90s (24) 500s (12)
240 mg 30s, 90s (24) 500s (12)
300 mg 30s, 90s (24) 500s (6)
360 mg 30s, 90s (24) 500s (12)
Dimethyl Fumarate Delayed-Release Capsules 120 mg 12 AB TECFIDERA TM®
240 mg 12
Donepezil Hydrochloride Tablets 23 mg 12 AB Aricept® 23mg
Fluphenazine Hydrochloride Tablets, USP 1 mg 12 AB Prolixin
2.5 mg 12
5 mg 12
10 mg 12
Guanfacine Hydrochloride Extended-Release Tablets 1 mg 24 AB Intuniv®
2 mg 24
3 mg 24
4 mg 24
Guanfacine Tablets, USP 1 mg 24 AB Tenex®
2 mg 24
Megestrol Acetate Oral Suspension 125 mg / ml 12 AB Megace® ES
Mycophenolic Acid DR Tablets 180 mg 12 AB TMyfortic®
360 mg 12
Nifedipine Extended-Release Tablets 30 mg 24 AB2 Procardia® XL
60 mg 24
90 mg 24
Potassium Chloride Extended-Release Tablets 10 meq AB K-Tab®
20 meg
Propafenone Hydrochloride Extended-Release Capsules, USP 225 mg 12 AB Rythmol SR®
325 mg 12
425 mg 12
Sevelamer Carbonate Tablets 800 mg 12 AB Renvela®
Sorafenib Tablets, USP 200mg - 120ct 12 AB Nexavar®
Testosterone Gel, 1.62% CIII 1.62% 12 AB Androgel®
Terbutaline Sulfate tablets 2.5 mg 12 AB Brethine®
5 mg 12
Testosterone Topical Solution CIII, USP 30 mg/1.5 ml 48 AT Axiron®

* Minimum order requirement is a case pack.

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