10 10

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
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
Fenofibric Acid Delayed-Release Capsules	45 mg		12	AB	Trilipix®
	135 mg		12
Fluphenazine Hydrochloride Tablets, USP	2.5 mg		12	AB	Prolixin
	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
Hydroquinone Cream 4%	4%		24	N/A	Eldoquin Forte®
Megestrol Acetate Oral Suspension	125 mg / ml		12	AB	Megace® ES
Metformin Hydrochloride Extended Release Tablets	500 mg		12	AB2	FORTAMET®
	1,000 mg		12
Metoprolol Succinate Extended-Release Tablets	25 mg		24	AB	Toprol XL®
	50 mg		24
	100 mg		24
	200 mg		24
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
Paclitaxel Protein-Bound Particles for Injectable Suspension - (Albumin-Bound)	100mg per vial		1 carton	Authorized Generic	Abraxane®
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®
Terbutaline Sulfate tablets	2.5 mg		12	AB	Brethine®
	5 mg		12
Testosterone Gel, 1.62% CIII	1.62%		12	AB	Androgel®

* Minimum order requirement is a case pack.